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Dr. Bob is Robert Hsiung, MD,
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Posted by Ippopo on October 4, 2002, at 13:39:21
In reply to Re: Pharmrep: A Week On Lexapro... » Ippopo, posted by maririp on October 4, 2002, at 13:10:20
Hi, I'm not on sleeping pills I'm being treated for ADD and on adderall. I sleep like a log when I finally get to sleep. I keep getting disconnected so I'm writting very short responses now.
Posted by Alice Anne on October 4, 2002, at 14:09:16
In reply to Re: Pharmrep: A Week On Lexapro..., posted by Ippopo on October 4, 2002, at 12:28:48
I'm so sorry to hear you're having such a hard time. Does your doctor know you're cutting and still dismiss what you're telling him? I agree, it sounds like you might be better off finding someone who will take you more seriously and be of more help during critical times. I know that's easier said than done. In the meantime maybe you could ask if there is anything you could take with the lexapro to get through the next few weeks, or to avoid cutting. (I'm not a therapist, but I've heard that some people can avoid cutting by putting ice on those areas.) I hope at least you have someone to talk to, and I'm glad you posted here. I'm really going to try and give the Lexapro a chance. But it's so much more involved for some of us actual people adjusting to medication than it is in theory.
Posted by johnj on October 4, 2002, at 14:51:24
In reply to Lexapro is much better than Celexa! *read!*, posted by Stacey69 on October 4, 2002, at 9:29:49
Hi,
Hope you can answer a few questions for me about your med combo? Did you say now you are only on lexapro? or buspar too? or did changing to lexapro make the combination tolerable? I am interested in something for my depression and anxiety. I am not sure which one is worse but anxiety and worrying seem to be a big trait in my illness.
Also, did you ever get any worsening of anxiety when starting an ssri? That is my fear, but I need some changes so I can excercise since my current TCA impedes that. Thank youjohnj
Posted by nmk on October 4, 2002, at 18:29:59
In reply to Re: Three weeks on Lexapro » nmk, posted by pharmrep on October 4, 2002, at 0:00:03
It was my doctor's idea. He thought I was weaning too rapidly off the effexor and suggested I stay at 16 mg for the next week (I have been on 16 mg for over one week now). He suggested that today, I stop the Lexapro to see if it is causing the nausea. Needless to say, today I feel more depressed AND nauseous. I will get his ok to stop effexor asap and remain solely on the Lexapro. Have many patients experienced nausea with Lexapro 10 mg beyond three weeks or does it usually subside?
Posted by ZeeZee on October 4, 2002, at 19:30:31
In reply to Lexapro is much better than Celexa! *read!*, posted by Stacey69 on October 4, 2002, at 9:29:49
I too have panic disorder but also with agoraphobia. I've been reluctant to try Lexapro because I've had terrible experiences with other SSRI's, such as greatly increased anxiety and panic. If you don't mind my asking did your anxiety and panic increase initially? also, do you have agoraphobia as well and has it helped with that also? I would be very interested in hearing more about your experience.
Thanks
Posted by CindyLou on October 4, 2002, at 20:10:15
In reply to Re: What is the best time to take » kinikia, posted by cody on October 2, 2002, at 15:46:00
I just started taking 5 mg. Lexapro today, and felt very agitated -- had to take double my Klonapin dose to offset the irritablity. Is this a common side effect, and will it subside?
Thanks for any information you can give me!
cindy
Posted by pharmrep on October 4, 2002, at 21:05:16
In reply to Re: Three weeks on Lexapropharmrep, posted by nmk on October 4, 2002, at 18:29:59
> It was my doctor's idea. He thought I was weaning too rapidly off the effexor and suggested I stay at 16 mg for the next week (I have been on 16 mg for over one week now). He suggested that today, I stop the Lexapro to see if it is causing the nausea. Needless to say, today I feel more depressed AND nauseous. I will get his ok to stop effexor asap and remain solely on the Lexapro. Have many patients experienced nausea with Lexapro 10 mg beyond three weeks or does it usually subside?
