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Re: My anxiety meds only work when I'm calm

Posted by SLS on September 22, 2017, at 14:00:26

In reply to Re: My anxiety meds only work when I'm calm linkadge, posted by SLS on September 21, 2017, at 23:24:38

> What are your reasons for taking such a low dosage of Effexor? I can't imagine that you are getting much positive effect from it. You could be a Effexor + nortriptyline responder, but your dosages might have to be increased to standard therapeutic levels.
> Many people use low-dosages (25-50 mg) of Seroquel as a PRN for anxiety.

I have seen promethazine (Phenergan) work for anxiety as a substitute for Zyprexa. I don't know the dosage used.

Again, I would emphasize that unless there is a compelling reason to take a subtherapeutic dosage of Effexor, you might be able to tolerate and benefit from taking 300 mg/day in combination with nortriptyline at a dosage within the range of 75-150 mg/day. The other two antidepressants that come to mind to treat both depression and anxiety would be Nardil and Paxil.

A friend of mine uses Xanax as a PRN for elevated levels of anxiety and panic attacks in certain situations. She doesn't experience euphoria or disinhibition - things that a minority of people demonstrate. Her occasional use of Xanax has not produced tolerance or withdrawal. One could make the argument that Xanax is the most effective benzodiazepine to treat anxiety as long as euphoria and disinhibition don't emerge.

I hope you find a way to treat your episodic anxiety.

- 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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