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Questions and Answers

Been on 40 mg of Paxil for three weeks= No results yet.? Hi, I have tried various medications for social anxiety and depression. Here is the list of meds I have tried: Lexapro 20 mg/day Zoloft (max dosage) Cymbalta (max dosage) Effexor (max dosage) Prestique (max dosage) Now I am on Paxil but have yet to feel any changes. I am starting to wonder if there is any antidepressant out there that works for my brain chemistry. I feel just as socailly timid along with depressed thoughts. The only thing that sometimes takes the social phobia edge off is large dose of Alprazolam (about 3.5 mg). However I don't like taking this medication because it makes me sleepy as well. Any suggestions? Thanks in advance.

Your Assistant replied: "I am surprised lexapro did not work and it might have with a higher dosage, it works well with Alprazolam. I am not a doctor but 40-60mg of lexapro might have done the trick, it takes a while to get used to though. Good Luck, That would be my suggestion. Lexapro is an upgrade from celexa and has been refined to cut out side effects, it is a very good drug for anxiety and for depression works for both. Your Assistant"

LivelyMc replied: "Paxil didn't work for me either. It actually upset my stomach too. I now take Prozac 20 mg (generic Fluoxetine) and Lexapro 10 mg both daily. Funny story, at my last PCP visit the nurse said "you take both prozac and lexapro" very rudely.. I responded "Yes, do you have a problem?" in a very serious tone. It just proved to me that people who do not suffer like we do have no clue what we battle daily just to get out of bed and move on with our lives. Don't give up, there is a cocktail that will work with your body. If female: an OB/GYN dr can help too. They explained a lot of hormonal changes that cause extra anxiety during PMS. Not female, sorry, just some advise."

Kathleen replied: "I also suffer from depression and anxiety. I have been put on so many medications that did me no good at all. It takes time sometimes and dosage increases often to get the relief that you deserve and desire. ight now I am taking both Remeron, which is for major depression, Zoloft, for panic attacks and depression and also Clonazepam for panic attacks. Don't give up! You will find one that will work for you! It can take more times than we want it to however. Hang in there ! I am pulling for you!"

bigcolli replied: "Medications dont really work imo, they only treat the symptoms and not the root cause, plus they have nasty side effects. This is a great course/product which helped me basically CURE myself of social anxiety and stop it for good, check it out below: I highly recommend it, good luck."

YA Junkie replied: "Hi: I suffer from major depression and have been through the medication mill even more than you have. My first thought is to make sure you are seeing a psychiatrist that listens to you and you have some confidence in. I hope you are not seeing a general practitioner for psychiatric drugs. Remember you are always entitled to a 2nd or 3rd opinion from different doctors. As far as the Paxil goes, this type of drug generally takes 3 to 6 weeks to kick in. Sometimes you have to wait as long as 8 weeks to feel any positive effect. My next thought is that you have tried only two classes of drugs. Lexapro, zoloft and paxil are all SSRIs (prozac was the first). Effexor and Pristiq are both SNRIs. I won't bother you with the technicalities of these terms. You might try Wellbutrin or Remeron, which are different types of antidepressants. In some cases, people respond better to older meds called tricyclics or even MAO inhibitors (the very first type of antidepressants). I know hearing this long list of meds might not be cheering you up, but bear with me. Often people do best taking two meds rather than one. For myself, antidepressants did not work, but I switched to Lamictal and Abilify, which are usually used for other disorders like bipolar. It's interesting that Alprazolam has been of some help to you. In terms of sleepiness, I hope you were told to take it in divided doses. So you could take one dose in the AM, one in the afternoon and one late in the day. You probably should not take 3.5 mg all at once. That would make you sleepy. You just have to be careful with Alprazolam because it can be addicting if not taken as directed. If you stop it, taper off it VERY slowly. Finally, I find that one of my best antidepressants is exercise. A nutritious diet and some form of relaxation like meditation also helps. Research has shown that psychotherapy plus meds is more effective than meds alone or therapy alone. Try to find alternative medicine doctors, nutritionists or other professionals who have worked with depression. I know you must feel depressed about being depressed. However, remember there are always other avenues to pursue, either in alternative health or medications you have not tried. Email me if you have any questions."

