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Anxiety more so than usual/Medication

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Posted 3/2/2018 10:20 PM (GMT -5)
Hi all, I'll try and keep this brief as I can... I usually deal with the depression however I do go through periods of anxiety (OCD tendencies, rumination). Lately I have been experiencing these symptoms more so than usual...worry like crazy about little things, afraid that something bad will happen from trivial situations, and a couple of bad nightmares (which is really out of the ordinary for me).

I take 10mg Citalopram and 150mg Welbutrin daily. I know, low doses...but this combo usually works fine for me; I don't want my sex drive totally nulled from a higher dose of Citalopram nor too wired from increasing the Welbutrin. I've tried Zoloft in the past but I found it disturbed my sleep. Does anyone have any experience with any other medications that work effectively for them? I may go see my doctor soon and discuss maybe trying something more effective for anxiety cause the past few weeks haven't been pleasant in the anxiety department. Thanks!
Posted 3/3/2018 1:05 AM (GMT -5)
Hi Web and welcome to the A/P!


Although I am sorry to hear that it's due to increased anxiety currently. sad about how long have you been facing this new challenge...and have you tried alternative coping skills and tools to manage it?

I ask because I would hate to see you prematurely change your Rx regimen for a temporary situation, or one that could be manageable with self help.

We have links in our Resources for Therapy Worksheets, OCD help, and other general stress relieving exercises that you may want to try before making adjustments with your meds. You also may want to consider therapy (or revisiting it) for gaining ground again.

What ever you decide and ultimately do...know that we support you, and that we will be here to encourage you along your journey...so post as needed!

Talk soon!

Scaredy Cat
Posted 3/3/2018 5:01 AM (GMT -5)
Hi

Welcome back to the forum.

Good input from SC above.

If you decide you want to change medications there are lots of other options for you to think about and chat with your doctor about. I have tried many of the antidepressants over the years and for me personally I found that Lexapro was the best but it's important to remember that what works well for one person may not work as well for another person.

Another option would be to increase your Citalopram to 20mg which is still a small dose.

Keep us posted.

Hibee
Posted 3/3/2018 8:10 AM (GMT -5)
I wanted to add my current experience as it relates to yours. I started on 25 mg of zoloft 9 days ago. I posted a couple days ago on this, that after 4 days or so I started feeling more wired in the evening. One of my issues recently has been insomnia caused by anxiety over not sleeping. I know that these medications take some time to even out, but I can't sustain 3 hours of sleep a night for however many weeks it takes to subside. My psychiatrist had me on trazadone along with the Z, a small does of 50 mg. But, I did this last evening and only managed 3 hours of sleep. Of course having more anxiety of what to do now. Should I drop the Z and just take trazadone now? I just sense that without sleep everything else is moot. And of course now sleeping just adds to the feeling of despair. I see my psy this coming Wednesday and feel a need to try something else basically out of sheer survival. So yes, I can relate. I seem to be sensitive to medications as well.
Posted 3/3/2018 5:50 PM (GMT -5)
minnasota-see other thread-yours for advice
Posted 3/3/2018 9:17 PM (GMT -5)
I have taken Zoloft, Lexapro and now Wellbutrin as well as Xanax as needed. I have GAD with panic attacks occasionally. I was on the Zoloft a few years ago and wanted to get off medication all together. When my anxiety got bad again I stared on the Lexapro. Although it worked well it cause some libido side affects I was not too found of. So, I switched to Wellbutrin, but again I am working to get off of that as well. I only take the Xanax when absolutely necessary. I am also a recovery alcoholic and do want to become dependent on any medication that could become an addiction.
Posted 3/4/2018 3:34 PM (GMT -5)
Interesting. How has the Wellbutrin been for you compared to the Z? I feel I need a non-SSRI medication given my recent deal with Z. Curious what the other options are in a different class. Just looking for the right combination. I did get a good nights sleep last night with trazadone only. A bit groggy today but the sleep was worth it.
Posted 3/4/2018 6:02 PM (GMT -5)
glad the traz worked for you. I am experienced only in the ssri for long term relief. hopefully some one can offer the right advice. finding the right combo/balance of meds can be tricky. lots of trial and error.
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