Posted by jms600 on September 22, 2009, at 12:45:08
In reply to Re: What else for treatment resistant panic disorder?? » jms600, posted by doxogenic boy on September 22, 2009, at 12:40:56
> > Is there anything else I can take for treatment resistant panic disorder? I suffer from severe and uncontrollable panic attacks. I've been through a lot of medications...
> >
> > Benzos = developed tolerance to them so my doctor won't presrcribe a higher dose.
> >
> > SSRIs, venlafaxine and mirtazapine = tried them all, didn't control it.
> >
> > Buspirone (45mg) = didn't control it.
> >
> > Lithium (600mg) = didn't control it.
> ---
>
> Did you try lithium together with SSRIs, venlafaxine or mirtazapine?
>
>
>
> > Haloperidol/Stelazine (4mg) = didn't control it.
> >
> > Amitriptyline (200mg) = didn't control it.
> >
> > Zyprexa (15mg) and Seroquel (300mg) = Zyprexa really helped so I foolishly thought I was better and stopped taking it. When the anxiety came back and I started taking the Zyprexa again it just didn't work the second time.
> >
> > Lyrica (300mg) = currently taking, doesn't appear to be helping very much.
>
> ---
>
> The simplest idea I can come up with is Lyrica and Seroquel in higher doses, and then may add low-dose lithium and the antidepressant you had least side effects from. (This is just my guess, but actually, the first time I came to treatment, I had a panic attack. That was the beginning of my psychiatric history).
>
>
> http://www.ncbi.nlm.nih.gov/pubmed/17502773
>
> http://www.ncbi.nlm.nih.gov/pubmed/14990767
>
>
> doxogenic
Yes - I'm currently on 600mg lithium and 75mg venlafaxine. The reason for the low dose of venlafaxine is due to national guidance i've read here in Britain that any dose above 75mg can exacerbate anxiety.
poster:jms600
thread:918007
URL: http://www.dr-bob.org/babble/20090921/msgs/918042.html