Posted by Vincent_QC on March 28, 2009, at 21:05:28
In reply to Re: social anxiety vs. AvPD » Vincent_QC, posted by myco on March 28, 2009, at 15:07:06
> I take restoril occasionally but have recently been taking it more often due to serious lung illness since I need to sleep to get well. I had to get this med from another dr....my gp hates them and wont use at all with me...I think it may have something to do with my past substance abuse problems...he may be affraid I will get addicted but i dunno....he just doesnt like many medications. He is a "minimalist" if you know what I mean...the less meds in a patient the better.
You're not lucky Myco...I have a good Family Doctor who are not affraid to test meds but for the PDoc is another things...they are more rare...and less easy on the testing meds...
Benzos are benzos...some works more well than others... you have to find the good one...and change often since addiction appear fast, on people with past substances abuse like you and me...
> I am recovering alcoholic...I used to use drugs and alcohol as a means of self medicating my anxiety since no dr would treat me properly with proper meds for anxiety. Was a horrible situation to get into since alcohol works great initially but then spend a year or so drinking a bottle of vodca or gin almost every night and you end up very depressed and angry...then do to much cocaine over time (works good to start for anxiety) but then you develop psychosis and paranoia horribly. I will never touch booze again since it led me in that direction. Drug use almost killed my spirit - my very sole or personality. You become empty inside, devoid of any positive emotional at all.
We are different on that point...In my tennager years, I was hard on the chemical drugs...LSD (pure, not sh*t like today), PCP, mushrooms...and of course hash...I was smopoking hash 6 or 7 times a day... I had my first panic attack on hash...after panic attack occur on no substance... but I was not able to smooke hash after...just the smeel make me feel anxious to the point I start a panic attack...so I just stop the drugs at the time... around 23 into 25 I begin cocaine...but I guess stimulant drugs was not for me, too much of it was really hard on my anxiety ...I do a lot of panic attacks on it... I also try the Speed in 2005...and also the E...OMG....never again!!! I had the worst 6 hours of my life... panic attacks all the times... Anyway .. I stop drinking and drugs since 2006... I had a couple of beers sometimes since then...but never to the point where I was drunk...
> You should stop or do your best to stop. Try a different mabye...restoril is related to valium...it's a derivative or metabolite I believe. Seems, to me, better cleaner feel than valium but still suffers from the normal benzo problems. I prefer it to klon or xanax...but it still depresses me the next day after sleep...I dont like benzo's so far...mabye there is one out there that isnt depressing for me I dunno. I would need a different dr to experiment this way. Sometimes I feel so left out and jealous of many of you people on this board...you have good pdocs who allow you to suggest ideas and work with you towards your making you the best they can....for me I've almost always had to fight with family dr's for any kind proper anxiety treatment....they dont like to treat this condition with meds, most of them....thats what led me to alcohol in the begining. I remember having a comvo with a fam dr in vancouver regarding this very thing...my alcohol abuse did not phase him at all and he remained against proper anxiety meds despite my plea to help me stop self medicating. I wish general physicians were better educated...ignorance and closing doors on treatment options for patients is no way to practice medicine, in my opinion.
You're right on this... closing doors don't help...you should find another Doctor...a good one...that's hard but ì'm sure you can do... For the benzos...The lesser metabolites they have, the more good they are...also a 12-20 half-life is somewhat more good also...anyway the half-life is not represented with the real effect you will feel...The valium is supposed to have a half-life of 20-100 hours...I feel it 4 hours maximum... but I got sedation and more daytime sedation if I increase the dosage 2 or 3 days after...metabolites and accumulation effects... Bromazepam is my next choice... I know I have to stop them, but not before I will have find the good AD and be stable on it!!! I cannot do everything at the same time...no??? That's what I think...
> I understand but anxiety and panic is running through your veins anyway Vince....situations no longer matter...your head and body are in a high state of anxiety at all times and will occasionally manifest itself with strange, often painful and difficult to explain, physical issues.
Also and I know this mould be really tough to do...you sound like perhaps you are in medication burnout...to many meds to often for too long has begun to take its toll on your body and mind...a break mabye, if you can...i dont know how you would do that though...hospitilize yourself mabye for awhile to "get clean", so to speak, then start again monotherapy after a few months. I can imagine remnents of past medications still in your system producing odd side effects and negative interactions with one another. Youve probably not given your head enough time to clear all that stuff out. My preference is always monotherapy but seems no drug provides max benefit in monotherapy alone...nardil has comes the closest to this for me and I'm greatful to have the the chance to try this med knowing how family dr's are here in canada...i got very very lucky to use it.
I hate also combo... at least combo of AD's...like Wellbutrin with LExapro for example ... or a Stimulant with a AD... I prefer a all in one pill like the MAOI's... but I Cannot tolerate the Nardil at the 90mg dosage, the effective dosage for me...and the Parnate...at 20mg I begin to feel the blood pressure problem so I can't imagine being on a 60mg dosage of it !!! It's why I have hope on the Marplan... You know the main probl with the Nardil is that It does nothing at 75mg, nothing for my depression, nothing for my social anxiety...or my general anxiety...I just feel that I needed less benzos meds...I had the same reaction on the Parnate...so I guess it's a reduction of the anxiety...but I don't see it like this probably at the time??? ... But for the depression nothing...and the energy level also nothing...I was tired all the time...even after 3 months...I know maoi need a lot of times to adjust and work ...but 3 months it'S enought in my head no?
> I am excited for you here...I am awaiting with antipation to see how you respond to Marplan...you deserve a good med. I know virtually nothing of this med and am very curious about it.
I see the PDoc soon , I will get you inform...I guess it will be the same answer...No news from Health Canada...so probably the Pristiq try...arghhhhh....anyway...better than nothing...
You know, you talk about giving some times to my brains...I think when a med fail it's because it's do nothing inside the brains anyway...so I guess wating another 6 months will not help me more... I can't imagine being 6 months in a such high anxiety state like this!!! Never!!!
Well that's all for tonight...My head will explode!!! This f*ck*ng pain kill me...and it's not blood pressure, I just take it and it's normal...125/70 89 ...
So for now thanks again!!!
Take care myco!!!