* i am hearing the headach/nausea subsides in 1 wk....now that you are done w/ effexor...tell us how the lexapro is in 1 wk
Posted by pharmrep on October 4, 2002, at 21:11:01
In reply to Lexapro and agitation, posted by CindyLou on October 4, 2002, at 20:10:15
> I just started taking 5 mg. Lexapro today, and felt very agitated -- had to take double my Klonapin dose to offset the irritablity. Is this a common side effect, and will it subside?
>
> Thanks for any information you can give me!
>
> cindy** you are not experiencing a s/e...you are experiencing the changes a new med can have on your body. 1 day is not enough time...you will notice headache/nausea and some others (as you would on any new med) i am hearing it lasts for about 1 wk...try not to change any other meds doses, wait 1 wk, and keep us posted
Posted by pharmrep on October 4, 2002, at 21:16:23
In reply to Re: Lexapro » Stacey69, posted by johnj on October 4, 2002, at 14:51:24
> Hi,
> Hope you can answer a few questions for me about your med combo? Did you say now you are only on lexapro? or buspar too? or did changing to lexapro make the combination tolerable? I am interested in something for my depression and anxiety. I am not sure which one is worse but anxiety and worrying seem to be a big trait in my illness.
> Also, did you ever get any worsening of anxiety when starting an ssri? That is my fear, but I need some changes so I can excercise since my current TCA impedes that. Thank you
>
> johnj********* lexapro will help w/ anxiety...not hurt (1-2 weeks for most)...ask your dr (perhaps just the 1 med...lexapro will work)
Posted by JLM on October 4, 2002, at 21:31:15
In reply to Lexapro and agitation, posted by CindyLou on October 4, 2002, at 20:10:15
> I just started taking 5 mg. Lexapro today, and felt very agitated -- had to take double my Klonapin dose to offset the irritablity. Is this a common side effect, and will it subside?
>
> Thanks for any information you can give me!
>
> cindySeveral researchers such as David Healy feel that the incidence of severe agitation, allthou rare, can be incredibly serious.
To me there is a difference between 'anxiety' and 'agitation'.
Can you not sit still, or do you feel like you have to constantly move about? If so, it may be akathisia. Both Prozac and Zoloft did this to me, and to a less degree Celexa and Paxil. With the Zoloft and Prozac, it was severe. I was highly agitated/hysterical and couldn't sit in the same spot for more than 2 minutes, for about a week. When I stopped the drugs, the reaction stopped. It was 10x more anxiety then I have ever experienced at any point in my life. Quite frankly it scared me.
For years, the makers of SSRI's have tried to deny that in a very small majority of people, the drugs produce akathisia. Which is rather ironic, considering the US Patent document for the failed r-fluoxetine claims that it REDUCES akathisia, thoughts of suicide, and thoughts of violence compared to the original Prozac. It claims to reduce these SIDE EFFECTS of the Prozac, which Lilly has vehemently denied.Maybe this will help you clarify what akahtisia is:
http://abcnews.go.com/onair/2020/2020_000621_prozac_feature.html
Posted by maririp on October 4, 2002, at 22:23:32
In reply to Re: Lexapro is much better than Celexa! *read!* » Stacey69, posted by ZeeZee on October 4, 2002, at 19:30:31
ZeeZee ..I also suffer from panic disorder and did go through agoraphobia. I took xanax for that. I am on lexapro now and have been for about two weeks..I have noticed my anxiety level is way down..I didnt take any antidepressants for 3 years..but i know how you feel. I feel lexapro has helped me so much i dont need the xanax. try to stay with it...it took me about a week to really adjust
Posted by shakingoscar on October 5, 2002, at 5:13:37
In reply to Lexapro is much better than Celexa! *read!*, posted by Stacey69 on October 4, 2002, at 9:29:49
I AGREE WITH YOU TOTALLY!!!
Now that I have changed my dose from the over-prescribed 30mg (doctors mistake) down to 10mg of lexapro, I am feeling the best I have felt in 2 years since I became ill with anxiety and depression.
And my sex drive (and ability) has returned to almost normal too.
I am very happy.
