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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by Vincent_QC on September 13, 2010, at 8:54:54
Hi Everyone,
I'm having a really hard time with chronic anxiety symptoms since more than 9 months now (Chronic headache, sensitive scalp of my head, sensitive to the touch of my hairs, over sensitive to light and sound, chest pain, left arm numbness, blue-red left hand, legs pain, sweating from hands and feet, dizziness, vertigo, frequent panic attack (5-10 each day), depersonalisation and derealisation, intense fatigue and the list goes on).The situation get worse since 2 months, I can't drive my car anymore and stay at home most of the time cause I feel worse outside the house and even at home I feel bad all the time, I feel like i'm in a panic attack all the time with too fast pulse rate or too slow pulse rate where I feel like I will almost faint. I'm also very tired and have insomnia.
I try to be back on the Paxil 3 times since 9 months and each time I can't take more than 0.5 mg, it's a pain in the *ss cause Health Canada refuse to approve my ask about having the liquid Paxil import into the Canada... so I have to do a mixture of oil and crush podwer of small piece of paxil and take the exact dose with a insulin syringe.
Even at 0.5 mg of Paxil, i'm having intense side-effects where all the not normal chronic symptoms are multiplied by 10... and it's not psychological, trust me...
I had heart test, blood test, X-ray of lungs, I see a Neurologist, i'm following by a mediocre PDoc, I follow right now 2 therapies at the same time (one is an exposure therapy who don't work at all and the other one is about how to manage my emotions because exposure can be good but the anxiety symptoms are created by emotions not the situation or the place where they occurs).
The PDoc do nothing to help me, we try everything and no new meds will be release in the Canada for anxiety and panic disorder. I was suppose to have the liquid Paxil import into the Canada but Health Canada refuse it.
The Neurologist think i'm having over-active 5Ht2C serotonin receptors and that's why I can't start again the Paxil at normal dose, mean 10mg to begin and increase at 20 mg later or more.
She RX to me back in June the old med call Pizotifen (Sandomigran) not available in the USA, it's use in the Canada to prevent migraine and it's a potent 5HT2 and 5HT1 antagonist med. She think that taking it prior to the Paxil will reduce the side-effects of the Paxil like the increase anxiety, increase chest pain...
The problem is that i'm having also increase anxiety from the Pizotifen...
So what to do???
I start again the Paxil 1 week ago, reach 0,8 mg yesterday but had increase anxiety symptoms that I canno't stand, just feel like I will die...
So today I don't know what to do...
I can't take it anymore, don't feel suicidal but the chronic anxiety is killing me...
Is it normal to have intense side-effects from the low dose of Paxil???
And the idea of the pretreatment with the Pizotifen is it a good idea?
I don't take my Paxil dose today, feel very bad and hopeless...
Thanks for any kind of answer!
Posted by Conundrum on September 13, 2010, at 9:54:45
In reply to Paxil at homeopatic dose 0.8 mg + bad side-effects, posted by Vincent_QC on September 13, 2010, at 8:54:54
Try a different SSRI. Paxil is the strongest SSRI available. Its used to test how good drugs bind to the serotonin transporter. Luvox or Celexa at low doses may be better.
Posted by Phillipa on September 13, 2010, at 11:00:38
In reply to Re: Paxil at homeopatic dose 0.8 mg + bad side-effects, posted by Conundrum on September 13, 2010, at 9:54:45
I have to say that luvox starting at 50mg years ago absolutely no side effects was in a hospital setting at the time and kept waiting for them they didn't happen. l0mg of paxil took three month to adjust too with benzos and relief with some beer at night. Also 25mg of lopressor. Phillipa
Posted by Vincent_QC on September 13, 2010, at 15:30:31
In reply to Re: Paxil at homeopatic dose 0.8 mg + bad side-effects, posted by Conundrum on September 13, 2010, at 9:54:45
> Try a different SSRI. Paxil is the strongest SSRI available. Its used to test how good drugs bind to the serotonin transporter. Luvox or Celexa at low doses may be better.
