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Dr. Bob is Robert Hsiung, MD,
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Posted by Lynnae on June 25, 2001, at 8:42:22
In reply to Anyone had success on Effexor XR? , posted by jp on October 24, 1999, at 14:59:14
Hello! I need some help. I have taken Paxil, Zoloft, and Celexa along with Ativan and another nerve pill (I can't remember it's name). My main issue is anxiety -- I get jittery, tremble, feel like I can't breathe, etc. I am tired of being given all these "wonder drugs" that do nothing but make me fat. Does anyone have any experience with Buspar for anxiety? Also, what about Effexor XR? I have not heard much about the Buspar (good or bad), but have read awful things about Effexor. Please let me know if Buspar works toward eliminating anxiety. I can't stand feeling this way! Thank you all so much for helping me out here. :)
Posted by AKC on June 25, 2001, at 12:02:07
In reply to Buspar - is it really helpful for anxiety?, posted by Lynnae on June 25, 2001, at 8:42:22
I personally had an awful experience on Buspar - it clouded my mind - I was in a deep state of depression mixed with panic and I believe to this day that the buspar added to the confused state. My only "evidence" is that when they took me off the buspar at the hospital, the next day a loud noise that had been going off in my head was gone (I didn't realize how bad it was until it was gone). So I am in the down column on buspar.
As far as Effexor goes, it has helped me tremendously for depression, but not at all for anxiety. And it is probably contributing to my anxiety - I am just now starting to understand how the antidepressants may mess up the hypomania side of bipolar II. I have never heard of it being used for anxiety, but someone else on this board may have had some success with it for that purpose. Good luck.
Posted by gilbert on June 25, 2001, at 20:01:55
In reply to Re: Buspar - is it really helpful for anxiety?, posted by AKC on June 25, 2001, at 12:02:07
> I personally had an awful experience on Buspar - Ditto Ditto Ditto.......Buspar was useless for panic and made me jumpy as hell. Also got very dizzy right after taking it with hot flashes.....bizarre.
Gil
Posted by Willow on June 25, 2001, at 20:58:26
In reply to Re: Buspar - is it really helpful for anxiety?, posted by gilbert on June 25, 2001, at 20:01:55
I find Effexor is great for genarlized anxiety. The initial side-effects can mimic anxiety: racing heart and sweating. My pharmascist told me that this was normal and ends in about two weeks, before I started taking it. Each time I had increased the dosage I initially got the sweating again but it goes away withing a month. Here it's getting hot so I melt in with the crowd. Don't be scared by other's experience. It has eliminated my anxiety.
Free Willow
Posted by tina on June 26, 2001, at 9:19:00
In reply to is it really helpful for anxiety?, posted by Willow on June 25, 2001, at 20:58:26
Ditto on the BuSpar for me. It was awful. I felt more anxious than ever before and I couldn't leave my house for several days. Not to mention the pounding headaches....daily.
But don't forget, all these meds affect people differently. Such as, I don't have any side effects from MAOI;s or TCA's but have horrible side effects on SSRI's. I'm a weird one because I always read that the side effects of TCA's and MAOI's are among the worst and the SSRI's are easier to tolerate. Hmmm. Don't be scared off because of the effects on others. Something may be just perfect for you even if it hasn't been for others! It's just the joys of the illness.
good luck> I find Effexor is great for genarlized anxiety. The initial side-effects can mimic anxiety: racing heart and sweating. My pharmascist told me that this was normal and ends in about two weeks, before I started taking it. Each time I had increased the dosage I initially got the sweating again but it goes away withing a month. Here it's getting hot so I melt in with the crowd. Don't be scared by other's experience. It has eliminated my anxiety.
>
> Free Willow
Posted by liz taylor on June 26, 2001, at 14:15:23
In reply to Everyone's different, but..., posted by Racer on October 24, 1999, at 22:14:55
>Have been on Effexor XR for 10 months. Felt better right a way. Started at 34.5 and went to 75 after a week.
Had a hard time sleeping at first, but changed to taking meds in am, so sleeping better. Did not eat a lot and lost weight at first.After 5 months depression came back in full, so doc upped does to 150. Now after 5 months on 150 I am in a deep dpression again.
Not sure what to do. I know doc will want to up does to 300, but by now the side effects are taking their toll.Side effects: 1) jittery 2) hard to get to sleep unless I have gone without sleep for a long time or take a sleeping pill, but then can hardly wake in the PM.
