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GAD + PD( Can't start SSRI because of akathesia)

Posted by Vincent_QC on February 18, 2010, at 8:31:56

I wanted to know if someone else have difficulty to start a SSRI because of an akathesia side-effect?

Before, I had no problems starting new meds and always start the SSRI at high dose... I was on the Paxil 60mg, 30 mg of Lexapro, 200 mg of Zoloft, not all at the same time of course.

The only one SSRI that I never was able to tolerate was the Prozac at more than 20mg day because of a worsering of my social anxiety and a returning of panic disorder.

I'm having a terrible time now with GAD, excessive worries about many things (work, school, debts, family, friends, health) as well as a lot of symptoms comming from the GAD like racing minds, dizziness, jaw pain, feel like all my teeths will fall, stomach and intestine pain, insomnia, visual hallucinations (seing small black circles or white circles), rapid heart beat and high blood pressure and sometimes very slow pulse rate, syncope and faint and strong migraine when i'm exposed to stressfull situation like going out of my house, excessive worriee about addiction to the Rivotril, fear of dying and fear of doing a seizure, having a panic or a syncope when I drive my car...

The Rivotril it not working anymore but I have to take it because if I miss a dose, the anxiety return in force. I take 6 mg day of it, and I have to take 1 mg pill every 2-3 hours... I know when it's time to take another pill because my hands and feet became all covers with water... I sweat a lot from my hands and feet... really strange... I also have developp a strange side-effect from the Rivotril, I feel like I will faint often because of it... like an hangover felling but not an funny one... The Rivotril increase my anxiety when it's time to get out of my house because I have to drive my car and I know that I don't have all my cognitives abilities to drive and lack of reflex and attention...

I suspect that I have GAD because I have a lot of repetitives thoughts and worries about things related to my life and things that I have to do but I can't do them because i'm too anxious like (stop smooking cigarettes, change my food habits, return to the gym, return to school, will have to refund my student loans soon, have no job and can't work because of the extreme anxiety and poor cognitive abilities ( Thanks to the Rivotril).

Did the worry about my heart and my health in general can be something else than GAD??? If yes, can it be treat with something else than Benzo meds or AD's???

The only one meds I never try is the Lamictal, the lithium and others olders anticonvulsives meds like valporic acid.

My PDoc RX again the paxil back in december but I was not able to take the whole 10 mg pill, so I cut it in 4 pieces of 2,5 mg and had terrilbe side-effects... Stay on 2,5 mg for 1 week but the side-effects never fade away... I had always headache with weird blood pressure reading as well as an unstable heart pulse rate. My anxiety was increasing my 10 fold minimum.

I had some Lexapro pills left off and wanted to start it, because I never had a problem with increase anxiety with the Lexapro, in fact for me it was the most sedating SSRI I try... but I had the same reaction than the one I had on the Paxil but worse...at only 2,5 mg... Had to cut the 10 mg pill into 4 little pieces... Was not able to stay on it more than 1 day.

I see again my PDoc in January and he RX the Zoloft 25 mg to start, since I wanted to avoid the same akathesia and increase anxiety effect than on the Paxil or the Lexapro, I open the capsule and take only 1/3 of the powder, mean around 9mg of Zoloft and I ending with strong akathesia and anxiety effect as well as heart problems (palpitations, fast pulse rate, low pulse rate, high pressure, tinitus ( earing sounds)... was not able to stay sit, intense migraine. Note that in the Canada, the Zoloft is not a pill, it's in capsule, so that's why I mention that I open the capsule.

What do you think of all of this?

Did I become crazy? I can't even take an Advil without having 1000 side-effects.

I never had problems with meds before my Parnate experience and the severals hypertensive crisis I had on it, now I always fear of dying from a heart attack... that's crazy...

I wonder if another med, who is not an AD, will help me?

I have to mention that each week, I have new symptom who appear. For example, if I experience something negative when i'm out of the house, like having a strong migraine when I get out of the house, I will have a migraine each time I get out of the house for one week after and then I will have a new symptom like jaw pain or syncope and will experience that new symptom for 1 week... that's really weird... I don't know what happen to me...

Is it GAD, is it panic disorder (I dont fear having another panic, i'm used to them and I know I will not die from a panic attack), is it OCD???

Well, any help about meds or others things will be appreciate...

Thanks!


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poster:Vincent_QC thread:937296
URL: http://www.dr-bob.org/babble/20100216/msgs/937296.html