Cheers
Posted by shakingoscar on October 5, 2002, at 6:03:27
In reply to Re: Lexapro is much better than Celexa! *read!*, posted by shakingoscar on October 5, 2002, at 5:13:37
I want to ask a question about coffee.
I suffer with anxiety and depression and am now on lexapro 10mg which is brilliant. I was taking 60mg celexa before and have suffered for around 2 years.
My question is this.
If I drink one single cup of coffee I start to sweat HEAVILY and I get tremors which last maybe 2 hours, longer if I have 2 cups of coffee.
Is this really anxiety? I thought caffeine affected Nor-adrenaline and dopamine. Why am I now so sensitive to coffee and why does this happen when I am feeling perfectly ok?
I also take trazodone at night which I have noticed reduces this problem. Before taking trazodone, I could not drink ONE cup of coffee without nearling "losing it" because of the tremors and sweating (almost like Parkinsonian-type symptoms).
Is this anxiety or should I go back to my doctors?
Thanks
Posted by maririp on October 5, 2002, at 9:30:50
In reply to A SINGLE CUP OF COFFEE, posted by shakingoscar on October 5, 2002, at 6:03:27
shakingoscar ...coffee...hi..i can tell you when i first had panic attacks the thing i first noticed was when i drank coffee it sent me through the roof..same with chocolate..loaded with caffeine...those things triggerd my anxiety badly..try decaff..and give meds a time before you start with caffeine. It only took one cup of coffee to send me flying same with a candy bar.
Posted by ZeeZee on October 5, 2002, at 9:33:47
In reply to A SINGLE CUP OF COFFEE, posted by shakingoscar on October 5, 2002, at 6:03:27
Hi, I too am very sensitive to caffeine NOW! Used to have a cup or two before my relapse with no problem but now avoid all forms of caffeine. Even one cup of coffee has been shown to increase muscle tension and thus anxiety. I don't think it's worth it, but that's my opinion. I find that increased fluids such as OJ and water plus a protein breakfast works just as well to help me start the day - don't miss the caffeine at all.
Good Luck.
Posted by johnj on October 5, 2002, at 16:33:35
In reply to A SINGLE CUP OF COFFEE, posted by shakingoscar on October 5, 2002, at 6:03:27
Caffeine makes my anxiety much worse, and gives me a foggy feeling. If I were you I would quit or go to de-caff. See if that makes things better.
johnj
Posted by jflange on October 5, 2002, at 20:46:08
In reply to A SINGLE CUP OF COFFEE, posted by shakingoscar on October 5, 2002, at 6:03:27
The sweating and tremors sound like the effects of adrenaline to me. I am not sure why one cup of coffee could produce such a strong reaction. It could be that while Lexapro is taking care of your depression, it is not addressing your anxiety at the dose you are at now. Especially if you have just switched to Lexapro from Celexa, you might be experiencing some breakthrough anxiety from changing the meds.
When I had a similar caffeine reaction on Zoloft (for GAD), I came to the conclusion that an SSRI was not enough for my anxiety, and I began to supplement my regimen with BuSpar in order to temper that "keyed-up" SSRI sensation. You did not mention why you take Trazodone, which has a similar calming effect, especially for sleep. Or you could try to increase your dose of Lexapro and see if that helps (ironically, a dose increase alone sometimes nips the anxiety ).
In any case, it sounds like you should tell your doctor about your coffee jitters. Or you could just cut the coffee, as the others suggest. But who wants that? ;)
jflange
Posted by Phil on October 5, 2002, at 21:05:55
In reply to Re: A SINGLE CUP OF COFFEE, posted by jflange on October 5, 2002, at 20:46:08
Give up coffee? Shoot me first. : )
Posted by pharmrep on October 5, 2002, at 21:19:52
In reply to A SINGLE CUP OF COFFEE, posted by shakingoscar on October 5, 2002, at 6:03:27
> I want to ask a question about coffee.
>
> I suffer with anxiety and depression and am now on lexapro 10mg which is brilliant. I was taking 60mg celexa before and have suffered for around 2 years.
>
> My question is this.
>
> If I drink one single cup of coffee I start to sweat HEAVILY and I get tremors which last maybe 2 hours, longer if I have 2 cups of coffee.
