Hi, I am just wondering if anyone has any insight to this switch that might ease my mind! I am freaking out because I have had some bad experiences with switching meds in the past. Recently I went up from 25mg zoloft to 50 and it made my anxiety have anxiety!! I was overly concerned with everything my body experienced and it freaked me out. I felt like when people were talking to me, that they could tell something was wrong or that I looked like I was on crack or meth or something... I had a hard time looking at someone while they spoke to me and felt like it was really hard not to fidget or move.. I also felt that I needed to look in the mirror because I was afraid I looked too pale, like I was sick or something.. ANYWAYS, my dr wants me to try prozac 10mg now. Im just a bit nervous that I will have the same kind of reaction. It sucks. Any advice would be great. Thanks!
I can really relate to your problem
- I too had, big anxiety issues on starting any Antidepressant, - especially "Increased Anxiety" What I learned from my own 'First Hand Experience'
- that the better Psychiatrist and Doctors (which I consider to "Best Practices") will use "Combination Medication Therapy"
for someone who starting an antidepressant for anxiety).
I wish they would have done this when I first starting my antidepressants
, to help me control my panic attacks and anxiety - when first starting an antidepressant such as Prozac, and it really helps in helping me stay on it for 4-6 weeks - until I would start to feel the positive benefits of Prozac (which for me, was the most stimulating, but also best one of the BEST
for me (I have been using Prozac for the last several years 20-40 Mg /day).
My doctor explained to me that "Combination Medication Therapy"
would accomplish the following:
1. My doctor used both an Antidepressant/SSRI and a low dose of Benzodiazepine - which really helped me immensely.
2. My doctor explained that the Antidepressants will take up to 4 to 6 weeks
to begin relieving anxiety symptoms and in some people if used alone - it can actually increase anxiety initially during the first few weeks (as It did with me…) . Which is one reason I had such a hard time staying on antidepressant.
3. My doctor, further explained to me that the benzodiazepines are fast acting anxiety blockers (bringing me relief within 30-60 minutes) to stop my Panic Attacks caused by a Panic Disorder, and could also help shield me from additional anxiety that may initially arise from the SSRI or Antidepressant that I was taking (Prozac) .
You may want to ask your doctor about this, It really made a world of difference for me!
My two cents
I had a couple of doctors who would not prescribe me a benzodiazepine - but, once I made an appoint with a Psychiatrist they were more than happy to give me the correct medications to help my Panic Disorder and Anxiety attacks.Combination Medication Therapy -
The strategy is to hold the individual on low-dose benzodiazepines (e.g., alprazolam 0.25 to 0.5 mg tid or qid plus antidepressant) for four to eight weeks. When the patient's panic has abated and antidepressant levels are adequate, the benzodiazepine can be slowly withdrawn.
Hope this helps,
Feel free to send me a PM if you have any questions