3) very weird, real dreams 4) once I start eating I can hardly quit - gaining weightI have felt so good on the the Effexor that I'm wondering if I should just go ahead and up does and deal with the increased side effects. Any info you can give would be so appreciated.
Thank you, Liz
Posted by Elizabeth on June 27, 2001, at 6:57:34
In reply to Buspar - is it really helpful for anxiety?, posted by Lynnae on June 25, 2001, at 8:42:22
Hi there.
Can you describe your anxiety symptoms in more detail, like what type of thoughts you have when you are feeling anxious, and are there any triggers? Do you feel anxious all the time, or does it come in spells or attacks?
Ihe reason I'm asking these questions is that there are a few different types of anxiety and the treatments are not the same for all of thems (although there is some overlap). What you described sounds more like panic disorder than any other anxiety disorder, but obviously that's not certain. I'll go ahead and tell you about treatments for panic disorder, but just be aware that this info doesn't necessarily apply to other anxiety states like generalised anxiety disorder, posttraumatic stress, social phobia, etc.
> I have taken Paxil, Zoloft, and Celexa along with Ativan and another nerve pill (I can't remember it's name).
Klonopin, Xanax, Valium, Librium, Serax, Tranxene, ... ?
Do you remember what dose of Ativan you were taking, by any chance? Also, were you taking it on an ad-lib (or "as needed") basis, or on a regular around-the-clock schedule (e.g., thrice daily or every 6-8 hours).
> Does anyone have any experience with Buspar for anxiety?
I tried BuSpar (buspirone) in the typical low dose range used for mild to moderate anxiety and antidepressant augmentation: up to 45 mg/day, I think. In this dose range, it is *not* effective for panic disorder (which might be what you have), nor (by itself) for depression. In higher doses (more like 60-90 mg/day) it is effective for depression; I'm not sure about panic disorder. (60 mg or more
Unlike the benzodiazepines (what you call "nerve pills," also known as "minor tranquilisers"), BuSpar takes several weeks to work. It sometimes causes increased anxiety in the beginning. It's basically an antidepressant, like most of the other ones you mentioned (Paxil, Zoloft, Celexa). The way it works is a little different, though: instead of increasing the amount of serotonin available, buspirone imitates one of the actions of serotonin. (It's thought to be what's called a "partial agonist" at type 1a serotonin receptors.)
> Also, what about Effexor XR?
Like the other antidepressants, it takes several weeks to work and may make you more anxious during those first weeks. Also, if you had weight problems from the SSRIs (Paxil, etc.), then Effexor may cause weight gain for you too.
SSRIs and Effexor do usually work for panic disorder, but a lot of people have a very hard time tolerating them long enough (they take several weeks to work, as I mentioned). The best appproach if increased anxiety is a problem starting out is to start out at a very low dose and increase it gradually, as tolerated. It can also help to take a benzodiazepine during the time when you are waiting for the antidepressant to work. Klonopin and Xanax are probably the most effective benzodiazepines for anxiety (especially panic anxiety).
Besides benzodiazepines, some other options for panic disorder are the older antidepressants -- "tricyclics" (imipramine, nortriptyline, desipramine, clomipramine) and monoamine oxidase inhibitors (Nardil, Parnate). People who have anxiety often find these more tolerable, although the newer ADs are marketed as having fewer side effects (really, they have *different* side effects). There are also two newer, non-SSRI antidepressants -- Serzone and Remeron -- that may work for panic disorder. Non-cardioselective beta blockers (such as propranolol) can also alleviate some of the symptoms, like tremor, difficulty breathing, and palpitations.
Sometimes, if a person has an abnormal EEG or if more conventional treatments (like antidepressants and benzodiazepines) don't work, anticonvulsants may be used. Depakote and Neurontin seem to work for true panic disorder as well as for some types epilepsy; Tegretol may be preferable for people who have temporal lobe epilepsy that manifests as panic-like attacks. Panic-like epilepsy is unusual, but not unheard of, and it should be considered if the usual treatments don't work. There are a few other conditions that can mimic panic disorder, such as asthma and cardiac arrhythmias, and these should be ruled out, especially if you are considering a tricyclic antidepressant or a beta blocker.
