Chat Now!   Member Gallery    Member Articles    Games   Member Groups   Member Blogs   Health News    Bored?

Author Topic: Psychiatrist follow-up appt.  (Read 117 times)

0 Members and 1 Guest are viewing this topic.

Offline AncientMelody

  • Hero Member
  • *****
  • Posts: 724
  • Rec's: 15
  • Personal text
    • Poke This Member
Psychiatrist follow-up appt.
« on: March 13, 2014, 08:42:22 AM »
Followed up with my psychiatrist yesterday. the good news first is that my depressive symptoms are essentially gone. Lexapro worked like a charm to resolve my depressive issues, and the Seasonique birth control is doing a fairly good job of evening out my hormonal fluctuations.  Not perfect, but it's definitely made a big difference.

On the other hand my anxiety is still daily, and hasn't really improved since I started getting it treated in August. In spite of some GI side effects the lexapro gives me, we are both hesitant to take me off the lexapro because it has been so effective for the depression that neither of us want the possibility of having the symptoms come back if we switched agents completely. She considered increasing to 20 mg to see if that helps the anxiety, but I declined that due to the aforementioned GI side effects, and because I really feel that it's not been helping the anxiety symptoms at 15, so I've no reason to think there will be a dramatic difference at 20.

We discussed two other options: adding buspar or adding a very low dose of Remeron. The latter she suggested because I almost always wake up with anxiety in the morning, or occasionally the middle of the night, and she felt this might help snap that cycle. but as I'm a very fatigued person, I don't really want to try something that can be as sedating as Remeron. For now, I'm continuing on 15 of Lexapro and will continue trying to make lifestyle changes to manage the anxiety. I do have some Ativan for as needed, and will kind of monitor my anxiety from there. If it's no better in a month, then I will probably add the Buspar
Bookmark and Share

Offline insights

  • Hero Member
  • *****
  • Posts: 4257
  • Country: au
  • Rec's: 98
  • Gender: Male
  • Mood: Curious
    Curious
    • Poke This Member
Re: Psychiatrist follow-up appt.
« Reply #1 on: March 13, 2014, 05:17:42 PM »
If it's no better in a month, then I will probably add the Buspar

Good idea. Also consider switching to Celexa (citalopram). It is the same active drug, but also contains the mostly inactive isomer of it which can produce a subtly different outcomes. You should have few if any side-effects on doing an overnight switch.

Ian
Bookmark and Share
NOTE: I'm not a doctor, and particularly not yours, so there may be factors I'm unaware of. Therefore all advice is of a general nature and you should consult your doctor before following any of it, especially before changing med doses.

Tags:
 

Related Topics

  Subject / Started by Replies Last post
3 Replies
638 Views
Last post July 19, 2009, 01:31:39 PM
by Breathless
9 Replies
2019 Views
Last post August 25, 2011, 09:37:14 PM
by Caseman
1 Replies
147 Views
Last post December 02, 2013, 01:51:27 PM
by vardnas
15 Replies
385 Views
Last post December 29, 2013, 07:52:18 PM
by Brick5711
4 Replies
151 Views
Last post September 08, 2014, 10:31:35 PM
by mct425

anything