>
> Is this really anxiety? I thought caffeine affected Nor-adrenaline and dopamine. Why am I now so sensitive to coffee and why does this happen when I am feeling perfectly ok?
>
> I also take trazodone at night which I have noticed reduces this problem. Before taking trazodone, I could not drink ONE cup of coffee without nearling "losing it" because of the tremors and sweating (almost like Parkinsonian-type symptoms).
>
> Is this anxiety or should I go back to my doctors?
>
>***** glad to hear the lexapro is working, it does treat anxiety too...usually in 1-2 weeks...the mix of meds could make it take longer, but how long have you been on lexapro now? maybe you just need a little more time.
Posted by Dinah on October 6, 2002, at 8:44:58
In reply to Re: A SINGLE CUP OF COFFEE, posted by jflange on October 5, 2002, at 20:46:08
I never use it when I'm in the more energetic phases of my mood cycles - avoid it like the plague. But when I'm on the sleep all the time phases I consume it like crazy.
Given its definite effects on my mood, I treat it like I would any psychotropic drug. I think sometimes we underestimate the effects of things that don't require a prescription.
Posted by Cindylou on October 6, 2002, at 13:22:38
In reply to A SINGLE CUP OF COFFEE, posted by shakingoscar on October 5, 2002, at 6:03:27
Hi all,
Thanks for those of you who responded to my question about Lexapro causing agitation. I wanted to add that the day after I took my 5 mg. dose, I was so exhausted I could barely function, and needed to sleep 2 hours in the afternoon. Also, my ears were ringing very loudly!The agitation I am talking about is extreme irritability, more than restlessness.
I did not take Lexapro again after that bout of fatigue, and I'm waiting until tomorrow to try again at 2.5 mg. Any thoughts on this?
Thanks again, pharmrep and others ...
cindy
Posted by pharmrep on October 6, 2002, at 13:58:26
In reply to Lexapro -- Agitation, then fatigue!?, posted by Cindylou on October 6, 2002, at 13:22:38
> Hi all,
> Thanks for those of you who responded to my question about Lexapro causing agitation. I wanted to add that the day after I took my 5 mg. dose, I was so exhausted I could barely function, and needed to sleep 2 hours in the afternoon. Also, my ears were ringing very loudly!
>
> The agitation I am talking about is extreme irritability, more than restlessness.
>
> I did not take Lexapro again after that bout of fatigue, and I'm waiting until tomorrow to try again at 2.5 mg. Any thoughts on this?
>
> Thanks again, pharmrep and others ...
> cindy***** I asked my dr's about the items I see here, and what they are hearing....it is common for any new drug in the body to create"reactions" like what has been mentioned in nearly all these posts. (especially antidepressants). They often last for a couple of weeks...even 1 month and longer....for lexapro, I have seen posts that say a few days or so...then mostly gone by one week, my doctors are seeing similar results....for those on multiple AD-type meds, maybe a little longer. I would suggest the 5mg again... so as to get some of the effect you are looking for, then see how you are doing in 1 wk...at 2.5mg, you probably wont see the effect, and might need to go higher which will start your timetable all over again. (did you take in morning?..if you didnt, try that) keep us posted...good luck
Posted by Ippopo on October 6, 2002, at 15:50:07
In reply to Re: Lexapro -- Agitation, then fatigue!?/bottom » Cindylou, posted by pharmrep on October 6, 2002, at 13:58:26
> > Hi all,
> > Thanks for those of you who responded to my question about Lexapro causing agitation. I wanted to add that the day after I took my 5 mg. dose, I was so exhausted I could barely function, and needed to sleep 2 hours in the afternoon. Also, my ears were ringing very loudly!
> >
> > The agitation I am talking about is extreme irritability, more than restlessness.> >
> > I did not take Lexapro again after that bout of fatigue, and I'm waiting until tomorrow to try again at 2.5 mg. Any thoughts on this?
> >
> > Thanks again, pharmrep and others ...
