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Bubble99

macrumors 65816
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Mar 15, 2015
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Anyone here on anti Anxiety medication?

I seem to have lot of Anxiety and I’m wondering how safe anti Anxiety medication is? My doctor wants to give it out like candy and is down playing it. But I here anti Anxiety medication is really addicting and you have withdrawal symptoms when you are trying to stop taking it.

Also don’t anti Anxiety medication take 3 months or more taking it before it starts to work?

Anyone here suffer from being really lonely and claustrophobia? In the house I feel really lonely, claustrophobia and Anxiety and this is worse at night.
 
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I take a very small dose of amitriptyline (Elavil) as a migraine preventative. I absolutely love it. I definitely get fewer migraines, but it also has a calming effect and helps me fall asleep (and stay asleep). It's said to not be addictive, but can have withdrawal effects. You can just step down the dosage if you're on a higher dosage and want to stop taking it. I'm sure your doctor would help you with that, but definitely have that conversation before you start anything to make sure.
 
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Clinical pharmacy here. I'm not currently on any, but can answer some questions if you like. Disclaimer, I'm not a physician and you and them should be making this decision together.

I've been on SSRIs twice for about a year, about a decade ago and sometime before that, for general anxiety when going to bed and trying to sleep, and when I woke. I couldn't pinpoint why I was anxious, so my brain would just think over everything trying to find something to lock on to, but it never could, which made me more anxious.

What are you and/or your physician looking at? There are a lot of different meds than can help with anxiety, but it's typically in benzodiazepines or SSRIs category. There are other meds, like elavil that ayephoner mentioned. It's a tricyclic antidepressant, but usually used for sleep as it's better for that than it's original on-label use.

To answer your question directly:

Benzodiazepines are an "as needed" medication. They have addicting potential and withdrawal symptoms are rough, if you happen to become physically addicted. Benzos act immediately and don't really require a on-boarding period, and how long they last or how long they take to work vary, but it's always less than a few hours, and then it dissipates. Side effects vary, but drowsiness is common.

SSRIs are maintenance meds and aren't addicting in the normal sense, but they do with have withdrawals if stopped and must be tapered down if you stop taking them. It's roughly a three month on-boarding, but you start feeling changes around the 3-4th week. Side effects vary, but are pretty mild and don't typically last the full time you're taking them.

Lastly, SSRIs pair really well with therapy. I didn't do therapy the first time I took them, but in hind-sight I should have. I still do therapy when needed, but hey it's pricy, so I get it if someone can't do that.
 
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Benzos act immediately and don't really require a on-boarding period, and how long they last or how long they take to work vary, but it's always less than a few hours, and then it dissipates.
No, diazepam is long lasting, at least up to 48 hours, when treating clinical anxiety, regardless of its quick peaking. This peak effect is only relevant for recreational users.
 
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No, diazepam is long lasting, at least up to 48 hours, when treating clinical anxiety, regardless of its quick peaking. This peak effect is only relevant for recreational users.

No, not how long it lasts, but how long before you feel the affect after dosing. I should have been more clear.

There are several variables, but generally within an hour for an oral dose. IV takes seconds.
 
No, not how long it lasts, but how long before you feel the affect after dosing. I should have been more clear.

There are several variables, but generally within an hour for an oral dose. IV takes seconds.
I see, I misunderstood. Sorry about that.
 
I’m suffering from lot of Anxiety

I’m suffering from lot of Anxiety. A friend of mind was not over for some days and I had lot of Anxiety where by I had to stand up and walk back and forth thinking about the person. Other time my vehicle broke down and was getting fixed and I had lot of Anxiety where by I had to stand up and walk back and forth thinking about it. Other time I had some pictures on the computer that got deleted and I tried searching for it again and cannot find those pictures having lots of Anxiety where by I had to stand up and walk back and forth thinking about it.

It is worse at night thinking about it. My Anxiety is worse at night and thinking about the friend of mind was not over, vehicle broke down or the pictures on the computer that got deleted.

Well having lots of Anxiety where by I had to stand up and walk back and forth for over hour thinking about it.
 
Anyone here on anti Anxiety medication?

I seem to have lot of Anxiety and I’m wondering how safe anti Anxiety medication is? My doctor wants to give it out like candy and is down playing it. But I here anti Anxiety medication is really addicting and you have withdrawal symptoms when you are trying to stop taking it.

