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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by jms600 on February 26, 2004, at 15:06:16
Hi,
Yesterday I had an appointment with my new P/Doc. The P/Doc I had previously been seeing had left and so I had to see his new replacement.
To cut a long story short my new P/Doc is rubbish and I was somewhat shocked when she leaned back in her chair and asked me what drugs I wanted. Afterall she is supposed to be the doctor - not me!
Anyway I am currently on Effexor 225mg for depression which seems to be working. However I do suffer from terrible anxiety and nervousness. The P/Doc wanted to take me off the Effexor and put me on Prozac, however I know that this would have made my anxiety worse so I refused. In the end she put me back on Promazine which really does sedate me. She said to try it for 2 weeks and then I should see my GP for some further advice. Not very professional when a psychiatrist refers you back to your GP because she doesn't know what to prescribe.
So now I've got to go back to my GP and ask him for something to help my anxiety. I've tried Buspar but it didn't help in the slightest. I've tried Stelazine and it really helped to begin with but I stupidly enough stopped taking it because I though I was cured. When my anxiety returned I tried the Stelazine again but it didn't seem to help, so thats out. I'm on Promazine but all that dose is knock me it, so I can't continue with it. Benzodiazepines work great, but my GP won't let me have them long term (including Klonopin which he claims is very addictive), so Benzos are out.
So, I really need some advice on what drug is best for anxiety and nervousness. I suffer from GAD, social anxiety, and panic attacks. Effexor has really helped my depression but has done nothing for my anxiety problems. I was thinking of asking about Sulpiride. Has anyone tried this? Is it any good? Whats the best dose to take? Is there anything better?
Many thanks for your advice.
Posted by blondemomints on February 26, 2004, at 17:27:59
In reply to Anxiety problems - Help, posted by jms600 on February 26, 2004, at 15:06:16
If your psychiatrist tries to refer you back to your GP for medication advice on anxiety and or depression or any other "mental" situation, I'd advise on getting a new psychiatrist! A board certified one at that....they are suppose to be specialists in dealing with mind medications....to determine what medications will work best for your problems. A GP is trained in a variety of areas with no particular specialty.
When I began to ask my internist about problems with anxiety, depression, etc. he "insisted" I see a specialist who could diagnose me & treat me with the proper medications. Not that he wasn't willing....it's just that he was full aware it was more than he needed to try to deal with. I respect him for that. That's why our medical fields have specialists.
Just my opinion! Best of luck to you!
Posted by psychogirl on February 27, 2004, at 7:23:46
In reply to Anxiety problems - Help, posted by jms600 on February 26, 2004, at 15:06:16
Hi there, It sounds like you've been on a lot of meds. That must be sooo frustrating.
I too suffer from anxiety and i have panic attacks. I was on Paxil a couple of years ago, and found it effective. Then like you, I thought I was cured and took myself off it. Big mistake. well, the anxiety is back in a big way and even affecting my speech..I'm now on celexa. These meds tend to give you dry mouth as a side effect so I can't shake this speech impediment. It's ridiculous.
Anyway, have you thought of celexa is what I was getting at. They say it's a clean drug. let me know.
Posted by jms600 on February 28, 2004, at 15:52:37
In reply to Re: Anxiety problems - Help, posted by psychogirl on February 27, 2004, at 7:23:46
Hi Psychogirl,
I've tried a few SSRI's in the past but they didn't really help my anxiety, apart from Seroxat which did help.
I think i'm going to try and see another psychiatrist and also ask my doctor about trying a low dose anti-psychotic such as Sulpiride, for my anxiety. I have tried Stelazine in the past with some success.
Take care.
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