Posted by Scleme1 on June 29, 2015, at 23:12:09
In reply to Re: Akathisia? Restless Leg Syndrome? Need Some Advice » scleme1, posted by SLS on June 29, 2015, at 22:21:55
> Akathisia with Zoloft (sertraline) is not unusual. This might be because it is an antagonist of sigma-1 receptors; something unique among the SSRIs. Luvox (fluvoxamine) does just the opposite. Still, you might not be experiencing akathisia per se. In akathisia, there are no focal sensations in the limbs. Also, akathisia presents all day long, not just at bedtime.
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> Have you tried Luvox?
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> Just curious:
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> Did Paxil stop working for you while you were still taking it - "poop-out"? Alternatively, did you stop taking Paxil while you were in remission, only to have it fail to work again once you restarted it upon relapse?
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> I wish I could have been of more help. Your experience might very well be behavioral and psychosomatic. CBT could be your answer.
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> - ScottHey Scott. Thanks for the reply. I hope you're right in that it's psychosomatic. CBT seems like a much better choice than having to add another med.
My Paxil story is an interesting one. The reason I switched to Zoloft was on the advice of my therapist. One of my big anxiety/OCD triggers was the Paxil. I would obsess about the med (long-term side effects, poop-out, effectiveness, withdrawal if I ever had to come off), and would read horror stories all over the web about Paxil. My therapist wanted to prove to me that switching to another med could be done. The transition was a piece of cake. Honestly, there was nothing noticeable about the switch. Sometimes I think Paxil worked better for my symptoms, but it might be a "grass is greener" type thing, too. The Zoloft works well enough...so here I am. My anxiety is probably fueling my insomnia/Akathisia/RLS a little bit, too...so that's not helping any. I have I idea if Paxil would be as effective for me the 2nd time around.
I've considered Luvox on several occasions, but my doc thinks it's a "dirty" SSRI...meaning not very "selective".
Thanks again for your help.
poster:Scleme1
thread:1080069
URL: http://www.dr-bob.org/babble/20150629/msgs/1080082.html