Also don’t anti Anxiety medication take 3 months or more taking it before it starts to work?

Anyone here suffer from being really lonely and claustrophobia? In the house I feel really lonely, claustrophobia and Anxiety and this is worse at night.
Firstly, you are not alone in the feelings you have. There are millions out there suffering too. Anxiety is something that 8 out of 10 people have experienced, and in 3 out of 10 people, it becomes chronic.
Depression, despite what the media, and even medics say, is normal. We are not meant to be happy all the time, and to feel down, or depressed, is a coping mechanism our minds use.

As for medications; they work, but they don't fix it. Just like putting a finger over a leak, it will stop it, but as soon as you take it away, it resumes.
Cognitive Behavioural Therapy (CBT) is the gold standard. Yes it means going to see someone professionally, but you won't have to keep visiting them for months, usually a couple of sessions, and then you are given tools. Add up the cost of medications, and you'll soon see the CBT as the best, and cheapest option.

Post Covid, I went from being a supremely confident person, to an anxious wreck, questioning everything i did, and stood for. 2 visits, and some homework (that i still do) and the anxiety issues, back in their box.
 
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Firstly, you are not alone in the feelings you have. There are millions out there suffering too. Anxiety is something that 8 out of 10 people have experienced, and in 3 out of 10 people, it becomes chronic.
Depression, despite what the media, and even medics say, is normal. We are not meant to be happy all the time, and to feel down, or depressed, is a coping mechanism our minds use.

As for medications; they work, but they don't fix it. Just like putting a finger over a leak, it will stop it, but as soon as you take it away, it resumes.
Cognitive Behavioural Therapy (CBT) is the gold standard. Yes it means going to see someone professionally, but you won't have to keep visiting them for months, usually a couple of sessions, and then you are given tools. Add up the cost of medications, and you'll soon see the CBT as the best, and cheapest option.

Post Covid, I went from being a supremely confident person, to an anxious wreck, questioning everything i did, and stood for. 2 visits, and some homework (that i still do) and the anxiety issues, back in their box.
Have a read of these;

https://www.hpft.nhs.uk/media/1655/wellbeing-team-cbt-workshop-booklet-2016.pdf https://www.mirecc.va.gov/visn16/docs/therapists_guide_to_brief_cbtmanual.pdf

Another way to look at CBT, to unde it, is; Imagine you wake up, wanting to go for a run, but you roll over, and procrastinate. So you say to yourself, let's just go for 5 mins.
 
Anyone here on anti Anxiety medication?

I seem to have lot of Anxiety and I’m wondering how safe anti Anxiety medication is? My doctor wants to give it out like candy and is down playing it. But I here anti Anxiety medication is really addicting and you have withdrawal symptoms when you are trying to stop taking it.

Also don’t anti Anxiety medication take 3 months or more taking it before it starts to work?

Anyone here suffer from being really lonely and claustrophobia? In the house I feel really lonely, claustrophobia and Anxiety and this is worse at night.
Sorry I haven’t replied sooner, but my ban was only just lifted.
I mean look, it wasn’t my fault the guy died. I meant well, and was only trying to help.
Anyway, the family dropped all charges, and whilst they still feel I pushed him over the edge - once the Will was read, they were too busy squabbling over that, to follow through on any serious legal action towards myself.
Anyway, I consider a 2 week ban as punishment enough, and so here I am once again to help another in difficulty.
I just hope this one goes a bit better this time.

I’ll talk plainly if I may.
You’ve done the right thing - both to question the validity of medication, and to reach out here.
Some helpful, supportive replies, and others who have shared similar feelings at some point.

The big thing is that you are not a lost cause, and that this is temporary.
The fact that you can reach out and express your feelings - shows that you are willing and capable, and with a few pointers and advice, can improve your situation successfully yourself with true self-generated desire. This goes a long way.

I would not accept anti-depressant medication, nor would I look toward any kind of night-time sedation, however mild. We can do better than that. But we have to lay some ground rules.
So here’s my best non-invasive advice for you right now.
I am assuming/hoping you are not a recreational drug-user, or a drinker of any great significance. If you are, then the following advice will be much less effective, although it will still give great improvements.
But we will be relying on the body to tell you certain things - and this takes a clear head.

