Doc - I am a male, 6'0'', 265lbs, 35 years old.
I was diagnosed with panic disorder about 8 years ago. I tried paxil for alittle while, hated the side effects. Then tried wellbutrium, the side effects were gone, but the panic was back. I switched to lexapro (10mg), It worked for the panic, but agian i didnt like the side effects, I was on it for a few years and gained alot of weight, was lethagic, unemotional, and easly angered. I went of it in Feb. I was given Xanax to take for panic flair ups. Got through the withdrawal fairly well. Was doing really well, even had a hard test when I fell and broke both my elbows. (One required surgery). I only took a few of the Xanax up to this point, as I had a few minor panic episodes.
Then about a month ago, things got shaky here at work.I went into immediate panic attacks, with high levels of anxiety. My PD gave me 75mg of Effexor. He said take that for a week then bump up to 150mg. First few days the Effexor seemed good, no real side effects, a little dizzy, not bad. Its been a week. Past few nights I wake up alot, feel restless. I am very nauseous after taking the Effexor. I'm taking it in the morning 6am, after eating a piece of toast. I am extremly anxious and edge until about 10-11 am. I was hoping to stay on the 75mg and see if it helped the anxiety w/o upping it to 150. I see my PD tommorrow to discuss with him. I was going to ask about using kolnopin at night instead of the xanax. The xanax helps me sleep, but I still wake up with the anxiety until mid morning. Ive heard the kolnopin stays in the system longer. Thought it may take of the morning edge. Its hard to take the Xanax in the morning because I feel very sedated on it.
My goal is to starting seeing a therapist and learn some techniques to deal with the anxiety. I hope to be ride of the AD meds all together one day. What are your recommedations?