************************************************
Hi Conundrum,
I know it's the more potent SSRI but it's the only one who work for me to block the panic and worries. Just don't know what happen since 9 months, it's like my brains are totally f u c k up...the SE and NA receptors are over-active, I feel like I drink 10 coffes in a row all the time but also a lot tired... really weird... every small noise or small worries start panic on me...I try everything in the past (between 2005 and 2009) to treat my social phobia and I ending with a worse problem than before I start trying all those drugs (MAOI's, TCA's, all the SSRI's, the SRNI's (pristiq, cymbalta, effexor), Remeron, beta-blocker-clonidine, Mirapex, name them, I try everything on and off-label), worse meds was the Parnate, who almost kill me and the Nortriptiline who hit too much the a1 adrenoreceptor who make my heart race as hell even at rest.
Since 9 months, I try to be back on the Zoloft at very low dose, in the Canada it's not in a pill form but in a capsule, so I open it and take maybe 2.5 mg of the 25mg pill and had a nightmare day... I always react badly to the Zoloft, it's making me manic, trigger bulemia and do nothing for the anxiety.
I try low liquid Prozac dose of 0,1 mg and 0,2 mg and it was worse than the Paxil at low dose and too much stimulating for me, in 2007-2008 I was on 20 mg of Prozac with 45 mg of Remeron and Valium 20 mg day and I was ok, I drop out at 30 mg...
I try the Celexa in 1999 when it was new in the Canada and it did nothing for the social phobia at the time...so I never try it again since the Lexapro is the same thing without the inactive part of the Celexa...
I try to be back on the Lexapro last january and had extreme side-effects, mainly increase anxiety, tinnitus, dizziness and fast pulse rate for 24 hours in a row at only 1 mg... it'S suppose to be the SSRI with the less side-effects... not for me... didin't wanted to continue the trail... in the past I was on 30 mg of Lexapro and it was so sedating that I had to take 3 other meds to treat the sedation-headache (Ritalin, Wellbutrin and Inderall)...and it was bad for the weight gain...
The only one I never try is the Luvox... I have a bottle of 30 pills of 25 mg here but always fear that SSRI (Sorry Phillipa)... It have a lot of interraction, especially with benzodiazepine meds as well as cigarette smoking... I take 8 mg of Rivotril daily and smoke a lot!
That's weird cause in the past all the SSRI's was like sugar pill and never had increase anxiety or had to withdrawh them gradually... they was just not good to treat the social phobia and the anxiety in general with the exception of the Paxil, who work always well for me... now my serotonin receptors seem to be so over-active and I can't tolerate small dose of any kind of antidepressant...
I also try to be back on the Remeron in march 2010 and had increase anxiety at low dose of 15mg, really not good for the noradrenaline release, good for the insomnia at low dose of 3,5 mg only, it's seem that noradrenaline is making me very anxious also... its not just a serotonin problem... and NA trigger panic all the time...
Anyway, thanks for your suggestion!!! ;-)
Posted by bleauberry on September 15, 2010, at 19:44:18
In reply to Paxil at homeopatic dose 0.8 mg + bad side-effects, posted by Vincent_QC on September 13, 2010, at 8:54:54
> Hi Everyone,
> ...(Chronic headache, sensitive scalp of my head, sensitive to the touch of my hairs, over sensitive to light and sound, chest pain, left arm numbness, blue-red left hand, legs pain, sweating from hands and feet, dizziness, vertigo, frequent panic attack (5-10 each day), depersonalisation and derealisation, intense fatigue and the list goes on).
>>
I don't agree with the diagnosis. Some of the symptoms are consistent with anxiety, but some of them look a whole lot like someting else.Question. Do you have ticks in your area?