The advice… Listed in no particular order.
Step one is to hydrate regularly. This is so important.
All day, every day, drink a small cup of tap or bottled water every hour. Yes, every hour. Just doing this alone can reap massive benefits. Don’t bloat - just regular and steady. Up to you to gauge evening intake against middle of the night toilet visits, but keep it up.

Make sure your bedding is fresh. Perhaps buy a new pillow, or even a new matress/duvet - whatever. Your bed should be welcoming. Choose pure cotton bedding. Man-made fabrics cause static, and this is harmful.

Avoid white and blue-light a couple of hours before bed. Set yourself a time in the evening where you switch off the devices, and instead, pick up a reading-book in soft, reddish light, or go out on the porch and gaze at the stars, and especially the moon, or go for a short walk - just completely cut out any TV/computer screens so you can wind down. A pair of 20x50 binoculars pointed upwards at night can be an amazing experience.
When you do watch TV or browse - be very selective about what you allow on your screen. There’s nice and not so nice. Stick to rewarding input, or none.

The reddish light of sunset tells the body to start producing Melatolin, and prompts the onset of drowsiness. It is really helpful to get a nightlite for your bedroom that has red LED’s. At a dim setting, you can leave this on all night, and it provides some comfort instead of a pitch-black room. If you get up to pee in the night (and you will), then gazing at the red light when back in bed, can settle you back down quickly.
Get one for your kitchen too, and maybe think about having a red reading lamp for those late hours before bed.

Diet is a factor. I’d look at seriously reducing any overly spicy foods, especially at teatime.
Nuts and fruit to start the day.
Carbs for lunch (pasta/potato).
Protein (meat/chicken/fish) for evening meal - which should include vegetables.
Dairy products like milk and cheese in moderation.

Avoid caffeine drinks in the evenings. A good coffee after an evening meal is ok, but once suitably stuffed - stick to those regular cups of water. Late night snacks are ok, but no monster cheese and pickle sandwiches! Keep some light-bite reduced-fat pasta punnets in your fridge. My favorite is hot Pitta bread, with fresh Humous and hot Falafel.
After a week, your body will start to tell you what it doesn’t like, and you can adjust accordingly.
Often, red meat can digest oddly and feel weird. Perhaps move over to Chicken and Fish more, but you will know.

Not much there I know, but some important building-blocks for what comes next.
Keep your appearance tidy. Not squeaky/minty, but the usual shave, shower routine, and clean clothes as required. Use a basic un-perfumed shower gel, or find some quality Tea-Tree and Peppermint gel. Baby shampoo is good. Avoid stuff like Radox, Lynx, and especially colognes and anti-perspirants after.
I use a Raspberry and Cranberry body moisturiser, which can give a nice glow and freshness to proceedings - eBay special.

If you can get access to a local mixed public Gym/Sauna/Steam Room, then a monthly limited membership is a good idea. $30 a month is worth it, if you plan to just use the Sauna/Steam 3 or 4 times a week. You might even get in the habit of relaxing late-evening visits - coming home and being in bed 30 minutes later.

Please feel free to PM me anytime. I’m not a health professional, but know exactly how you feel.
You’re definitely not alone, and if an idiot like me can get through it - then so can you.

There’s many other routes to take if needed, but let’s see how you get on with the above first. Get that water down you, enjoy that red light, and see how things are in a week of constant attention to those details outlined.
We’re all routing for you matey.

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The reddish light of sunset tells the body to start producing Melatolin, and prompts the onset of drowsiness. It is really helpful to get a nightlite for your bedroom that has red LED’s. At a dim setting, you can leave this on all night, and it provides some comfort instead of a pitch-black room. If you get up to pee in the night (and you will), then gazing at the red light when back in bed, can settle you back down quickly.
Get one for your kitchen too, and maybe think about having a red reading lamp for those late hours before bed.
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"It's a red light, Jerry, you gotta try it! It makes you super relaxed!"

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I think that is a potential side effect listed for every medication that exists!
While constipation is a fairly common side effect of medicines, it is very far from universal. The following sometimes or often have the opposite effect.

Colchicine. Levothyroxine. Liothyronine. Statins. Many antibiotics.
 
Sorry I haven’t replied sooner

Have I missed something? Has MacRumors secured a resident psychologist to ail our woes!

I guess we must all stand back, and regret the many contributions to this post, as merely the warm up act, to what followed.
 
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