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Anxiety Community
This patient support community is for discussions relating to generalized anxiety, anxiety and eating, anxiety and sleeping, mood swings, and phobias.
'Morning' sickness?
by suzi-q, Dec 18, 2006 12:00AM
I am new to this group and I would like your advice and wisdom. I have depression and anxiety disorder. I am on Paxil and Buspar. for the most part, I do pretty good..however, mornings seem extrememly difficult for me. I wake up nauseous and very sad. I am very sick to my stomach until I arrive at work and finally sit. When I am with people at my job and "part of the day" I am fine. But, when I am off from work and don't have my morning routine, I am totally depressed and sick most of the day. I don't want to shower or leave the house, to get ready to go out is a chore and I dread going anywhere. Most of the time, I am ok once I get to my destination, but this dread and sick feeling is starting to control my life. I just adopted a daughter and I get so angry at myself that I don't do more with her or stimulate her more because of this dread feeling. Even the thought of walking my dog gives me this feeling of dread. I know that I seem all over the place....so to sum up..this feeling is worst in the a.m. if it is a work day, I am fine once I am at my destination, if it is a day off, I sometimes feel this the whole day. Any suggestions? comments??????
Thank you!
Thank you!
Post Comment
You are on a medication (Paxil) for depression and yet you are still suffering from depression, low energy, self-esteem issues.
That tells me that you are either A) Not on the right medication for you, or - B) You and your doctor need to discuss an adjustment in the medication dosage.
Paxil is a good medication. It is not for everybody. There are so many factors that enter into the equation when confronting depression but from the pharmacological point of view, there are some primary neurotransmitters. Serotonin, Norepinephrine and to a lesser extent (or at least as much as is understood) Dopamine.
As a doctor I'll give you my personal opinion for what it is worth.
Paxil is overprescribed.
Every few years a drug is released with much fanfare and is hailed as the new wonder drug. Paxil is one such drug and it does work well with some patients and not well with others.
You may want to discuss (and don't be afraid to talk to your doctor about specific medications), ask about Wellbutrin or perhaps Cymbalta. They can have a more activating effect, hence they may increase anxiety issues, but at the right dose, these drugs are very effective antidepressants in many cases they have more prominent positive effects and fewer negative effects.
Hope you are feeling better. Talk to your doctor soon.
Paxil wipes many people out and makes mornings especially difficult. Wellbutrin is a good AntiD for many. One of the main side effects, though, is nervousness and insomnia, but it's still a good Antid (especially when the patient is complaining of tiredness). It can also cause nausea (some people lose weight while taking it.) The nervousness and nausea usually subside (but not always.) Prozac and Effexor bring good results for many, too. Celexa is OK, but it typically carries with it more complaints of drowziness than Wellbutrin, Prozac, or Effexor. Something will work, hopefully! Just keep trying, and start talking more to your therapist.
Best of luck to you! Happy Holidays!
Also, yes...I COMPLETELY agree that while Paxil may work wonders for some people, it can make matters worse for others. I was on it for Anxiety for about 8 months. It made me EXTREMELY tired...tired to the point where I was yawning all day long. And I would cat nap EVERY chance I got. Even if I was at work, I'd run in the car and fall into a deep sleep for 10 minutes until my phone alarm jolted me awake and I had to go back to work. It was bad. I don't know how Zoloft of Effexor work for depression, but I've taken both in the past, and they both helped me tremendously.
I've also noticed that my anxiety is usually higher first thing in the morning or in the evening after work. On the right medicine, that will eventually go away. Or get less at least. In my experience, I found that the best doctors to discuss the medications with are psychiatrists. They specialize in these types of meds and know more about depression and anxiety than your PCP. Good luck!!!