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Author Topic: Xanax to Lexapro & Klonopin and a couple of questions...  (Read 2371 times)

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Offline comoso

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Re: Xanax to Lexapro & Klonopin and a couple of questions...
« Reply #10 on: March 17, 2014, 07:48:46 PM »
I have a great psychologist that I've been seeing for 4 months.  This has definitely helped a lot.  Probably equal to the meds.  I was just stuck with the xanax.  I have family that I've seen abuse it and I was WAY too scared of it to trust it to help me.  In the coming weeks.  I'll get off of klonopin and continue on lexapro and continue CBT. 

Thanks for all of your insight, Ian.  You're a good man.
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Offline dh1972

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Re: Xanax to Lexapro & Klonopin and a couple of questions...
« Reply #11 on: March 17, 2014, 08:37:37 PM »
I have found CBT helpful, but have to consistently read my books on it to stay fresh in my head otherwise I start to forget some things (although remember other things).  It's almost like I have to have my own regular sessions on it.

Guided medication from several Youtube views has been very effective for me too - especially later in the evening to help me get to sleep.
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Offline insights

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Re: Xanax to Lexapro & Klonopin and a couple of questions...
« Reply #12 on: March 17, 2014, 08:54:26 PM »
I have found CBT helpful, but have to consistently read my books on it to stay fresh in my head otherwise I start to forget some things (although remember other things).  It's almost like I have to have my own regular sessions on it.

This is one of the main problems with CBT and other similar therapies, you need to work on them regularly. Unfortunately, most people feel good so stop and just get on with living slowly allowing bad mental habits to reassert themselves until their disorder bites again.

Both meds and therapies are only treatment, not cures, and treatments need to be applied to work. Life is complicated. :(

Ian
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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.

Offline comoso

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Re: Xanax to Lexapro & Klonopin and a couple of questions...
« Reply #13 on: March 22, 2014, 12:28:06 PM »
Update just for someone else that might be going through this later.

I'm almost completed week 5.  I definitely have good times and bad.  My emotions swing all over the place.  I'll feel good and then bam, bad.  I'm told lexapro will level this out.  I'm hoping it does.  I think I've seen insights say 6-12 weeks...  It's admittedly frustrating reading people say I was better in 1 or 2 weeks.  I do however enjoy good times right now when there was a time I wasn't seeing much of any. 

This is for sure, I'll never accept xanax as a treatment for anxiety again.  I know it works for some, and it worked for me before, this time around.  It just created a dependence that I'll be working off of for months with klonopin.  I'm down to .625 mg per day now(.25 at bed time and .375 in the am).  I'll probably be here a couple of weeks.  I'm ok with it.  I'm going to go slow and who knows.  Maybe one day the lex kicks in and I'll be able to wean off of the klonopin even faster. 

The fun thing I'm feeling now is a definite increase in depression.  Is this common for ssri startup?  I've had a few crying spells and that's not me at all...
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Offline insights

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Re: Xanax to Lexapro & Klonopin and a couple of questions...
« Reply #14 on: March 22, 2014, 05:13:53 PM »
It's admittedly frustrating reading people say I was better in 1 or 2 weeks.

The placebo effect is a wonderful thing. Unfortunately, it often doesn't last.

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The fun thing I'm feeling now is a definite increase in depression.  Is this common for ssri startup?  I've had a few crying spells and that's not me at all...

Just as antidepressants may make anxiety worse initially, so can they exacerbate depression. Both are caused by the same thing, the initial increase in serotonin activity. However, after a while a feedback mechanism kicks in and serotonin synthesis and expression are returned to baseline in most brain regions, and greatly reduced in some associated with anxiety/depression. See: Serotonin: The 'chemical imbalance' myth

Ian
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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.

Offline comoso

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Re: Xanax to Lexapro & Klonopin and a couple of questions...
« Reply #15 on: March 22, 2014, 05:34:44 PM »
Thanks again, Ian, I'm dealing with quite a bit of dizziness and I really have had battles with it since day 1 of this anxiety.  Will lexapro eventually help with all of the anxiety symptoms?  Will dizziness get better with it?  Is it further complicated by my benzo use\wean causing dizziness?

One other, my vision has definitely changed in the 8 months I've had high anxiety.  I can no longer wear my contacts as I can't read things within 2 feet of me with my prescription.  I use my glasses now and just take them off when reading.  Is this just a coincidence or is this an effect of meds and/or anxiety? 
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Offline insights

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Re: Xanax to Lexapro & Klonopin and a couple of questions...
« Reply #16 on: March 22, 2014, 06:44:20 PM »
Thanks again, Ian, I'm dealing with quite a bit of dizziness and I really have had battles with it since day 1 of this anxiety.  Will lexapro eventually help with all of the anxiety symptoms?  Will dizziness get better with it?

Dizziness is a common anxiety symptom which should diminish as Lexapro kicks-in, but may worsen initially.

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Is it further complicated by my benzo use\wean causing dizziness?

Possibly. The biggest problem with changing two meds at once is that you can never be sure which alteration is causing any problems that come up.

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One other, my vision has definitely changed in the 8 months I've had high anxiety.  I can no longer wear my contacts as I can't read things within 2 feet of me with my prescription.  I use my glasses now and just take them off when reading.  Is this just a coincidence or is this an effect of meds and/or anxiety?

It can be an anxiety symptom. I'm not sure whether it has a direct impact on the eyes, or is due to a processing problem. Most of what we "see" is actually created in the brain, not direct data from the eyes. It takes the basic shapes relayed from the eyes and fills them in. Anxiety tends to overload some areas of the brain which may affect this. There is some anecdotal evidence that Omega-3/fish oil supplements may help, though it may take some months before there is a significant improvement.

Ian
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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.

Offline comoso

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Re: Xanax to Lexapro & Klonopin and a couple of questions...
« Reply #17 on: March 23, 2014, 10:46:20 PM »
5.5 Weeks down and I had the worst headache of my life most of the day.  I've had severe depression for the past 3 days.  I'm worried about work tomorrow,  but I'll go and think as positive as possible. 

How long do I give this lexapro?  Should I just stay on a stable dose of klonopin and worry about cutting it after a few months on lexapro?
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Offline insights

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Re: Xanax to Lexapro & Klonopin and a couple of questions...
« Reply #18 on: March 24, 2014, 12:45:38 AM »
I've had severe depression for the past 3 days.

You should discuss this with your doctor as severe depression needs to be evaluated.

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How long do I give this lexapro?

Up to 12 weeks, but if you're not getting some indication that it's doing something after 8 weeks then the dose may need to be increased.

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Should I just stay on a stable dose of klonopin and worry about cutting it after a few months on lexapro?

In the long run it probably won't make any difference either way.

Ian

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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.

Offline comoso

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Re: Xanax to Lexapro & Klonopin and a couple of questions...
« Reply #19 on: March 25, 2014, 08:44:15 PM »
Called about depression was basically told not to worry and give it time.

Now, the past 2 days I've had the most extreme of headaches and my ears are constantly ringing.  Is it normal to have these new side effects nearly 6 weeks into lexapro?
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