Posted by Vincent_QC on September 16, 2010, at 7:00:15
In reply to Re: Paxil at homeopatic dose 0.8 mg + bad side-effects, posted by bleauberry on September 15, 2010, at 19:44:18
> > Hi Everyone,
> > ...(Chronic headache, sensitive scalp of my head, sensitive to the touch of my hairs, over sensitive to light and sound, chest pain, left arm numbness, blue-red left hand, legs pain, sweating from hands and feet, dizziness, vertigo, frequent panic attack (5-10 each day), depersonalisation and derealisation, intense fatigue and the list goes on).
> >
>
> >
> I don't agree with the diagnosis. Some of the symptoms are consistent with anxiety, but some of them look a whole lot like someting else.
>
> Question. Do you have ticks in your area?You are talking about lyme disease? I ask my PDoc and my Family Doc and they don't do blood test here for that. If they do blood test, they are not aware of them... Yes we have ticks, but I ask both Docs and they say that lyme disease, where I live, is rare and I don't seem to have the symptoms of that disease... but who know... my symptoms can be linked to a lot of other diseases as well... but I try to not think about this for now... it's just adding worries and anxiety for nothing...
Posted by Maxime on September 18, 2010, at 23:09:00
In reply to Paxil at homeopatic dose 0.8 mg + bad side-effects, posted by Vincent_QC on September 13, 2010, at 8:54:54
I'm sorry that you are feeling so bad. Have you thought about trying something other that Paxil? That might be a good option. How about Luvox?
Posted by Vincent_QC on September 19, 2010, at 6:25:36
In reply to Re: Paxil at homeopatic dose 0.8 mg + bad side-effects » Vincent_QC, posted by Maxime on September 18, 2010, at 23:09:00
> I'm sorry that you are feeling so bad. Have you thought about trying something other that Paxil? That might be a good option. How about Luvox?
It's the only one SSRI I never try... Have a 30 pills bottle of it, a generic of course (Novo-Fluvoxamine)... was always anxious to try it, probably because of the higher drugs interraction (benzo meds, cigarettes...). Cigarette smoking decrease the Luvox effect and the Luvox increase the side-effects of Benzo meds... but well, If I can't increase the Paxil to more than 1 mg, I will maybe try the Luvox.
I'm on 8 mg of Rivotril daily, in fact I take 0.5 mg every hour, so 16 pills of 0.5 mg a day... that can explain why I feel so tired and can explain also why i'm having insomnia and feel a lot dizzy at daytime.
Also start to have restless legs at night and at daytime also, my legs burn... so that's hard to fall asleep and stay asleep... always awake because of the pain and the need to move my legs and get up... I wonder if the Benzo can do that?
Another SSRI that I try only 1 month at 20 mg, 11 years ago, is the Celexa... I think I had less side-effects from the Celexa than the Lexapro (The Lexapro is for me the worse of all the SSRI's), in fact I had no side-effect on the Celexa at the time, but I had only social phobia when I try it and no improve also... now my problem is a lot more complex...
Posted by Conundrum on September 19, 2010, at 7:04:49
In reply to Re: Paxil at homeopatic dose 0.8 mg + bad side-effects, posted by bleauberry on September 15, 2010, at 19:44:18
Hey not to hijack the thread, but when I started seeing my pdoc one of the first things she suggested was getting a lyme's tests. I remember thinking of bleauberry then. ;-)
> > Hi Everyone,
> > ...(Chronic headache, sensitive scalp of my head, sensitive to the touch of my hairs, over sensitive to light and sound, chest pain, left arm numbness, blue-red left hand, legs pain, sweating from hands and feet, dizziness, vertigo, frequent panic attack (5-10 each day), depersonalisation and derealisation, intense fatigue and the list goes on).
> >
>
> >
> I don't agree with the diagnosis. Some of the symptoms are consistent with anxiety, but some of them look a whole lot like someting else.
>
> Question. Do you have ticks in your area?