> > cindy
>
> ***** I asked my dr's about the items I see here, and what they are hearing....it is common for any new drug in the body to create"reactions" like what has been mentioned in nearly all these posts. (especially antidepressants). They often last for a couple of weeks...even 1 month and longer....for lexapro, I have seen posts that say a few days or so...then mostly gone by one week, my doctors are seeing similar results....for those on multiple AD-type meds, maybe a little longer. I would suggest the 5mg again... so as to get some of the effect you are looking for, then see how you are doing in 1 wk...at 2.5mg, you probably wont see the effect, and might need to go higher which will start your timetable all over again. (did you take in morning?..if you didnt, try that) keep us posted...good luckI'm Having a hard time adjusting to Lexapro(10mg) and Adderall(10mg). It's been about 3wks now. Wait... I think it might be about 2.5wks... Anyway, I'm really spacy and sleeping lots. I sleep like a log for 8 hrs. Before with a 3 wk run of effexor xr and adderall, and before that for 2yrs with Zoloft and Welbutrin. I was sleeping about 5hrs a night.
I've taken Lexapro at night(10.5pm) and Adderall twice a day(9am and noon). If I take the second adderall too late in the day(after 2.5pm) I won't fall asleep until 3am. Today I took Lexapro when I awoke. I have no idea if it's making me sleepy of keeping me awake at night
The first few days I was so tired. My moods are still swinging but not as bad as before.
Is this the med type you think may take a few more weeks to adjust?
My Dr just keeps saying give it time.
Posted by pharmrep on October 6, 2002, at 16:24:28
In reply to Re: Lexapro -- Agitation, then fatigue!?/bottom » pharmrep, posted by Ippopo on October 6, 2002, at 15:50:07
> > ***** I asked my dr's about the items I see here, and what they are hearing....it is common for any new drug in the body to create"reactions" like what has been mentioned in nearly all these posts. (especially antidepressants). They often last for a couple of weeks...even 1 month and longer....for lexapro, I have seen posts that say a few days or so...then mostly gone by one week, my doctors are seeing similar results....for those on multiple AD-type meds, maybe a little longer. I would suggest the 5mg again... so as to get some of the effect you are looking for, then see how you are doing in 1 wk...at 2.5mg, you probably wont see the effect, and might need to go higher which will start your timetable all over again. (did you take in morning?..if you didnt, try that) keep us posted...good luck
>
> I'm Having a hard time adjusting to Lexapro(10mg) and Adderall(10mg). It's been about 3wks now. Wait... I think it might be about 2.5wks... Anyway, I'm really spacy and sleeping lots. I sleep like a log for 8 hrs. Before with a 3 wk run of effexor xr and adderall, and before that for 2yrs with Zoloft and Welbutrin. I was sleeping about 5hrs a night.
> I've taken Lexapro at night(10.5pm) and Adderall twice a day(9am and noon). If I take the second adderall too late in the day(after 2.5pm) I won't fall asleep until 3am. Today I took Lexapro when I awoke. I have no idea if it's making me sleepy of keeping me awake at night
> The first few days I was so tired. My moods are still swinging but not as bad as before.
> Is this the med type you think may take a few more weeks to adjust?
> My Dr just keeps saying give it time.
>
** I agree w/ your Dr...it seems the more meds a person is on, the longer it can take to start working and stabilize in your body...lexapro isnt supposed to make you tired, but you could be in the minority. Im not sure how the adderal is affecting the picture, if I can find out I will post info...good luck, and keep us posted.
Posted by shakingoscar on October 7, 2002, at 1:26:22
In reply to Re: A SINGLE CUP OF COFFEE, posted by Phil on October 5, 2002, at 21:05:55
Thanks everyone for your posts. I know it is anxiety and no matter what meds Im on, the coffee always causes bad reactions in me.
I take the trazodone to help me sleep. 150mg at night. This is my regimen of pills (its mad!)
trazodone 150mg at night
buspar 40mg - 20mg in morning, 20mg at night (helps with sexual side effects of ssris)
lexapro 10mg dailyI love coffee though, and hate not being able to drink it as much as I would like.
Oh well.
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Dr. Bob is Robert Hsiung, MD,
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