Anxiety Medication Recommendations

[Anonymous]

ketamine, psylocibin, MDMA therapy are having huge success and being researched at Hopkins

[Anonymous]

Why take a SSRI for anxiety? They can make some people even more anxious or manic.
Lorazapam works for me. Yes it is habituating but a tiny dose so what..

[Anonymous]

Anonymous wrote:Why take a SSRI for anxiety? They can make some people even more anxious or manic.
Lorazapam works for me. Yes it is habituating but a tiny dose so what..

I’m intrigued by this. Can you take it long term?

[Anonymous]

I have been taking the same dose since 2003.

[Anonymous]

I don’t take benzos because I have a family history of dementia.

You have to accept a little trial and error here. If you have a gyno you like, you might talk about starting first with HRT. Hormones can really play a role. As a second step, I’d try an SSRI. Which one works for you is anyone’s guess—but don’t accept unacceptable side effects (eg, dullness/flatness, daytime grogginess, weight game over a few pounds, zero libido). Be willing to try something else if one doesn’t work.

Common options for anxiety are lexapro, Zoloft, Prozac. My psychiatrist had me quarter the dose and only titrate up once I was good with any side effects. They can be rough for some of us for about 1-2 weeks. But they should dissipate. If they don’t, it’s probably a long-term side effect and you might want to consider a different med.

I found success with Zoloft. Long-term effects are increased appetite (it could just be that my anxiety is an appetite suppressant—so I’m careful what I eat) and less great orgasms (I will often just skip a dose if I’m expecting to have sex—it immediately goes back to normal). I would describe these both as annoying but minor.

I felt kind of blah and sluggish on Lexapro, though it helped. I haven’t tried Prozac as my gyno told me it tends to come with more sexual side effects than Zoloft.

Positives on Zoloft: I stopped fighting with my husband (I was always irritated and angry due to anxiety, and that affected my relationship); I feel happier and more “me”; and I can reason better with my anxious thoughts (I still feel anxiety but I tend not to spiral out for months at a time).

Good luck! I have also tried HRT but I’m 49 and I don’t think I’m read for estrogen yet (my whole body started twitching, my period was super heavy, and I was very irritable). The progesterone is like a magical sleeping pill though! 100 mg and I sleep like a baby and all the way through the night.

[Anonymous]

Anonymous wrote:I don’t take benzos because I have a family history of dementia.

You have to accept a little trial and error here. If you have a gyno you like, you might talk about starting first with HRT. Hormones can really play a role. As a second step, I’d try an SSRI. Which one works for you is anyone’s guess—but don’t accept unacceptable side effects (eg, dullness/flatness, daytime grogginess, weight game over a few pounds, zero libido). Be willing to try something else if one doesn’t work.

Common options for anxiety are lexapro, Zoloft, Prozac. My psychiatrist had me quarter the dose and only titrate up once I was good with any side effects. They can be rough for some of us for about 1-2 weeks. But they should dissipate. If they don’t, it’s probably a long-term side effect and you might want to consider a different med.

I found success with Zoloft. Long-term effects are increased appetite (it could just be that my anxiety is an appetite suppressant—so I’m careful what I eat) and less great orgasms (I will often just skip a dose if I’m expecting to have sex—it immediately goes back to normal). I would describe these both as annoying but minor.

I felt kind of blah and sluggish on Lexapro, though it helped. I haven’t tried Prozac as my gyno told me it tends to come with more sexual side effects than Zoloft.

Positives on Zoloft: I stopped fighting with my husband (I was always irritated and angry due to anxiety, and that affected my relationship); I feel happier and more “me”; and I can reason better with my anxious thoughts (I still feel anxiety but I tend not to spiral out for months at a time).

Good luck! I have also tried HRT but I’m 49 and I don’t think I’m read for estrogen yet (my whole body started twitching, my period was super heavy, and I was very irritable). The progesterone is like a magical sleeping pill though! 100 mg and I sleep like a baby and all the way through the night.

Thanks for all this! I’m going to start with a low dose (5mg) of Lexapro for two weeks and see how it goes. I’ve tried Wellbutrin for depression years ago and loved it. But when I tried it again years later it gave me crushing panic attacks. In my 20s I tried Paxil and Zoloft for depression and I couldn’t handle the fatigue. I’ve had a hard time with BCP in the past so I’m wary of HRT. Now that I’m post menopausal and anxious, not depressed, it will be interesting to see how my body chemistry has changed. I’m nervous about the trial and error approach, and I’ve always favored alternative remedies, but I clearly need something. My doctors and family agree.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I don’t take benzos because I have a family history of dementia.

