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    Old 07-19-2007, 12:30 PM   #1
    scriptabuse
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    Smile escitalopram (cipralex) for anxiety

    hey all. just been put on cipralex 10mg by my GP for anxiety disorder, social anxiety & major depressive disorder.
    i first went to my GP about a year ago after i realised that the severe anxiety & depression i'd suffered from for about 4 years since the age of about 16-17 was just not going to go away on its own.
    i took citalopram for a few months (40mg) but there was no improvement. then i changed to sertaline. still, no improvement. if anything these just made my anxiety worse. i tried beta blockers for a month (ive since found info on the web these should not be prescribed for anxiety disorder) but again, no joy. i had a month on venlafaxine but wa quite a low dose (75mg a day) & this, surprise surprise, also didn't help.
    for the last 10 months or so ive been on mirtazapine (40mg). this doesnt really help with the anxiety at all & i was still having bouts of severe depression/low moods/despair but i noticed some of the physical symptoms of the depression lifted. i didn't feel so exausted all the time & the chronic pain in my jaw from involountary clenching has more or less gone away. i think this is mainly because mirtazapine is also a sedative & i took it at night so i wasnt spending hours lying awake every night with my mind racing. i'd say the slight improvement in my general health comes from a combination of sleeping better & eating healthier, cutting caffeine & fizzy drinks out of my diet etc, rather than as a direct result of mirtazapine as an anti-depressant.
    because i was still having severe anxiety problems i also couldnt really value these improvments; it wasnt enough (i'd gladly go back to feeling tired all the time if i could somehow trade it for having no anxiety).
    so yesterday my GP prescribes cipralex. to be honest i wasnt feeling positive about it at all. ive already tried several SSRI's before with no success, i was going from the maximum dose of one drug to a medium dose of another & i felt that i was just kind of getting fobbed off/not taken seriously. i was off a mindset that the only thing that will ever help with my anxiety is benzos (i was prescribed lorazepam for a couple of weeks & yes, it worked very well). i took my first pill this morning & i can honestly say this is the best day i've had for years. i feel more positive, calmer, im concentrating better, feeling more cheerful & a lot more chatty/engaged. ive been speaking to people at work & enjoying conversation for converstions sake, rather than feeling withdrawn & self consious. there were still part of today when my anxiety was still pretty bad (even worse at times) but i know this should go away after a few weeks (hopefully). basically today is the first day in a long time that ive felt postive about the future & though that actually, i can control this thing. its weird because i know anti-depressants should take a few weeks to kick in & i shouldnt get any benefit this early on but honestly, i feel so much better today. i dont know if its just a psychosomatic reaction to changing medication but i really really hope that finally, ive found the right SSRI for me & that i will just keep getting better. i knew that different SSRI's affect people differently but i thought that if something like mirtazapine didnt work for me, nothing would. but honestly, for about the past 6 months before today, my social anxiety has been so bad it has even stretched to internet forums (i basically stopped posting from every forum i ued, even medical ones like this). this seems kind of ridiculous to me right now.
    sorry for the ultra long post. the main reason im posting is to find out if anyone else has had this success with cipralex or if anyone has had postive effects on the first day of trying a new med. if so was the improvement long term? id also like to know if there is any reasons why cipralex should be so effective for anxiety (i notice it is recommended to be prescibed for panic disorder etc, im sure a lot of the other meds i was on were mainly advertised to treat depression)


    if you read all that, thanks

    Last edited by ms_mod; 07-20-2007 at 09:38 AM. Reason: Note edit to your post. Your question is answered in the posting rules. Ms_Mod

     
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    Old 07-19-2007, 12:47 PM   #2
    Andrea84
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    Re: escitalopram (cipralex) for anxiety

    I don't have an opinion on these particular medications but I have a question/suggestion - why are you going to a GP who has limited experience with these kind of medications rather than a psychiatrist who works with them every day? I think you have a much better chance of an excellent outcome with a good psychiatrist monitoring and adjusting your meds than with someone who spends his days with sore throats, etc. I'm very surprised that your GP hasn't suggested this to you.
    Wishing you all the best. (and really hope you take this suggestion - I think it will make a difference)

    Last edited by ms_mod; 07-20-2007 at 09:39 AM. Reason: Removed part of post that no longer applies. Ms_Mod

     
    Old 07-19-2007, 01:29 PM   #3
    scriptabuse
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    Re: escitalopram (cipralex) for anxiety

    i actually asked my previous GP (i changed when i moved house) if i could be referred to a psychiatrist; he said there as im obviously sane & lucid he wouldn't be able to refer me to a psychiatrist, it would need to be a clinical psychologist, but as there are no clinical psychologists in my area this is not possible. at the time i was a bit put out because i didnt really feel comforatable speaking to a GP about my thoughts etc, but i just took what he said at face value. since then i've just assumed im going to have to deal with a GP & try hit or miss with various meds until we chanced across one that helped.
    i might ask my new GP if he can refer me. ive got to make another appointment in a few weeks to let him know how i get on with cipralex, so i'll mention it then. to be honest ive had a few bad experiences with GP's attitudes but the one i see now is really good. i supposed because i have so little self-esteem im more likely to let medical professionals dictate the tratment to me, rather than going in & demanding to be referred/to be prescribed a certain med & so on.

    thanks for replying. the thought of asking to see a psych. had completely gone out of my head after the last GP said no, but if the new one refers me i think it will be a really positive thing.

    Last edited by scriptabuse; 07-19-2007 at 01:31 PM.

     
    Old 07-19-2007, 01:43 PM   #4
    Andrea84
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    Re: escitalopram (cipralex) for anxiety

    That's mind-boggling that your previous GP said that (and so ignorant of him!). There are many sane and lucid people who see psychiatrists for anxiety, depression, ADD, OCD, etc. I see what you mean by bad experiences with some GP's. I'm glad you're seriously considering using a psychiatrist to monitor/adjust your medications. Let us know how it goes.

     
    Old 07-19-2007, 03:36 PM   #5
    j2006
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    Re: escitalopram (cipralex) for anxiety

    This is the generic of Lexapro. I was on it for a few months along with Klonopin. It worked for me - but couldn't quite get to a dose that worked for me. So i had to come off. I now wish I stayed on longer.

    I know several people on this for anxiety and panic and they love it. Good luck. sometimes it takes several meds to get to the right one.

     
    Old 07-30-2007, 06:07 AM   #6
    scriptabuse
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    Re: escitalopram (cipralex) for anxiety

    hey, just a little update. thanks for all the replies.
    im on my 11th day now and im still feeling a lot better. im going to ask to go up to 20mg when my course runs out in a couple of weeks. still getting quite a lot of anxiety (particularly an uncomfortable nervous, butterflies in the stomach type feeling), & i always feel a crippling anxiety when i first wake up in the morning (sometimes more like terror than just anxiety), but overall once im up & about my mood is much brighter & im feeling a definate improvement overall.
    i'll keep you posted, thanks for the support.

    Last edited by ms_mod; 07-30-2007 at 08:14 AM. Reason: Removed text message, chat room word and replaced it with the proper word. Ms_Mod

     
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