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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by steve12 on July 22, 2004, at 16:01:05
I appreciate any feedback: I'm 32 old, white male, who has been on AD for 10 years or so. I'm currently on 150 mgs. of Effexor XR, (which I sometimes take 75 day 1 and 150 alternate day to avoid side-effects). I'm considering a swtich b/c 1) I want to avoid sexual side effects and severe hyperhidrosis I experience when I take Effexor (and other SSRI's: Prozac, Celexa) at an optimal dose to relieve anxiety/ panic (depression is okay now). I'm considering Lexapro, but years ago I was on Celexa and had the famous "poopout" with breakthrough panic -- and considering that Lexapro is just non-r Celexa, this might happen again (but interestingly many folks on Lexapro report great anxiolytic effect). What options do I have? Zoloft= noloft; Serzone - tried, not a real AD in my opin; Wellbeturin - I've used as an adjunt: anxious, I need serotonin! Why wait for duloxitine? just another Effexor.
Also: I take Andogrel 5G for pit adenoma diagnoised 4 yrs ago -- in good control.
Thanks, sorry for the long post!
Posted by King Vultan on July 22, 2004, at 17:08:35
In reply to Question about AD: Could use some advise., posted by steve12 on July 22, 2004, at 16:01:05
I guess the one I would suggest considering is the tricyclic nortriptyline. This is anxiolytic and lacks the sexual side effects of the SSRIs, as it is a selective norepinephrine reuptake inhibitor. It is moderately sedating, but it only has weak anticholinergic effects for a tricyclic. I like desipramine better myself, but I don't believe this is a good choice for someone looking for help with anxiety. I wouldn't bother with any of the SSRIs considering the difficulties you have already experienced. I would try a different class of antidepressant.
Todd
Posted by steve12 on July 23, 2004, at 9:55:17
In reply to Re: Question about AD: Could use some advise. » steve12, posted by King Vultan on July 22, 2004, at 17:08:35
Thanks Todd for the suggestion, however I was on Pamalor years ago and it was ineffective. I won't consider the tris b/c of their side-effects.
> I guess the one I would suggest considering is the tricyclic nortriptyline. This is anxiolytic and lacks the sexual side effects of the SSRIs, as it is a selective norepinephrine reuptake inhibitor. It is moderately sedating, but it only has weak anticholinergic effects for a tricyclic. I like desipramine better myself, but I don't believe this is a good choice for someone looking for help with anxiety. I wouldn't bother with any of the SSRIs considering the difficulties you have already experienced. I would try a different class of antidepressant.
>
> Todd
>
This is the end of the thread.
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