You have to accept a little trial and error here. If you have a gyno you like, you might talk about starting first with HRT. Hormones can really play a role. As a second step, I’d try an SSRI. Which one works for you is anyone’s guess—but don’t accept unacceptable side effects (eg, dullness/flatness, daytime grogginess, weight game over a few pounds, zero libido). Be willing to try something else if one doesn’t work.

Common options for anxiety are lexapro, Zoloft, Prozac. My psychiatrist had me quarter the dose and only titrate up once I was good with any side effects. They can be rough for some of us for about 1-2 weeks. But they should dissipate. If they don’t, it’s probably a long-term side effect and you might want to consider a different med.

I found success with Zoloft. Long-term effects are increased appetite (it could just be that my anxiety is an appetite suppressant—so I’m careful what I eat) and less great orgasms (I will often just skip a dose if I’m expecting to have sex—it immediately goes back to normal). I would describe these both as annoying but minor.

I felt kind of blah and sluggish on Lexapro, though it helped. I haven’t tried Prozac as my gyno told me it tends to come with more sexual side effects than Zoloft.

Positives on Zoloft: I stopped fighting with my husband (I was always irritated and angry due to anxiety, and that affected my relationship); I feel happier and more “me”; and I can reason better with my anxious thoughts (I still feel anxiety but I tend not to spiral out for months at a time).

Good luck! I have also tried HRT but I’m 49 and I don’t think I’m read for estrogen yet (my whole body started twitching, my period was super heavy, and I was very irritable). The progesterone is like a magical sleeping pill though! 100 mg and I sleep like a baby and all the way through the night.

Thanks for all this! I’m going to start with a low dose (5mg) of Lexapro for two weeks and see how it goes. I’ve tried Wellbutrin for depression years ago and loved it. But when I tried it again years later it gave me crushing panic attacks. In my 20s I tried Paxil and Zoloft for depression and I couldn’t handle the fatigue. I’ve had a hard time with BCP in the past so I’m wary of HRT. Now that I’m post menopausal and anxious, not depressed, it will be interesting to see how my body chemistry has changed. I’m nervous about the trial and error approach, and I’ve always favored alternative remedies, but I clearly need something. My doctors and family agree.

Just FYI, I have tried birth control many times and always ended up with pretty severe depression (like every day was the worst PMS I’d ever had). I was extremely hesitant to try the progesterone because of that. But it didn’t have any negative mood effect on me—it just helps me sleep. With the estrogen patch, though, I felt more irritable, and that stopped pretty immediately when I stopped the patch. But still it was nothing like what the pill did. So I wouldn’t necessarily equate birth control with HRT. They behave in really different ways. Also, the first thing to go for most women in peri is progesterone, then the estrogen declines. So you’re dealing with really different hormone levels, and I just think HRT hits different. I don’t know why the pill was so difficult for me—but I would never push it on anyone.

[Anonymous]

Anonymous wrote:“Low dose” is just something they say to get you to take the drugs.

Conspiracy theory much?

[Anonymous]

Anonymous wrote:

Anonymous wrote:Low dose Lexapro (10 mg) has been a lifechanger for me.

How long have you been taking it? Did you gain weight?

4 years, no weight gain. Initially made me a little sleepier but then that wore off and have had zero side effects ever since.

[Anonymous]

Paxil was life changing for me.

[Anonymous]

Zoloft. Have been on and off for about 20 years. I’m on 50 mg and it’s great. No side effects. Woman in mid 40s with anxiety and panic disorder.

[Anonymous]

OP here and I’m happy to report that I’ve been on Lexapro for more than a year and I love it. I’ve had very few side effects and I feel at peace and happy. I’m still anxious at times but it’s situational and temporary, not generalized and chronic. I don’t feel dull or tired. I’ve gained a few pounds but not sure I can blame Lexapro. Overall, I’m very happy with it.

[Anonymous]

Congrats!!

[Anonymous]

Great news!! Thank you for reporting back. I remember your original post. Anything else you did or just the Lexapro?

[Anonymous]

Anonymous wrote:The three meds I’m exploring are Buspirone, Lexapro, and Prozac. I hate the thought of all of them. But my stomac is always upset and I can’t absorb nutrients (calcium and Vitamin D) due to chronic diarrhea. Osteoporosis is looming. My poor sleep is affecting my memory and job performance. When I do sleep I grind my teeth and wear a night guard now after cracking two molars. I’ve also tried regular acupuncture and massage to no real effect. I finally went to a neurologist worried about dementia. She told me to throw everything at my anxiety, so here I am.

I mean this nicely because I have a close friend who sounds a lot like you. Anxiety, ruminating thoughts, and over-researching the medications that could help you are a classic symptom of the anxiety. Hating the thought of them, worrying about side effects, etc is part of the anxiety talking. I would absolutely try one of them and commit to taking it for a few weeks barring anything absolutely crazy. Just make yourself do it.