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Re: Best SSRI for post-steroid ((Marty))

Posted by Nuala on September 27, 2008, at 8:48:39

In reply to Re: Best SSRI for post-steroid HPA axis suppression? » bleauberry, posted by Marty on September 26, 2008, at 21:19:23

I see my pdoc on Monday. I feel I should ask him to go back on the Lexapro, and not continue with the Luvox.

I have not felt right on it, and am hovering at a very tiny dose, just enough to prevent me from feeling that "black, i've-got-to-check-into-the psych-unit anxiety". I am very sensistive to medication.

Right now I am on 7.5 mg Seroquel and 10 mg Luxov. (I take the little beads out of the capsule and put thenm in an new gel cap) Been on it a total of 10 days.

Its one action is seemingly good, it seems to be evelating the HPA axis, or something, as I am not in a complete physical and mental panic. I could surely use a higher dose, but something very frigthening happened at 25mg, non-stop tachichardia for two days, plus other symptoms.

I found out that Luvox can increase the metabolism of Seroquel and has some possible interactions. So, it is working aginst what I need the SSRI to do, as it is extending the Seroquel and therefore, continuing to depress ACTH and cortisl production throughout the day.

I don't know why the pdoc gave this to me????

My only reservation about Lexapro is that is may increase my anxiety? The pdoc said Luvox had an anti anxiety property. But, I am thinking that at 10mg, I may be just experiencing a little lift in the HPA axis and THAT is reducing my anxiety - so why not a better SSRI for the job, like Lexapro I wonder?

If you have any advice on whether Lexapro would help, I would be grateful.


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