Posted by Jay on April 28, 2006, at 12:45:06
In reply to SLS, Med-Empowered, others ... your opinion please, posted by UgottaHaveHOPE on April 27, 2006, at 10:33:14
> I was diagnosed with Generalized Anxiety in 1997 and took 30+ meds over the past eight years. Mostly SSRIs and benzos, and none of them really seemed to do anything.
>
> Then, almost by mistake, I tried Seroquel. I told a pdoc that my grandmother was bipolar, so they let me try Seroquel even though they said I was not bipolar (or haven't shown any symptoms).
>
> Anyways, the Seroquel was like a dream. It took away the excessive rage of energy that I felt. It took the edge off. I started last summer at about 100mg, and after a couple of months was all the way down to 25mg, which is the level I basically stayed at for the last seven months.
>
> Then about three weeks ago, I had some upsetting things happen to me. I couldn't calm down. My mind was racing too much. I went up to 100mg, and now 200mg, and the pdoc has given me temporary permission to go to 300mg. I am still so worked up about those upsetting things that I dont know if there is any med that would calm down.
>
> Do you think I will calm down eventually? Do you think I should stick with Seroquel because it has been so great to me for so long? Do you think Seroquel has worn out its welcome because some say its effect does not stay the same over time? Has that proven to be true? What else would you try?
>You have a few options..but none are "for sure" to be perfect. You may have to take your time a bit. The good thing is, you wil know within a few days if these meds work.
- add a high potency benzo, like Xanax, or a long half-life, like clonazepam (at proper doses..4 or so mg's a day)
-Along with above option, try adding a small dose of an ssri like Prozac or a tricyclic like amitriptyline or even nortriptyline.
-try *adding* (yes, two antipsychotics) another antipsychotic...an atypical like Zyprexa or Risperdal at at lower doses to start.
-As a *last* resort, I would say add a mood stabalizer..but I found that route just created more bad side-effects and no good ones.
-if you have access to nefazedone, give it a shot as an antidepressant/anti-anxiety due to it's 5ht2a antagonism.
Let us know what you think, and how you make out.
Best,
Jay
poster:Jay
thread:637450
URL: http://www.dr-bob.org/babble/20060423/msgs/637828.html