I hope this helps. Don't get discouraged: there are lots of different approaches to anxiety, as you can see; you just have to keep trying stuff until you find what works for you. (If you're interested, I can also tell you about a few different non-medical approaches. These tend to be less reliable, in my opinion, but they are often very helpful, especially if used with medication.)
-elizabeth
Posted by Lynnae on June 27, 2001, at 7:34:41
In reply to Buspar - is it really helpful for anxiety?, posted by Lynnae on June 25, 2001, at 8:42:22
Hi Elizabeth! Thank you so much for your indepth response. It is really helpful. I have suffered from panic attacks, but I have learned how to control those. The anxiety is not as severe as the panic. In my chest cavity, I just feel all jittery (like the effect of WAY too much coffee!) and my breathing feels restricted (like my chest is closing in). None of the relaxtion, breathing, etc. that works for the panic attacks seems to help these episodes subside. The other nerve pill I took was Xanax (I remembered as soon as I posted! :)), and now I am taking Ativan. Both dosages are/were at 1 mg. 3xday. I am starting an exercise program to help rid myself of the Celexa weight and I am hoping this will have some effect on the anxiety. We will see! :) Thanks to everyone for the wonderful response so far. I'll be checking in!
Posted by Elizabeth on June 27, 2001, at 9:36:57
In reply to Re: Buspar - is it really helpful for anxiety? » Lynnae, posted by Lynnae on June 27, 2001, at 7:34:41
Lynnae,
Some people who have panic disorder also experience milder panic-like symptoms all the time, as you describe. If I were in your situation, I'd want to see an internist/GP to make sure that the autonomic symptoms (jittery or revved-up feelings, tightness in chest, difficulty breathing, etc.) were not due to some sort of cardiovascular or pulmonary problem. Having ruled that stuff out, my first choice for a medication (well, second choice, assuming benzodiazepines hadn't worked) would be a beta blocker like Inderal (propranolol). Since you have thes symptoms constantly, a longer-acting beta blocker might be preferable (propranolol only works for about 4 hours -- there is a sustained-release formulation, Inderal LA, but it's rather expensive). Also, cardioselective beta blockers (e.g., atenolol) don't work very well for that kind of stuff. Beta blockers can make asthma and some kinds of cardiac arrhythmias worse, so if you turn out to have one of those conditions then you need to get it treated appropriately.
I hope the exercise helps you (it almost certainly won't hurt!). I guess I was pretty lucky that I had such an easy time losing all the weight (upwards of 50 lbs) that I gained when I was taking Nardil (although I don't recommend my method -- "the depression diet").
-elizabeth
Posted by Lorraine on June 27, 2001, at 19:12:02
In reply to Re: Buspar - is it really helpful for anxiety? » Lynnae, posted by Elizabeth on June 27, 2001, at 9:36:57
>Having ruled that stuff out, my first choice for a medication (well, second choice, assuming benzodiazepines hadn't worked) would be a beta blocker like Inderal (propranolol).
Do you mean pindolol?
Posted by Elizabeth on June 27, 2001, at 23:28:00
In reply to Re: Buspar - is it really helpful for anxiety? » Elizabeth, posted by Lorraine on June 27, 2001, at 19:12:02
> >Having ruled that stuff out, my first choice for a medication (well, second choice, assuming benzodiazepines hadn't worked) would be a beta blocker like Inderal (propranolol).
>
> Do you mean pindolol?No, i mean propranolol. Pindolol is a rather quirky beta-blocker, and my experience attempting to use it for autonomic anxiety has been mediocre (although it can have some impressive antidepressant-augmenting effects for some people -- but only with serotonergic antidepressants, not with Wellbutrin, desipramine, etc.).
-elizabeth
Posted by Lynnae on June 28, 2001, at 7:43:31
In reply to Re: beta blockers » Lorraine, posted by Elizabeth on June 27, 2001, at 23:28:00
> > >Having ruled that stuff out, my first choice for a medication (well, second choice, assuming benzodiazepines hadn't worked) would be a beta blocker like Inderal (propranolol).
> >
> > Do you mean pindolol?
>
> No, i mean propranolol. Pindolol is a rather quirky beta-blocker, and my experience attempting to use it for autonomic anxiety has been mediocre (although it can have some impressive antidepressant-augmenting effects for some people -- but only with serotonergic antidepressants, not with Wellbutrin, desipramine, etc.).
