Posted by Vincent_QC on July 3, 2013, at 11:28:22
In reply to Re: New PDoc RX Lamictal for severe anxiety..., posted by Venielle on July 3, 2013, at 8:18:31
> Hi Vincent.
>
> I encourage you to give the Lamictal a long enough trial to really see if it could help. It may be that just the act of starting a new med, even if it were just a sugar pill, could increase your as yet uncontrolled anxiety. Because you are so worried, obviously with good reason but nevertheless very worried that it will cause side effects. Given a long enough trial at the proper dose could really reduce your anxiety.
>
> Just a thought and I hope it helps.Hi -:) Thanks for your encouragement!!!
Well I did try it, but had to stop cause I had rash from it...
Some people's think that anxiety increase the side effects or like they are in your imagination and not real side effects BUT I'm really med sensitive, I wasn't like that in the past so it's really not the fear of meds who give side effects and its not anxiety, my brain is now very sensitive to meds and my heart also... It's hard to understand for some people's but fears of meds and false side effects from fears are different then side effects from a brain and body who can't cope with side effects...
I see my Doc this afternoon, will tell him about the rash, did ask my pharmacist who look at the rash and said to stop taking it...
I think that first I need to change my beta blocker to reduce my heart related anxiety symptoms, the propranolol did nothing to help me anymore. Have to find out the good one for me with my Doc, I tried almost all of them with the exception of the carvedilol who is Coreg generic name and the bystolic... Apparently the vasodilatation effect of the bystolic give more anxiety and the Coreg alpha 1 antagonist can help with anxiety but don't really decrease the heart rate at rest like the older beta blocker... And tachycardia and exercise intolerance are main problems...
Have to try again the bisoprolol, more selective than the atenolol, less metabolism problems like diabete and cholesterol... Did try it in the past but don't really remember who it was... Better or not than the propranolol...
The clonidine is another good option but I take small dose of remeron to sleep, 3 to 7.5 mg at night, and I think the clonidine and mirtazapine have an interaction because of the alpha 2 agonist effect, not sure... Also I need to stop smoking and I know the clonidine can help with that too... Again, I don't think I can take the clonidine with a beta blocker... It's will be up wi my Doc decision and choice...
Adding extra benzo dose will not help, already stuck with 7 mg of clonazepam a day and tend to use very low dose of Xanax prn when I need to get out of the house without the approval of my Doc and its not a good idea but have no choice... I ask him to RX a low dose of Xanax prn again likin 2011 with my Klonopin usual dose and last time he said no... Was more open with the idea to add small Valium dose at bedtime because of the long half life but had tons of Valium at home and did try it and its not helping... I think my GABA receptors are not working properly anymore...
The PDoc point out the Luvox and the epival (depakote), since I had great results for the panic disorder and anxiety with the Paxil who is a ssri, I should ask to try the Luvox... The depakote, who can be good for the GABA effect, will only add more dizziness and bring on anxiety... So maybe vey low Luvox dose like 5 mg to start and increase very slowly will work? Anyway I did try to return on the Paxil several times in the last 3 years and 1 mg was enough to give extra anxiety and more heart related symptoms who are not from the fear of meds since I took meds before at high dose with no problem at all. So returning again on the Paxil can also be an option like 1 mg day and increase very slowly... Like the PDoc said, it can take 6 months or more to reach a therapeutic level but its the only way to desensitize my brains...
Have many things to talk with my Doc, some not usual symptoms of anxiety like no sweating so can't stay outside under the sun or even just outside when it's hot cause my body temp increase to the point that I feel faint and sick... Have legs pain cause of varicose veins, have pain in the left arteries on my neck, and things like that...
Well thanks for your words of encouragement!!! I appreciate it really...
Take care , Vincent
poster:Vincent_QC
thread:1045150
URL: http://www.dr-bob.org/babble/20130617/msgs/1046341.html