Posted by Vincent_QC on September 25, 2010, at 9:26:16
In reply to Re: Paxil at homeopatic dose 0.8 mg + bad side-effects, posted by Conundrum on September 19, 2010, at 7:04:49
> Hey not to hijack the thread, but when I started seeing my pdoc one of the first things she suggested was getting a lyme's tests. I remember thinking of bleauberry then. ;-)
>I ask my Family Doc for the lyme tests, he don't know what it is...same for the PDoc...
The Family Doc talk about adrenal glands fatigue who lead to too much cortisol as well as others hormones produce from those small glands... that can explain why my heart beat is now slow (50-55-60 at rest), my normal was around 80-90 before last december, but he don't RX tests for them... he say that only time will heal that problem and being free of stress will help to recever, but how I can be free of stress when i'm having anxiety disorders who are hard to treat with meds because i'm overreacting to all the meds now and can't start them at therapeutic dosage? It's sound absurd to me...
Also, since 8 months, my first cigarette in the morning always trigger a panic attack, not strong panic, but enought to make me feel a lot anxious, I never had that kind of reaction in the past, I smoke since 22 years... I suspect that i'm having high adrenaline level as well as too much NE... probably something wrong with the adrenoreceptor of type 2, who slow down the firing rate of the Noradrenaline, who mean that i'm prone to panic and chronic anxiety symptoms because of the longer time the Noradrenaline spend in the synaspes... so I have to avoid meds who are antagonist of the adrenoreceptor 2 receptor(Remeron, almost all the atypical antipsychotic meds, TCA's...).
The PDoc don't RX tests like blood work or X-ray or MRI... He just RX psychiatric meds, he don't even RX regular meds, always have to call my family Doc to have regular meds ...
For the lyme disease, I don't remember being bite by a tic, I don't live in the wood and don't go camping since more than 12 years... that's hard to imagine I have that disease, since what I read about the lyme disease and the symptoms i'm having right now don't match the ones of lyme... I have some of them but it can be something else, I think everyone with depression or anxiety can potentially have a lot of diseases and the lyme is one of them...
I think i'm having just an untreat anxiety disorders with strong addiction to benzo meds who lead to anxiety symptoms who degenerate, the addiction from the benzo meds increase the fears, if I skip a dose I start feeling bad, if I take too much I feel bad and addiction lead to negative emotions like frustration, hopeless, who increase the anxiety symptoms...
Lyme can be a possibility like many other diseases... I see that lyme it's hard to diagnostic and to treat...antibiotics don't seem to eliminated completly the disease and the symptoms...
You know, I eliminated some diseases with tests this year... got a MRI for the chronic headache who was ok, I seen a neurologist who find nothing wrong in my head, except that she think i'm having overactive 5HT2C serotonin receptors, I had X-ray of lunghs + heart tests (holter 24h + treadmill with echography of the heart), some blood tests for infections + vitamins and minerals level + tests for heavy metal and things like that... All the results are ok... My anemia and low hemoglobin problem is resolve, i'm suppose to be full of energy but I can't barely move my *ss and my body hurt a lot...
For the lyme, what kind of test I have to ask? I can call my Family Doc and take an appointment with him and print the name of the test I need to do... he will maybe understand more if I print it and show it to him?
I also want to ask for hypoglycemia test, fasting glucose test 4 hours.... here they only do the 2 hours but that's not accurate...
For now, nothing to do with the Paxil... i'm at at 0.5 mg since 3 weeks and I feel worse, anxiety increase a lot since I start it and it cannot be psychological side-effects or fears of med... The paxil is one of the easily SSRI I took in my life, so I wonder why I can't take it anymore...
I try to take it before bedtime now, to eliminated some of the side-effects, but I wake up very early with it... I think I will have no choice and up the dose by 1 mg every 1 or 2 weeks... it will be hard but if I stay at 0.5 mg, I will not have a relief of my anxiety (worries, panic)... I will just sufer for a much longer time...
This is the end of the thread.
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