Posted by Racer on January 25, 2008, at 1:14:52
In reply to HELP- antianxiety options with least cognitive imp, posted by hok on January 24, 2008, at 19:51:14
I'll second Linkadge's suggestion of BuSpar. In fact, the two very best medications I've found for reducing my anxiety are BuSpar and methylphenidate. (OK, so the second of those proves I'm completely insane, but it's true.)
I suffer from severe melancholic depression as well as anxiety, and did experience a worsening of some depressive symptoms on BuSpar, but it's something my pdoc and I are discussing trying again since I wasn't taking methylphenidate then. I'm hoping the combination of anti-depressant, stimulant, and anxiolytic might be the best answer for me.
Other than BuSpar, I recently began a low dose of Seroquel for anxiety -- once a day, at bedtime -- and haven't noticed any cognitive impairment. I haven't noticed a lot of difference in anxiety, but that's probably primarily environmental: I'm just restarting all my old meds after a failed trial of EMSAM, and going through some situational things, and replacing my car (which is a very big thing for me, NOT an exciting thing, but an anxiety producing event in a very big way), so lots of situational factors. I'd say, though, that Seroquel might be worth a try, if you end up going the AP route.
Good luck to you.
poster:Racer
thread:808786
URL: http://www.dr-bob.org/babble/20080124/msgs/808817.html