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Re: Why an SNRI for anxiety?

Posted by SLS on August 2, 2017, at 16:34:21

In reply to Re: Why an SNRI for anxiety? SLS, posted by Tony P on August 2, 2017, at 14:16:07

> > > I've had the exact same experience with Effexor vs Cymbalta -- Effexor drove me wild with anxiety, Cymbalta was effective and almost side-effect free. Unfortunately my govt. drug plan does not support Cymbalta, and I can't afford it, so I'm now on a combo of Escitalopram 20 mg/day (Lexapro, Cipralex) and a fairly low dose of bupropion (Welbutrin), 75 mg/day.
> >
> > How well do you feel with your current treatment?
> >
> >
> > - Scott
>
> So-so. I've been discharged as a psychiatric patient (triage) and have a new, young GP. She is very insistent on only changing one med at a time, & due to pressure from the CMA right now that med is the diazepine. I agree with her in principle, but meanwhile, I suspect my escitalopram is pooping out -- I've had one major depr. episode recently, although masked with Kava-kava (great stuff) there was no mistaking that psychic pain that furrows my eyebrows and makes me feel weepy & hopeless.
>
> I am angry that the BC Government Pharmacare committee apparently base their financial support for particular meds on gross percentages in the meta-literature and not on individual needs and doctors' expertise (my pdoc's request for an exception for Cymbalta was turned down twice).
>
> Day-to-day, though, I am doing pretty well. I suspect a lot of the behaviours I am having trouble changing (& the feelings that go with them) are due to the HABIT of depression.

I had a thought. Paxil is probably the best of the SSRIs for treating anxiety disorders. Unfortunately, it is the SSRI most apt to produce sexual side effects and weight gain. As for Cymbalta and depression, you might have luck combining a SSRI with nortriptyline. Wellbutrin was a good choice, though. I'm wondering how you react to Zoloft.


- Scott


Some see things as they are and ask why.
I dream of things that never were and ask why not.

- George Bernard Shaw

 

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poster:SLS thread:1093230
URL: http://www.dr-bob.org/babble/20161215/msgs/1094332.html