Effexor XR or Cymbalta?? I have been taking Effexor XR for about 2 years, it doesn't seem to be working anymore, no matter what my dosage. I am wondering if maybe I should ask my doctor if I can try Cymbalta? But I am not sure if Effexor XR and Cymbalta are the same thing basically? Cymbalta works to help physical and emotional pain apparenlty. Has anyone tried it? Or changed from Effexor XR to Cymbalta? Please let me know how you felt about them! Thank you in advance!

acura-ownr replied: "Cymbalta"

Kay C replied: "DON'T TAKE EITHER ONE OF THOSE. ALL THOSE SRRI'S DO MORE HARM THAN GOOD. XANAX IS THE ONLY THING THAT HELPS ME & THAT'S A SLEEP AID NOT AN "ANTI DEPRESSANT" I'VE TAKEN THEM ALL AT ONE TIME OR ANOTHER: CELEXA, EFFEXXOR, ZOLOFT, CYMBALTA, WELLBUTRIN & SEROQUEL. ALL GAVE ME SICKLY SIDE EFFECTS OR WORKED TO LITTLE OR NO AVAIL. MEDS ARE A JOKE & A WAY FOR CORRUPT SHRINKS TO FEED THEIR OVERSIZED BANK ACCOUNTS. I'VE BEEN IN & OUT OF PSYCHIATRIC CARE FOR 5 YEARS SO I THINK I KNOW WHAT I'M TALKING ABOUT. PSYCHIATRY IS A GD JOKE PERIOD!"

jashaunte replied: "Hmmm...i am also on Effexor and have been for about two years. What i would do is have a little sit down with your doctor and ask him/her about Cymbalta (ie...side effects and such) and that way they would be able to tell you how the switch was between Effexor to Cymbalta in most of their patients. I think that would really be the best way to figure out all of the statistic and gets the answers to your pertinent questions. Good luck girlie!*"

Rockford replied: "Here's what people had to say about both drugs. I find you have to rotate SSRIs. They tend to lose their fizzle after a while. You could go back to effexor after a break from it and it would probably work for you again."

craftgirl_2005 replied: "i loved cymbalta-at first.i am bi-polar I and found out that i cannot take antidepressants.getting off of it, made getting off paxil seem like a breeze.one doctor told me it took up to a year for it to get out of your brain.sooo,if it`s depression -without suicidal thoughts, it`s a good medication, however,it scares me of the thought of a ssrI or2 , please be careful"

Kat replied: "Take the Effexor I had a horrible experience with Cymbalta. I took t for a few months and felt good also take xanax for anxiety and panic attacks. I would get so angry at the slightest things I would start throwing things and going into rages. It is called a cymbalta crash I learned from a couselor. So I went back on Effexor. It may not happen to you but it wasn't fun."

Anyone have a good experience with Cymbalta? I'm looking for people to tell me about their good experiences with Cymbalta. I just started it yesterday and although I have no appetite and have been a little nauseated, I have more energy! I know after a couple weeks the side effects will go away, or hope at least. I have heard a lot of bad things about Cymbalta, so now I'm looking for good. I also take Klonopin to ease my anxiety, and it's worked great for a year. I have tried Prozac(which worked for a while and then quit, even with changes in dosage), Lexapro, Zoloft, and Effexor for my depression. I also go to counseling to help as well. The Dr started me at 60mg. Thought it was a little high, but she said it would be fine.

Alaska Man replied: "I've been on it for a year now and it has been nothing but good. No side effects, it might take a while to regulate the dose, but it is a heaven sent for me. Good luck."

