GAD DISORDER

I was diagnosed 14 years ago with  GAD/pannik attacks .I was put on zoloft 50 mg and ativan .5 prn and inderal ..That was years ago . Went down on zoloft to 25 mg every the day i was still fine at this dose for like maybe 5 years or so now  The GAD is back since  Most recenty developed trigiminal neuralgia and was put on Tegretol 600 mg per day ..in november of 2007 to the present , I was started back on zoloft 50mg per day 18 days ago and i am so shakey (shaky) and it has seemed to make me nauseas and no appetite and more anxiety attacks . one pharmecist told me that the zoloft is being metobolized faster by the tegretol than i am taking it is this true? I am confussed and why is zoloft acting this way never had a problem befor with zoloft is because of the combination with tegretol ? Any input wouldbe great .
Thanks

[dlcottage]

Thank you for that info ..  I think im folloowing u  so it could be or is that the zoloft really isnt getting into my system ?  Also i  had gone to m reg gp she put me on lopressor as the beta blocker i had asked her why i could not go back on the inderal like many years ago which helped ,her reply was that lopressor does the same thing and is  a newer med ?   truly had very good luck with the inderal in the past i will keep pushing for this med.. So far 15 days on lopresser 25 mg once a day  is not helping with the anxiety at all .I do have apt next week with  physc.. Also it was advised by my gp to ask neuro about neurotin less side effects and goes with most meds would u concur with the neurotin vs tegretol?
Thanks so much rose

[dlcottage]

Hi ryan thanls for the input . Neuro Dr taking me off tegretol putting me on lyrica 75mg at bedtime . He is tappering me off tegretol as i have been on 600 mg since november . My diagnosis is PHN i never recvd the rash but i had burning stabbing pains in face after having a tooth pulled then 2 surgerys for neurcrotic bone take out .But had  herpes blood test recently  was positive that i have that virus in my system although not active at this time but might have been as i broke out in big canker sores in my mouth after dental work but was put on valtrex 1 gr 2x day but was given it to late virus already in my trigimnal nerve i think thats what they said . I also went to reg gp on weds i was put on diovan as i have high blood pressure and lisinprill was not doing it and also vytorin for choles. as Dr did not like my very high numbers .Since all this happened and then getting my  Gad Back again i have lost 46 lbs because of the nausea .Went to gastro this week as well he feels it might be the tegretol that could be causing the nausea with the zoloft does not mix . But i will still be going to phsyc on monday .Thank you for your input u helped me so much ..

[dlcottage]

hi Ryan can i have your input again please? Went to neuro he took me off tegretol put me on lyrica 50mg 1x a day. he now said that he thinks i have PHN affecting the trigiminal nerves not typical trigiminal neuralgia  as  blood test confirmd herpes zozter but not active  he ordered this test because i broke out in canker sores after each dental surgery i had  in oct 2007 . He said it would be better with lyrica as tegretol did not goe with zoloft as u had mentioned im off tegretol now  4 days today  I m still on the zoloft they upped it to 75mg once a day  ,Went for complete phhys by gp she ordered a echo found out the lisinipril for bp not working she changed it to diovan 160 1 x day , Also she finnally gave me inderal like you had mentioned. Taking attivan 0.5 as needed for panick attacks that remains the same  but they really dont want me taking too much ativan , I  have been` taking at least one a day sometimes 2 , then sometime there might be a day or so i dont have to take any. And the physc said thats too much ! Ativan rather see an upped dose of zoloft . I have been feeling so shakey (shaky) and dizzy now legs feel wobley during the day.  they put 2 new meds on me the diovan and the lyrica and upped zoloft and the inderal 10 mg 1x day  i dont know whats causing that feelin . I know its not my bp being low as its still 140 to 150 over 90 i dont think diovan is working i have been on it now 10 days. Im still getting  tons of panik attacks a day the physc  just keeps upping zoloft my question being that i have taken zoloft for so many years is it possible the zoloft is not helping me this go around , and actually making the panik attacks worse? Im still losing weight still have nausea dont know how long it takes to clear my body of the tegretol to see if that was it .Any in put would gladly be accepted . meds are  now  diovan 160 1x a day ,inderal 10 mg 1x a day,zoloft 75 mg a day ,ativan 0.5 prn ,lyricia  50 mg at bed time ..
Thanks rose                        ps if you want u can email me ***@**** thanks!!