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Dr. Bob is Robert Hsiung, MD,
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Posted by smittay17 on December 15, 2003, at 10:28:05
Imipramine worked for me for years, but i had to get off due to side effects.
To cure OCD you need Serotonin, right?
WIll Serotonin cure Panic too?I think i need NE, like what the Imipramine was providing me.
So do Sero and NE compete with each other?
Whats a side effect of having too much serotonin?
or not enough?
Whats a side effect of having too much NE?
or too little?
I'm really jittery and wondering if its too much NE (would that make you jittery?) or Epinephrine from Panic attacks
or is it too much serotonin (serotonin syndrome)?
i'm trying to balance my meds with my dr.
any advice would be great or articles or linksthanks so much guys!
erik
Posted by linkadge on December 15, 2003, at 15:01:26
In reply to I have Panic OCD- whats the BEST medicine combo?, posted by smittay17 on December 15, 2003, at 10:28:05
Panic and OCD equally respond to serotogenic medications. Panic disorder however does seem to imrove further with serotogenic/norepinephric medications.
You might want to start with the SSRI paxil. It has slight effect in imcreasing norephinephrine. Mainly however it increases serotonin levlels.
If your panic attacks are not adeqitly helped by Paxil, you may want to try Effexor, which has a stronger effect on norephineprine.
Generally if you reach a dose of antidepressant that is too high, you will have symptoms like excessive somnolence, and drowsyness, (serotogenic meds) or excessive jitteryness/acivation, and cardiovasucular activation (excessive norephineprine action)
I wouldn't worry too much about serotonin syndrome. It is very rare, and almost never happens on SSRI's alone. It usually happens with the combination of two or more serotogenic agents. Like combining an SSRI with St. john's wort.
Best of Luck
Linkadge
Posted by marie03 on December 15, 2003, at 18:10:59
In reply to I have Panic OCD- whats the BEST medicine combo?, posted by smittay17 on December 15, 2003, at 10:28:05
i had severe anxiety and panic attacks with OCD, and ZOloft and Lorazepam worked SOOO good for me... paxil made me so sick..... and celexa did nothing... but after ebing on zoloft fopr a good 6 weeks... i was actually able to do things by myself, that i never thought i would be able to do. Marie :)
This is the end of the thread.
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