Please Help...What is wrong with me? Please Help...What is wrong with me? Hello all, I have a few health concerns that are really getting to me lately. I hope you can help. Basically, in mid December, due to many a reason, I developed severe, chronic insomnia. I was literally awake for over 3 weeks solid. Eventually and with great hesitation, I gave in to meds because of how bad my health got. I was hospitalized. Scary stuff. Anywho, even with sleeping pills, my sleep still wasn't as restorative as it should be. Soooo, the doctors prescribed the infamous antidepressant, Effexor ( thinking that the insomnia is the outcome of some inner turmoil such as depression or anxiety). Hard to say really...Not sleeping for that long can mimic the worst of psychiatric disorders...Long story short,, I took effexor since January, and boy did it **** me up. So I was switched to another infamous one, Cymbalta. And again the side effects were intolerable. All the while takin sleeping pills and anti psychotics (for their apparent off label help with insomnia). Throughout the course of the meds or for all i know, the ridiculously long period of sleepless nights, I developed a horrible pressure, tightness around my head, tinnitus in my right ear, and flashes and floaters in my eyes. Approximately 2 months ago, I had enough, and against doctors orders, I started lowering the dosage of Effexor ( which i was put back on because the cymbalta effects were abit worse)...I was able to somehow get my sleep back too (after getting off that horrible stuff). Which brings us to now... I am med free..Sleeping fine...Appetite back...Sexual desire back...Thinking is clear, coherant and cohesive...HOWEVER, its been 2 months of me sleeping again and not taking medication, and am still having that relentless, crushing, vice like feeling around my head 24/7...The ringing in my right ear is still louder than ever...And the flashes/ floaters in front of my eyes have not subsided...On top, I'm experiencing some weird "i don't feel real" feelings too.Been to every which doctor and am not getting an answer I'm satisfied with. Could this be withdrawal from the meds, or some permanent damage from the long nights of sleeplessness or something else altogether..Had medical tests (blood work and MRI) 4 months ago. Everything ok...I don't know whts goin on....My quality of life is greatly diminished, and I am growing increasingly desperate...Any help or insight is greatly appreciated....Sorry for the length of the post....

Margie W replied: "Please dont worry, sounds like a neurological disturbance. Talk to a neurolgists office and they can advise when or if to come in. Most of these are fixed with small amount of meds. Doctors can not treat the symptoms correctly UNLESS THEY KNOW THE SOURSE OF THE PROBLEM. Total logic. These docs had me on 72 meds a day when all I needed is to be put on Zoloft, No more problems."

antidepressants question? Hey Everyone~ I have been off and on prozac for about 15 years, my dr had been increasing my dosage but it just doesn't seem to be working like it used to (I am up to 60 mg daily). He has me trying effexor, and I can't STAND it--I am so calm and mellow and quiet--not at all like me. I think I'd rather be depressed some of the time than numb 100% of the time. I have chronic headaches, body aches, etc. and was thinking of asking him to put me on Cymbalta. I realize all medicines react differently to each individual, but has anyone tried it? I am not looking for a giant miracle, I understand I cannot find that in a pill; but I am wondering what everyone else has tried and what they recommend. I have tried effexor, prozac and wellbutrin (which worked for a little while but eventually wasn't working as well so he put me back on prozac). I have tried going off meds too, which didn't work at all (according to my family). : ) Any advice? Thanks! (I go to the dr tomorrow)

kmhadw replied: "I remember my doctor telling me that prozac tends to have a window effect after you have been on it for a while. I think he said ppl just take a break from it and go back on it after, like since you've been trying effexor and stuff maybe now if you tried to go back to prozac it will start up the way it was originally working. Goodluck."

Cydney replied: "Ah, the famous "Prozac poop-out" (where it stops working effectively). SSRIs sometimes just stop working, like the body has become used to the med and doesn't process it's there. If you're having a tough time with Effexor don't try Cymbalta. They are very similar with side-effect profile, so you most likely have the same experiences on Cymbalta. If you're looking for a new med, ask about Strattera. It's an antidepressant, but isn't an SSRI (selective serotonin reuptake inhibitor) it is a NRI (norepinephrine reuptake inhibitor). It works for alot of people, especially where SSRIs fail. Also, you may want to ask about TCAs (tricylclic antidepressants). One in specific is called Pamelor. TCAs are a second-to-last effort at finding a medicine (the last being MAOIs)."

★SoCalMami★ replied: "I had that problem too with Effexor, almost quit, but it went away after 2 weeks just give it a shot it may help you like it helped me."

