I was so fed up, this time I jumped right into 75mg a day of Anafranil, the therapeutic dose of this older TCA seems to really very 75-200mg+, and although I am benzophobic (because of my job and the level I need to function at) I just relied on the Benzo (only needed 3.75mg of tranxene daily, I'm extremely responsive to benzos) to smooth out any start up side effects.
Interesting. From what I've read, Anafranil should build up from 25mg to 75mg in two weeks*, versus taking 75mg startup at initial dosage. Once you've hit 75mg, then you have a choice to take higher dosages, based on the effectivenes of the medicine on your symptoms. I'm glad you found effect at a higher dosage sooner.
I do think you were more psychologically ready for a higher dose, than someone first starting an antidepressant, who is testing the waters of being on it. So that type of person might initially start at 25mg and move up to 75mg in two weeks, but of course, everyone is different on their reactions to medications.
InnerHippe, I think you're a veteran to medication for anxiety disorders, too, so Stevo may just have a good lead to follow.http://www.minddisorders.com/Br-Del/Clomipramine.html
Once you've reached a therapeutic dose, then it is probably a good spot to settle in for 6-12 weeks and see if your brain responds. If not, the options of ramping up to the max dosage or switching to another anti-depressant are probably the best. If you are functioning normally on a low therapeutic dosage and making progress every day, even if slow, then I would personally reserve working up towards the max dosage for times of high stress.
Good point. There is variation on what the therapeutic dose for Zoloft is. Some cite it's at 50mg (which is where you are now Inner Hippe); however, on this forum I think more seem to say it's 100mg of Zoloft for an anxiety disorder. I am at 100mg, and working on up, however, as I mentioned my psychiatrist still asks that I stay at 100mg for a few weeks, before I go any higher. So for now, this is where I am at, but I did move up in therapeutic steps, at a 12.5 mg increases, every one to two weeks, before I hit 100mg, and this medication is working for me.
So I sort of followed the standard lead and got results, but of course, others can jump in the therapeutic dose sooner and likewise, get good results.http://www.rxlist.com/zoloft-drug/indications-dosage.htm
A lot of antidepressant users on this forum often say that medication is not an exact science, so we have to do trial and error on what is right for us, and everyone is different on reactions. Normally the recommended doses are just based on an average taken from a poll of users on that particular drug, so of course, there are exceptions within that mean.
In regards to all of that, maybe jumping to 100mg might work for you, Inner Hippe. Again, do what you feel is best.http://www.rxlist.com/zoloft-drug/indications-dosage.htm
Hippie, I am on ONLY Anafranil and having decent results. My Panic disorder is all but gone, OCD tendencies weaning, depression clearing and my concentration is improving. For the first time I have even seen an improvement in my GAD. I don't wake up in the middle of the night or first thing in the morning with a burning in my chest, don't get panicky while driving, can be stone cold while giving talks to 200 people. Besides this, I work with a naturopath as I have issues with vitamin deficiencies caused by a genetic mutation and therefore am working to keep cardiovascular disease away later in life... so I take a crap load of vitamins and fish oil. Otherwise, I would say my anxiety is a relative 5/10 compared to others I've encountered and I am able to live a fully normal life and live pretty well with only an antidepressant.
Yup, I've regularly read that fish oils are a recommended supplement to take for an anxiety disorder, and my psychiatrist agrees. :)
Heck, antidepressants really seem to work WAY better for anxiety than depression, heh. Also, if you can exercise, give it a shot. A study has shown that exercise (distance running in this study) combined with an antidepressant was VERY effective at subduing panic disorder.
I agree. Since I work late, I normally head to the gym after work, so I can't give excuses of not going to the gym if I'm at home, and if I can do anything, I'll just do a 45 minute walk on the treadmill. Other days, when I'm in the right mood, I'll do something more strenuous. Daily physical exercise of about 30 minutes a day can do wonders on my mental health.
Hope this was helpful, just some advice from my own personal turmoils!
Hoping a swift recovery to you both.
Thanks Stevo. I appreciate your inight too, as much as Inner Hippe. BTW, I'm Steve too, so it's good to hear from another Steve on their experience with antianxiety medication. :)