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Re: tianeptine » sukarno

Posted by g_g_g_unit on November 19, 2010, at 23:23:47

In reply to Re: tianeptine » g_g_g_unit, posted by sukarno on November 19, 2010, at 22:14:35

> > Hey, when you say "adrenaline-like effect", does the sensation resemble, say, the stimulation you might get from coffee, or is it closer to panic-like anxiety?
>
> ---
>
> It feels like the fight-or-flight response. I was on a benzodiazepine at the time so that somewhat dampened the feeling, but I can imagine that if you are not on some sort of anxiolytic that Stablon could drive your anxiety through the roof for the first few weeks.

Ah, that's good to hear. Yeah, the anxiety is insane to be honest; it isn't pleasant stimulation, a la caffeine, but rather accompanied by severe muscle tension, agitation, etc.


>
> > The reason I ask is because for me it's closer to the latter, and the feeling has unfortunately been escalating over the course of my trial. Yesterday it became completely unbearable and I spent the day with my chest closed up, barely able to breathe, and feeling so fatigued that I couldn't even go for a jog.
>
> ---
>
> I've had the feeling that my breathing was worse when I increased the dose (and sometimes in the beginning when I first tried it). There's a side effect listed that says "respiratory discomfort". It helps asthma but seems to have some paradoxical reactions (it could be due to anxiety) in the beginning or when ramping up the dose.

Yeah, it feels like my chest is closing up.
>
> > I take it this might not be a typical reaction to Stablon, and I'm wondering if lowering cortisol might not be beneficial in my case. Maybe I'll try lowering the dose today, but I'm not sure I could last two more weeks like this; yesterday was frightening.
>
> I would lower the dose. In 2005 I lowered it to one tablet a day for a while and then gradually made it up to three tablets a day.

Hehe, the only problem is I'm really impatient, and take the "rip the band-aid off quickly" approach, so will typically just try and ride out the side-effects. I'll try backing down for a bit. How long were you on one tablet for?

>
> Do you think these are worse than the side effects you get when you begin SSRIs or about the same (or less)?

Far worse, to be honest! The only good thing is there's no apathy/anhedonia.
>
> You might want to ask your doctor for some clonazepam (Klonopin / Rivotril) or another long-acting benzodiazepine for a few days to help you get through the anxious phase.

My doctor doesn't know I'm taking Stablon :( He was meant to look into it for me, but forgot; doctor appointments here are really expensive, and I got impatient, so just bought some online.

>
> Stablon seems to make things worse before they get better, but when they got better I really felt good and there was no anxiety at all (for me anyway after 3 weeks).
>
> I don't think I'd be able to start on Stablon without a benzodiazepine as co-medication for the first 1 to 2 weeks.
>
> Some folks say it really makes them feel wired and anxious, but that effect is only temporary.
> I did feel like I wanted to jump out of my skin for a few days and diazepam helped a lot (5mg tablet).
>
> Vistaril / Atarax (hydroxyzine) is also good for anxiety and can be taken with Stablon as far as I know and doctors will easily prescribe that as it isn't a controlled substance.
>
> Hang in there. Stablon won't kill libido or cause massive weight gain at least. ;-) It's really worth it when the anxiolytic and antidepressant effects fully manifest themselves.
>
> Take care!
>
> Regards,
> Paul

Thanks, you too!

 

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