Please Help...What is wrong with me? Hello all, I have a few health concerns that are really getting to me lately. I hope you can help. Basically, in mid December, due to many a reason, I developed severe, chronic insomnia. I was literally awake for over 3 weeks solid. Eventually and with great hesitation, I gave in to meds because of how bad my health got. I was hospitalized. Scary stuff. Anywho, even with sleeping pills, my sleep still wasn't as restorative as it should be. Soooo, the doctors prescribed the infamous antidepressant, Effexor ( thinking that the insomnia is the outcome of some inner turmoil such as depression or anxiety). Hard to say really...Not sleeping for that long can mimic the worst of psychiatric disorders...Long story short,, I took effexor since January, and boy did it **** me up. So I was switched to another infamous one, Cymbalta. And again the side effects were intolerable. All the while takin sleeping pills and anti psychotics (for their apparent off label help with insomnia). Throughout the course of the meds or for all i know, the ridiculously long period of sleepless nights, I developed a horrible pressure, tightness around my head, tinnitus in my right ear, and flashes and floaters in my eyes. Approximately 2 months ago, I had enough, and against doctors orders, I started lowering the dosage of Effexor ( which i was put back on because the cymbalta effects were abit worse)...I was able to somehow get my sleep back too (after getting off that horrible stuff). Which brings us to now... I am med free..Sleeping fine...Appetite back...Sexual desire back...Thinking is clear, coherant and cohesive...HOWEVER, its been 2 months of me sleeping again and not taking medication, and am still having that relentless, crushing, vice like feeling around my head 24/7...The ringing in my right ear is still louder than ever...And the flashes/ floaters in front of my eyes have not subsided...On top, I'm experiencing some weird "i don't feel real" feelings too.Been to every which doctor and am not getting an answer I'm satisfied with. Could this be withdrawal from the meds, or some permanent damage from the long nights of sleeplessness or something else altogether..Had medical tests (blood work and MRI) 4 months ago. Everything ok...I don't know whts goin on....My quality of life is greatly diminished, and I am growing increasingly desperate...Any help or insight is greatly appreciated....Sorry for the length of the post....

boomaus replied: "Well, if you're having the "fast head/slow brain" effect... (When you move your head one way or another and it feels like the brain is barely catching up) that's still the meds getting out of your system. However, after 2 months i would think that it would've already been out. People are different when it comes to things like that- BMI, weight, etc..many factors in this. I would say that it's still side effects of the meds, but if it continues then you need to check with a neurologist."

Notorious LJo replied: "You aren't going to find the help you need on Yahoo Answers, most people on here are kids on summer vacation, not doctors or educated people, because they are at work. I suggest you go back to a doctor and keep trying until you get the help you need, even if it means 100 doctors."

shavelle05 replied: "Okay you need some help. Sorry but you do. But you cant go on through life like this. You need to start finding things in life that make you happy. Do something different. Keep your mind off of other things. Really I would not want to go through life like this. Your the only one that can change you. Meds just make you more loopy."

Liz replied: "Eko,are you a man or woman?I could not see your avatar picture.If you are a woman your symptoms are probably due to a hormone imbalance.I have floaters,ringing in the ear,had the insomnia-all due to early perimenopause.Go to Power surge menopause message boards and you will find a wealth of info.If you are male I would suggest that the symptoms are left over side effects of the ADs.I took Paxil for only one week and was sick for two months.That stuff is prescribed poison.GOD-bless"

lexi8998 replied: "first of all, I wouldn't necessarily look at it as a group of symptoms that indicate a specific problem (I think this is a natural tendency). I am not a dr. but have dealt with all the shi**y medications and there side effects that you are talking about. The floaters may be a result of the antidepressants-or past drug use (if there was any-not assuming, no offense)-and they can just happen. Tinnitus can be caused by many different things from being exposed to too much noise to thyroid issues, whiplash, aspirin poisoning, you name it, and the tightness around your head-I have heard and experienced as a withdrawal from benzos, but I wonder if you have some sort of inner ear problem and are feeling pressure from that in your head. If I had to bet i guess I would go with that one-go to a specialist and see what they think about that. Also, be aware that anxiety can cause a whole list of symptoms including the ones you listed. People experience anxiety differently. Anyway, hang in there. If these are side effects from the medication you took it can take months for it to go away, and the experience of being blown off by dr.s can be extrememly frustrating. Finding a dr. that listens to their patients can be difficult but you know your body better than anyone and I hope you find someone that can help. When you see one be direct and don't take no for an answer-if your symptoms are severe enought that they are interfering with your life or sanity they definitely deserve attention!! Best of luck to you and sorry about your frustration."