>
> -elizabeth
Elizabeth,
I am impressed by your wide knowledge of medications. It is most helpful. I was just wondering if you are a nurse or something like that? I didn't even realize there were so many drugs out there for these issues! It's almost overwhelming when you are looking down the road for potential treatment, isn't it? A lot of hit and miss it seems. I hope you have a great day --thanks again to all who have posted in response to my initial email! :)
Posted by Elizabeth on June 28, 2001, at 21:23:42
In reply to Re: beta blockers -- Elizabeth » Elizabeth, posted by Lynnae on June 28, 2001, at 7:43:31
> I am impressed by your wide knowledge of medications. It is most helpful. I was just wondering if you are a nurse or something like that?
Thank you. No, I'm not a nurse or "something like that." < g >
> I didn't even realize there were so many drugs out there for these issues! It's almost overwhelming when you are looking down the road for potential treatment, isn't it?
You could look at it that way. Or you could approach it with the attitude that if what you try first doesn't work, there are always alternatives (as Mr. Spock would say).
-elizabeth
Posted by Lynnae on June 29, 2001, at 7:33:34
In reply to Re: beta blockers » Lynnae, posted by Elizabeth on June 28, 2001, at 21:23:42
> > I am impressed by your wide knowledge of medications. It is most helpful. I was just wondering if you are a nurse or something like that?
>
> Thank you. No, I'm not a nurse or "something like that." < g >
>
> > I didn't even realize there were so many drugs out there for these issues! It's almost overwhelming when you are looking down the road for potential treatment, isn't it?
>
> You could look at it that way. Or you could approach it with the attitude that if what you try first doesn't work, there are always alternatives (as Mr. Spock would say).
>
> -elizabeth
Good point! Again, some great advice! :) You are very encouraging. Thanks so much!! :)
Posted by Becca L. on June 29, 2001, at 8:28:04
In reply to Buspar - is it really helpful for anxiety?, posted by Lynnae on June 25, 2001, at 8:42:22
lynnae,
i'd have to agree with most of the other people who have commented on this--buspar is terrible. for me it wasn't so much a matter of unbearable side effects (though it did make me nauseated) as its utter lack of efficacy, even after several weeks; this was just so frustrating. my anxiety and fear of panic attacks felt crippling to me in my daily life, and i felt like they weren't being taken seriously at all by my doctor; he seemed to have put me on something that may as well have been a sugar pill because he didn't want to deal with the hassle of monitoring a patient on a "controlled substance" (i.e., a benzodiazepene tranqulizer).if ativan hasn't been especially helpful, there are many other drugs in the same family (benzodiazepenes) that you could try. i have been taking klonopin (the generic name is clonazepam) 3x daily for the past 2 years, and it has kept my panic attacks in check very well. just gives me the security to see my friends, go to work, talk to people, sleep, etc. i think in fact that klonopin is the most frequently prescribed medication for panic disorder. i think it makes a big difference, though, whether you take it on an 'as needed' basis or regularly. 'as needed' seems to work better for generalized anxiety, regular dosing better for panic disorder.
anyway, from my own experience i'd have to say that buspar is one of the most bizarrely useless anti-anxiety drugs out there. i have no idea what it's still doing on the market. try another benzodiazepene instead. good luck!
Posted by jip on June 29, 2001, at 11:22:06
In reply to Re: Anyone had success on Effexor XR? » AnitaThib, posted by dugbet on June 20, 2001, at 14:43:57
I .
>
>
I have been taking effexor for awhile now. Depression is under control. Still have some fatigue but nothing like earlier. I reduced wthe dosage and got relief from fatigue issues. What I don't like is the total loss of libido with this medication. I have heard that wellbutrin doesn't have thisw side affect...please give me some feedback.
Posted by chiaratara on June 30, 2001, at 1:56:23
In reply to Re: Anyone had success on Effexor XR? , posted by jip on June 29, 2001, at 11:22:06
I have had luck with effexor. i started with low doses of paxil and my doctor added effexor. i take 75 a day. the loss of libido is a setback, but so is depression.
i have found that my libido is affected however, once into the act, things respond a bit slower, but they do respond (I am a female.)
as for wellbutrin...
i tried that before effexor, and i found that i got aggressive and agitated. i was a bit more energized, but i would become irritated very easily. i didn't think it was worth it.you could try the wellbutrin with the effexor. the two might balance each other out. my doctor was up to trying to make a anti-depressant cocktail that really worked. i think i tried everything.
i have found that my libido can be uncovered, it just takes a little more effort. it is hard to get the fire started, and it may take a bit more initiation on your part, but once it is lit, you will be cooking. heh.
