Posted by kavaman on January 31, 2006, at 15:24:38
Hi there
I have been observing this babble for some time and wanted to start contributing. And possibly getting some advice i can talk to my psych doc with.
I have had panic disorder for about 5 years. First i was put to cipramil took it for 2 months because the doctors told me i will get better i will get better. Only got about 10x worse. Then i tried buspar didnt work. Then i believe i tried nefadar, didnt help either. At this point i was taking ativan about 5 1mg pills aday , and it didnt help either. Actually tranquilizers havent much helped me ever, well ativan stops working for me within a week or so, and i have to raise the dosage EVERY DAY. I dunno why.
Anyway i got rid of ativan , when i switched to remeron. With the help from remeron the withdrawal from ativan took about 3 days of total shaking. Then my panic symptoms went away for about 2 weeks, and then my panic attacks and constant anxiety came back with a blast. I was on 30mg remeron. After about a year of not feeling well(i had some help from remeron but not enough). I lowered my dosage to a mere 7.5mg aday which i took at MORNING (yeah it made me sleep a couple hours more, but then i felt ok for the whole day). No panic at all.
With this combination i was OK and panicky free for about 3 years. Until last november the panic came back.
After this i have tried atarax, no help (tired making antihistamine, mianserin helped a few days then more panicky again. Was very tired making at first, but it disappeared totally, few antipsychotics (levozin and seroquel), either one didnt help, levozin did make me tired, but didnt do anything to the panics, which is weird as remeron does help and it also makes you tired. I almost couldnt move with levozin, it worsened my movement so much.
I CAN keep the panic away for 1-2! days a week by taking ATIVAN about 2-3 mg/day. I dont take it constantly because i dont want to become addicted to it again. Also for some reason after 2 days of it i become agitated, angry and it just plain doesnt work for me almost at all. i believe i also have athaxia, or then its just constant panic/anxiety attack after another.The remeron helps a bit when i take just small bites of many times a day. Not the whole 7.5mg/time.
I believe that the HeLP i was getting from remeron does not come from its property of raising serotonin. For me it did help because the sedating effect is so much bigger then the mood upping effect at 7.5mg. So for me anxiety/panic wise sedation seems to be the key as normal AD:s made me feel much much more panicky and awful.
Now im in the point of wanting to try something new. As sedation seems to be the key id like to try a drug that has only the sedation effects of remeron, not the mood brightening effects, but are there any like that. Also i have some other options below.
Also i was thinking about tianeptine (stablon), because it has been diagnosed to help with a many deal of anxiety disorders, and i believe it somehow eases breathing which is a big problem in panic disorder , as it also helps for asthma.
The drug choices i am currently thinking are:akineton (biperiden) , depakote, tianeptine (stablon) or low dose of triptyl or surmontin.
But what id really like to try is some drug with as sedating effect of remeron and with no, or almost none of antidepressant effects.
Hope someone can read this long post, And please tell me what do you think of the drugs i am thinking of trying. Also if someone has something to else to suggest please do. Antidepressants dont seem to be a choice for me atleast in bigger mg amounts.
-newcomer kavaman
poster:kavaman
thread:604876
URL: http://www.dr-bob.org/babble/20060129/msgs/604876.html