What Med to take for Anxiety Disorder
I think I have been suffering from Anxiety all this time being menopausal, but not one doctor so far had suggested I take something for it. My Oncologist suggested Effexor when he starts my treatment. I am wondering what you ladies are taking for your anxiety which is not just coming from Chemo or Cancer, but is part of a woman's menopausal problems. My body begins to feel really weak, can't breathe and a general weakness in my limbs. It is the worst feeling in the world. My estrogen on blood tests is always <20 mg., whereas the normal range should be <41 mg. Someone once said that "estrogen is the angel of life and estrogen is the angel of death". When in puberty it gives us life and beauty and vitality. When it is low, it gives us cancer and anxiety and then death.
From reading about Effexor, it seems to have very strong side effects. Anyone having good experience with any particular Anxiety drug, please tell me.
Comments
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I don't have a specific med suggestion but I just thought you might want to check with your gynecologist on this issue. I would guess that a gynecologist would have a lot of experience treating problems associated with menopause and might have a better idea than your onc of which specific anti-anxiety medication would be most helpful.
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Here are different treatments recommended by the Mayo for anxiety
http://www.mayoclinic.com/health/anxiety/DS01187/DSECTION=treatments-and-drugs
I agree with jsw that a gyn would have a better idea than your onc if you think its menopausally triggered. If you want some of the treatments listed by Mayo, then your GP may be another option.
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Hi Lovelyface...anxiety is so common and there are so many options to relieve it, there is no one exactly the same medication that will work the same for everyone - it is kinda like an experiment to find the right combination of med and dosage amount that will work for you.
I take Effexsor at a low dose along with Xanax. The Effexsor is an anti-depressant and counters some of the side effects of the treatment as well so its kind of a dual purpose medication. Xanax is strictly an anxiety relief med. I have had anxiety issues for many years and tried many different meds and only the Xanax seemes to provide exactly the relief I need. Adding the Effexsor was the perfect thing and having bone mets, I am on a regime of pain medication as well. The biggest issue with the Effexsor is you step up in dosage until you get relief - wherever that may be and you have to step down when you are going to stop taking it. It isn't the type of med you can just quit taking and expect to be fine. For me, I will be taking it the rest of my life so I am not at all concerned about that issue.
You doctors will know best and be sure to let all of them know all of the medications you might be taking - be sure to check the list at the pharmacy too - as long as everyone is on the same page with meds and treatment, it can truly be better living through pharmaceuticals.
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I had considered Effexor but decided against when my therapist (helps a lot to talk) was hesitant because there were some reports coming in of side effects like nightmares. Since I was already have issues w sleep I decided against. I have been on Ativan which helps with the anxiety, panicky feeling I was having.
Best of luck...there are lots of choices out there for help..docor therapist is the best place to start.
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Hi there. I was taking Zoloft prior to being diagnosed, but then started Tamoxifen and you can't take the two together. My gyn prescribed Effexor, safe to take with Tamoxifen and it has been wonderful. I've read that it helps with SE from Tamoxifeen and I really think it does. Just wanted to let you know it's working great for me.
Take care of yourself.
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Last summer I was VERY emotional and doc put me on Zoloft. It just seem to make it worse, switched to Lexapro and the works much better for me. But everyone is different, so what works for one person may not work for the next.
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I would suggest you to look for menopausal treatment, since you have said that you have tried once and had no betterment, please try it again. Once it get over then no need to worry about your anxiety.
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Lovelyface - wish I had seen this thread earlier. I see you are triple neg, so worrying about interactions with Tamoxifen is not necessary since you are likely not on it?
Regardless of the cause (menopause, trauma, etc...) anxiety is treated by the same set of meds, and the best person to help you might be a psychiatrist. Many SSRIs (a class of antidepressants) are effective anxyolitics for many people, including especially Paxil and also Lexapro. Benzodiazepenes like Xanax and Klonopin and Ativan are shorter acting and work for some people - especially those with panic attacks. BusPar is also used, although it can take a while to kick in. A psychiatrist can assess you along with your medical history and liaise with your onc. on this, if necessary.
There is also cognitive behavioral therapy that can help regardless of the cause - it doesn't have to be a childhood trauma - it can be a phenomenon like menopause. It can help you cope with the episodes you mention. In some people, it makes medication unneccesary. Only you and your doctor can make that call. A good web site is: www.adaa.org
Good luck, and tell us how it goes.....
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Athena, excellent advice. For anyone considering meds, I strongly advise consulting a good psychiatrist. The reason you want a psychiatrist is to get the correct diagnosis--is it depression, panic disorder, anxiety disorder, bipolar. A family doc or therapist has not had the extensive training that a psych has. A family doc is good for 'vanilla' depression. However, sometimes people can present with depressive symptons, and if it is bipolar depression (as in bipolar II--which is much harder to diagnose) the meds for depression will not help bipolar II depression--it can exacerbate the depression and/or bring about mania. BTW, buspar is on old 'workhorse' and takes about 2 weeks to kick in--Buspar is sometimes a better choice for someone who has had a history of addictive disease.
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I had been taking prozac for a number of years and my doc had to pull me off of that since it interferes with the tamoxofin i take. I just started the tamox and also effexor yesterday. I agree that you should see a good phychiatrist. I also take valium and have for years as I am a very tense and anxious person. Let me know how you make out with the effexor.
I personally recommend prozac and valium since you are not taking tamox but we are all different. I tried all of the others after prozac and ended up back on the zac. I am sad that I can't take it and nearly refused the tamox but I have to behave and listen to my doc! Good luck!
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Dorothy, thinking good thoughts for you on the effexor. Let us know how it goes.
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Lovely ... Celexa is another good anti-depressant that may help with anxiety. It is one of the few that does not interfere with Tamoxifen.
Sending hugs as I know how hard the anxiety symptoms can get and the feeling is awful.
Bren
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I was on Zoloft and valium - worked wonders. Then I started Tamoxifen and zoloft was out of the question. Effexor was the next one I tried and it made me feel so weird that I gave up on the anti-depressants and went into weekly therapy instead and took valium for the anxiety attacks.
I now have a new GP as of yesterday as my other one left the practice. He took me off the valium and put me on Ativan which is shorter acting. Some of the ingredients of valium stay in your body for days whereas the ativan will excrete from your body quicker. He also asked me to try lexapro as an anti-depressant. Tomorrow I will get my new scripts filled and I know it will take a couple of weeks to see if the lexapro will work for me. He was in communication with my oncologist about these prescription changes before he made the switch which I loved. I like the fact that NOW I have a GP and an oncologist that will talk to one another.
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Jancie, good luck with the lexapro. I know that changing meds is hard. After being on prozac for over 15 years my psych suggested lamictal and it has been great.
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