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Panic Disorder Help

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Old 07-09-2006, 08:50 PM   #1
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Join Date: Dec 2004
Posts: 22
LemonSupreme HB User
Panic Disorder Help

I've been dealing with it off and on for 7 years. Zoloft always worked great for me - no panic attacks - no side effects. While I was pregnant I felt great. After the baby was born I felt really great. So great that I went off Zoloft. I had never felt better until I started having a menstrual cycle while I was still nursing (my baby was 5 1/2 months old when this happened). The Dr.s say it has nothing to do with my hormones. I disagree! Anyway, this is what meds I've tried in the last 6 1/2 months.

Zoloft since it worked before.....made me much worse. After 6 weeks, I still wasn't any better so I switched to.......
Lexapro and Ativan (the Ativan was just "as needed"). After 6 weeks, I was still feeling horrible unless I took 2-3 Ativan a day.
Then, I had to stop nursing and start Cymbalta and Klonopin. It has been 3 months now and I still don't feel back to myself. I'm taking 30 mg. of Cymbalta and .5 mg. of Klonopin as needed (which is maybe once or twice a week - sometimes less, sometimes more). I tried increasing the Cymbalta and it makes me feel like I'm in a fog and want to sleep all the time.
What I'm looking for here is some advice on what other meds I should try or what experiences others have had. I know everyone reacts differently to meds, but I'm up for anything at this point. Thanks for reading if you've made it this far. I know it is long!

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Old 07-10-2006, 07:20 AM   #2
Join Date: Jun 2005
Posts: 385
CircusSquirrel HB User
Re: Panic Disorder Help

There are still a few SSRIs you have left, and some "atypicals". There's Paxil, Luvox, then there are the drugs that also work on norepinephrine like Effexor. Unless you have had a substance abuse problem in the past, I would ask for Xanax or Xanax XR (the once a day extended release) instead of the Ativan or Klonopin. Xanax, despite its detractors, has proven to be much more effective for panic attacks than the other drugs in its class. If a person had just generalized anxiety disorder or another anxiety problem, it probably wouldn't make as much of a difference, but for panic disorder, Xanax is the best. Of course, you only want to use it on an as-needed basis. Some people like BuSpar, an atypical drug, and a few like the antidepressant Wellbutrin, though it isn't prescribed as much for anxiety as the other antidepressants are. Every one of these drugs have side effects. Almost none of them are dangerous, but some of the side effects are intolerable to some people. Sexual side effects are by far the most common problem with the newer antidepressants. If all those were to fail (which is unlikely) the older antidepressants have more side effects but are still in use because they are effective, but again, those are usually a last ditch sort of thing. Have you done any therapy? Cognitive behavioral therapy can be very helpful with panic disorder, and even just talking with a therapist can be helpful. Best wishes, this stuff will get better.

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