>
>
> I have been taking effexor for awhile now. Depression is under control. Still have some fatigue but nothing like earlier. I reduced wthe dosage and got relief from fatigue issues. What I don't like is the total loss of libido with this medication. I have heard that wellbutrin doesn't have thisw side affect...please give me some feedback.
Posted by jotho on June 30, 2001, at 10:30:49
In reply to Re:Side effects of Effexor XR, posted by liz taylor on June 26, 2001, at 14:15:23
> >Have been on Effexor XR for 10 months. Felt better right a way. Started at 34.5 and went to 75 after a week.
> Had a hard time sleeping at first, but changed to taking meds in am, so sleeping better. Did not eat a lot and lost weight at first.
>
> After 5 months depression came back in full, so doc upped does to 150. Now after 5 months on 150 I am in a deep dpression again.
> Not sure what to do. I know doc will want to up does to 300, but by now the side effects are taking their toll.
>
> Side effects: 1) jittery 2) hard to get to sleep unless I have gone without sleep for a long time or take a sleeping pill, but then can hardly wake in the PM.
> 3) very weird, real dreams 4) once I start eating I can hardly quit - gaining weight
>
> I have felt so good on the the Effexor that I'm wondering if I should just go ahead and up does and deal with the increased side effects. Any info you can give would be so appreciated.
> Thank you, Liz
Liz...
I took a 75 mg. capsule of Effexor XR every am since December, 2000. Yes, it took away the depression, but did nothing to help the anhedonia (so basically, if I may, it stopped me from drowning, but left me treading in the cold ocean), I could no longer take the side-effects, which were: inability to sleep (two reasons...a jumping twitch that occured in my legs as i started to rest for sleep, and a racing mind) without 'Ambien', the "heebie-jeebies" every evening, in which every surface of my body alternately began itching, and a decline in memory. I decided to get off Effexor and took my time in doing it, cutting the dosage down every week by approx. 25%. About a week ago I was down to zero pills. However, the side affects are terrible...I still have trouble falling asleep, but the worst is a 'electrical "humming" that goes on in my head...hard to describe. It's like every time i move, and at the end of each breath, I get this feeling of a mild electrical shock courseing through my neck and inside my head.
Has anyone else had this problem? And how long does it take to clear the system of this medication. Please don't tell me it has "hardwired my brain, and that these feelings will continue,...that would truly suck! Any help in this?.....john
Posted by oceanbreeze on June 30, 2001, at 10:46:16
In reply to Re:Side effects of Effexor XR, posted by jotho on June 30, 2001, at 10:30:49
You're not alone with the "brain swooshing" side effect from Effexor. I was also on it for 10 months when it quit working. I went back to the doc and he switched me to Wellbutrin. I didn't tapper off Effexor, just switched. I'm feeling better (happier) on Wellbutrin, but the brain swooshing is horrible....kind of like it takes your brain a few seconds to catch up with every move you make.
> I took a 75 mg. capsule of Effexor XR every am since December, 2000. Yes, it took away the depression, but did nothing to help the anhedonia (so basically, if I may, it stopped me from drowning, but left me treading in the cold ocean), I could no longer take the side-effects, which were: inability to sleep (two reasons...a jumping twitch that occured in my legs as i started to rest for sleep, and a racing mind) without 'Ambien', the "heebie-jeebies" every evening, in which every surface of my body alternately began itching, and a decline in memory. I decided to get off Effexor and took my time in doing it, cutting the dosage down every week by approx. 25%. About a week ago I was down to zero pills. However, the side affects are terrible...I still have trouble falling asleep, but the worst is a 'electrical "humming" that goes on in my head...hard to describe. It's like every time i move, and at the end of each breath, I get this feeling of a mild electrical shock courseing through my neck and inside my head.
> Has anyone else had this problem? And how long does it take to clear the system of this medication. Please don't tell me it has "hardwired my brain, and that these feelings will continue,...that would truly suck! Any help in this?.....john
Posted by Deana on July 3, 2001, at 13:48:21
In reply to Re:Side effects of Effexor XR, posted by oceanbreeze on June 30, 2001, at 10:46:16
I too have just stopped taking Effexor. 75 mg. for 6 months, followed by 1 week of 37.5 mgs.
