Posted by West on August 1, 2008, at 10:34:59
In reply to Anxiety + Major Depression...HELP!!!, posted by amyvalkyrja on August 1, 2008, at 6:14:24
> Hey,
>
> This is my first post though I have frequented this website for several years...
>
> My doc prescribed me Klonopin two and a half years ago for my PTSD/SAD/GAD/Panic, etc...I believe I have almost all of the anxiety disorders. I'm on 3mg/day. Recently he prescribed me Prozac to deal with my Major Depression and inability to function (I'm on disability). I haven't taken the Prozac yet...I am scared that it will exacberate the extreme anxiety I have...
>
> Need advise ASAP on which would be the best SSRI for me to take as I meet with him next Tuesday. The Klonopin barely holds me and I drink everyday to compensate. Its hard to do anything at all. I try to sleep but have major nightmares...waking moments are not much better.
>
> Anyone out there with a similiar situation who has some advise on a proper SSRI? I do not want to gain weight as that will be more depressing and I want to be able to sleep more than 5 hours a night. I am willing to quit the alcohol if there is some med that could help with the depression...please go easy on me...I am very sensitive. Thanks in advance...
>
> ~ AimsYou will almost indefinitely have some start up insomnia with any newer generation antidepressants barring mirtazapine and trazodone, and the former can cause increased appetite. Prozac is atypical of the SSRI class in that it is the most stimulating, especially in the beginning, whilst escitalopram (lexapro) although much cleaner and more selective than prozac can cause weigh gain over time. Sticking witht eh clonazepam will be a good idea to counter any start up anxiety you may have. From a side effects point of view you could try cymbalta, avoiding effexor, or possibly sertraline. Also the tricyclics can be more side effect free than the relatively potent SSRIs in low doses, with less associated insomnia. Many are already 'dual' action. Have a look at this http://www.preskorn.com/cgi-bin/sp.pl?words=clomipramine&wt=be&bl=an&IMAGE1.x=0&IMAGE1.y=0&d=/books/omd_s8.html
poster:West
thread:843439
URL: http://www.dr-bob.org/babble/20080727/msgs/843460.html