Posted by hopefullynow on April 28, 2011, at 1:13:15
In reply to You probably should switch SSRIs, posted by mtdewcmu on April 26, 2011, at 15:04:33
I want to throw my two cents here about SSRI's, TCA's and akathisia.
Ever since my SA, depression, etc started, about 12 years ago, I was put on serotonergic drugs.The pattern was 2-3 days after treatment initiation, I was feeling better and then feeling worse ( agitation - eating compulsively, smoking non-stop, nervousness, antsy all over my body, physical and mental anxiety).For me, it was clear, I didn't tolerate everything regarding serotonine.The funny thing was that 1 week ago, i read about akathisia and serotonergic drugs, that it can appear not on heavy AP's.
So, i did a test: beginning the MOST offending SSRI regarding agitation and so (akathisia maybe) - Celexa, at 5 mg/day, then added:
Propanolol 10 mg bid(beta-blocker)
Akineton 1-2 mg bid(biperiden, anticholinergic)MAN, what a difference!No more agitation, no more compulsive eating and smoking, wow!So far so good, I discovered after so many years that I suffer from a milder form of akathisia which was abolished (for good I hope) by Propanolol and Akineton.
One funny thing is that when I got hit by akathisia-like sensations, I want to go to sleep to get rid of that awful sensations and what I felt from about a week on Celexa (5mg) and Propanolol/Akineton combination, was that i felt relaxed and normally energetic, to wanting to go to sleep.
I just felt normally centered and WANTING to do things.
I read somewhere on askpatient site, somebody told something that for me, now, it makes sense:
"when a ssri/tca works, you just feel ok, not anhedonic, sleepy, agitated"
maybe is something about akathisia-like feelings(which are somatized on a various sensations) on serotonergic drugs on a lot of people who tend to think that their drugs don't work.
Maybe i'm wrong what do you think?
poster:hopefullynow
thread:983479
URL: http://www.dr-bob.org/babble/20110418/msgs/983921.html