I have not taken any now for 4 days, but the withdrawl symptoms have me dizzy and confused. I do not want to take it again, but am very concerned as to when this "dizzy, electric, numbing, headachey" feeling will end. Any advice or information would be greatly appreciated. I would especially love to hear from someone who has been off Effexor and has stopped experiencing these withdrawl symptoms- How long did they last?
>
Posted by jotho on July 4, 2001, at 16:56:58
In reply to Re: withdrawal, posted by messica on July 4, 2001, at 16:09:35
I attempted to respond after your post, Deana, but messed up somehow because it's obviously not there. It is just as well because now Messica can read it also.
I assumed that cutting my Effexor dosage by 25% every week would eliminate any withdrawal symptoms. How wrong i was, and my previous post will explain them, but...it is now about ten days since i took any effexor at all, and i can say the side-effects are better...not gone, but better. The "swooshing" has subsided somewhat, though i still have them at times. I have actually slept the last couple of nights without the use of an "Ambien". Odd, though...last night, while on the computer, i had a very intense time with that 'restless leg syndrome"...maybe i ate too late, or ate the wrong things...who knows? The main point is...i think it's getting better.
Now, i also want to mention that i have ordered "Adrafinil" from overseas, and i am going to experiment with it. It is relatively cheap, and has some amazingly positive write-ups about it. Put 'Adrafinil' in your search engine and start reading. The side-effects are virtually non-existent and the benefits are many and amazing. I will post my results with it, positive and/or negative, as soon as they arrive and i begin taking them. I will keep an eye open for your posts...........john
Posted by messica on July 5, 2001, at 7:02:21
In reply to Re: Goofy or Anyone how do you know the mg in EFXR, posted by goofy on March 30, 2001, at 12:02:36
>
> Hi Fish,
> I expected not to be able to function coming off effexor. The side effects I encountered while going off effexor were very mild and I was able to still function. I was a little fuzzy, tired, emotional and I had some achiness and electrical jolts to my body. None of these symptoms were consistant. I would notice them at different times while I was coming off the effexor. I also noticed a positive difference in the way I felt even with these symptoms. Everybody reacts different, but I was able to still function and be productive. Iam now 20 days free and I feel 100% better. There is a light at the end of the tunnel. Good luck.
> goofy
>I'm glad to see that someone had only mild (vs. severe) side effects coming off effexor. Were you on XR? Were you also on anything else, such as neurontin? Please post any thing you did during 'detox' that you feel may have helped.
Thanks and congrats!
m.
Posted by dash05 on July 6, 2001, at 8:15:34
In reply to Side effects and withdrawal, posted by John on April 29, 2000, at 20:57:09
I went to my doctor due to persistant sadness, anger and some suicidal fantasies (didn't tell her about that part!) and she started me on Effexor XR, the pack with the one week on 37 and one on 75. Took my first one last night and I do feel pretty good today, but all the withdrawal horror stories are scaring me. I think I will not take anymore.
Posted by Deana on July 6, 2001, at 10:37:56
In reply to Just started last night, posted by dash05 on July 6, 2001, at 8:15:34
dash05-
I did have good results when I began on the med. also 37.5, upped to 75 mg. I started to feel better after only a week. But I posted because of withdrawl difficulty, which it seems not everyone experiences. If it works for you, do continue! just be aware that there are definite withdrawl symptoms that vary from one person to the next. Would I have still taken it? I think so. I think I did really need it, due to depression and anxiety, which I believe was exacerbated by xtc use. Good luck!- After 6 days without Effexor, I am feeling alot better!
Posted by jotho on July 6, 2001, at 11:47:49
In reply to Re: Just started last night, posted by Deana on July 6, 2001, at 10:37:56
>Dash...if you are feeling better the first day chances are it is your mind feeling some relief because you have started taking something that might very well help you with your problem. Most of the people you read about on this thread are the ones that have felt drastic withdrawal symptoms, but certainly not everyone experiences them. There is no way of telling, of course, until you try the drug...it's a chance you take. I, personally, seem to be fairly sensitive to medication and such, i.e. i usually feel results on the lower end of the dosage scale. I guess that also makes me more prone to the side-effects.
Good luck, and don't judge it till you've given it the alloted time to work, or you are experiencing too many baddies from it. There are other alternatives so keep reading the threads......john
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