Unknown replied: "Some psyhc meds stay in your system for at least 2-3months evven though you stop taking them. That might be it. Trying going to a specialist for migraines. Thats what i suggest. Hope i helped."

ClicketyClack replied: "I would go get checked by a neurologist since the problems all seem to be brain related. Good luck!! : /"

Shit replied: "You write too much for people not to care."

emilyooo6 replied: "you could totally disregard this answer if you choose...but it could be psychosomatic about the pressure around your head && your ear...try not to think about it for a while, if it goes away when you're not thinking about it, i.e. while you're having a conversation, watching t.v., etc. then it could be so.. as for the flashers/floaters...i'm not sure but i would definitely try a different doctor..."

mccrackan replied: "You didn't say what kept you from sleeping. If it's the ringing in your ear & squeezing sensation in your head, it could be an inner-ear problem. It could also be a brain tumor. Either way, you should talk to an otolaryngologist and/or get brain imaging."

Ian B replied: "I'm no doctor but I feel so bad for you. You poor, poor creature. Keep constant check ups going. ; ("

pj replied: "it sounds as if the effexor and cymbalta started it all to much.......meds get a 2nd apinion"

Gard23 replied: "The head pressure, tinnitus and floaters will be familiar to those who had them as side-effects/withdrawal effects with the SSRIs/SNRIs. Yes, there are those who experienced the tinnitus in just one ear. You may find more references to the head pressure/tightness with regard to withdrawal experiences; perhaps have a google of 'Paxil Progress' and search their forums - you will find descriptions of others' head tightness experiences. Depersonalisation/derealisation effects are listed withdrawal effects... these, anecdotally, do seem to have the capacity to make a later appearance than some of the other withdrawal effects, so you may have noticed a bit of a time lag before these began to show up? If you had a bad reaction to the prescriptions, then you may find the body can take quite a while to recover. Have you perhaps also noticed any of the following: - digestive issues (e.g. bloating, nausea, heightened gag response, variable stools, more 'gas' production) - hypersensitivity to sound/light/smell - fatigue You might find some of the following tips of interest (note the reference to 'muscle tightness'):"

happygang50 replied: "poor sod hope you get well again"

karen replied: "I too had to keep changing my anti-depressants until i found one that had fewer side affects and ended up being put on cipralex which has been great. But poor you, you must be in turmoil. Keep going back to the doctors until you get the help you need because nobody should have to put up with that. I have a couple of "Complementary therapies" that you might find beneficial "Reflexology" or "Reiki". Good luck to you."

E V replied: "I, too, would suggest getting a series of Reiki treatments. But first, get in to see an ophthalmologist and have a thorough eye exam. You may be experiencing a vitreous detachment.with all those floaters and flashes."

Samurai replied: "Hello. Please get your adrenals tested. Start there and try to get in touch with that doctor, and read his book. If you have more questions, please feel free to email me. The very best of luck to you."

retrobuff replied: "I am in a similar situation as well. My Dr. Put me on effexor for insomnia. I was on the poison for almost 2 years. After I decided to stop taking it , I gradually weaned myself off. Unfortunately like yourself, I am experiencing what they call discontinuation symptoms. My 2 main complaints are floaters in my field of vision, which are 24/7 and secondly my cognitive functions. I have developed extreme fatigue and the pressure in the head ... like your describing. There is a a lot of grey area concerning these types of drugs. All I am going to do is wait it out ... exercise and diet help. Let me know if you find anything."

The Love Doc replied: "I really don't think that you have caused any permanent damage....just give the meds some time to get out of your system"

bree3186 replied: "you need to ask your doctor if he can do a CAT scan. it's kind of like an MRI but a little different of a picture. My cousin had i Cyst on her brain stem that was causing her all kinds of problems, but luckily they found it in a CAT scan. I hope this all clears up for you."

John D replied: "Yeah like the other one said I think there is something wrong with your brain. I used to take Effexor too and it messed me up more than the depression ever did. Made me want to beat people up and made me all irritable. I do think it could be a combination of the insomnia and the bad treatments for it too. I am leaning towards my second guess here. I hope you get better soon."