Is stablon a good option or is it a better idea to start with an SSRI?
#1
Posted 05 December 2013 - 09:05 PM
Is stablon a good option or is it a better idea to start with an SSRI?
#2
Posted 05 December 2013 - 09:41 PM
Edited by nowayout, 05 December 2013 - 09:42 PM.
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#3
Posted 05 December 2013 - 09:59 PM
#4
Posted 06 December 2013 - 01:17 AM
#5
Posted 06 December 2013 - 11:02 AM
My general recommendation... sertraline followed by escitalopram. I am tempted to try fluoxetine though.
#6
Posted 06 December 2013 - 05:25 PM
#7
Posted 06 December 2013 - 06:35 PM
#8
Posted 06 December 2013 - 06:57 PM
SSRIs are effective but rarely should be the first drugs used. In this case Trazadone (if you have significant sleep problems), Buspirone or Pregabalin are you're best options.
#9
Posted 06 December 2013 - 09:58 PM
#10
Posted 06 December 2013 - 11:19 PM
But aren't SSRIs typically the first line treatment for anxiety?Tianeptine actually often isn't used for a primary anxiety disorder, its mostly used for anxiety associated with another disorder (alcohol abuse/withdrawal, major depression etc)...
SSRIs are effective but rarely should be the first drugs used. In this case Trazadone (if you have significant sleep problems), Buspirone or Pregabalin are you're best options.
#11
Posted 07 December 2013 - 12:07 AM
But aren't SSRIs typically the first line treatment for anxiety?Tianeptine actually often isn't used for a primary anxiety disorder, its mostly used for anxiety associated with another disorder (alcohol abuse/withdrawal, major depression etc)...
SSRIs are effective but rarely should be the first drugs used. In this case Trazadone (if you have significant sleep problems), Buspirone or Pregabalin are you're best options.
Around here (Northeast U.S.) benzodiazepines are the first line treatment, from my experience with three psychiatrists over the years. It doesn't mean that either benzos or SSRIs are a particularly good choice as a first line treatment.
Edited by nowayout, 07 December 2013 - 12:08 AM.
#12
Posted 07 December 2013 - 10:48 AM
But aren't SSRIs typically the first line treatment for anxiety?Tianeptine actually often isn't used for a primary anxiety disorder, its mostly used for anxiety associated with another disorder (alcohol abuse/withdrawal, major depression etc)...
SSRIs are effective but rarely should be the first drugs used. In this case Trazadone (if you have significant sleep problems), Buspirone or Pregabalin are you're best options.
Around here (Northeast U.S.) benzodiazepines are the first line treatment, from my experience with three psychiatrists over the years. It doesn't mean that either benzos or SSRIs are a particularly good choice as a first line treatment.
Finding the right SSRI that would work for a longer period of time is like shooting in the dark.
#13
Posted 07 December 2013 - 12:28 PM
#14
Posted 07 December 2013 - 01:42 PM
#15
Posted 07 December 2013 - 01:58 PM
#16
Posted 07 December 2013 - 03:32 PM
I am listening. I will put all these options up on the table when I finally go to the psychiatrist next week (first visit ever). Stablon + Buspirone does sound like a great combo indeed. The reason I want stablon is because of its neuroprotective/neurogenerative properties as well as its anxiolytic effect. I read a lot about it and I feel like it's a great drug, at least on paper. Anxiety isn't my only problem, I also have racing thoughts, occasional sleep problems, decreased ability to handle stress and intrusive thoughts (all common symptoms for anxiety as well as depression, OCD and bipolar). And there's a history of bipolar and depression in my family. I read many cases of people with chronic anxiety developing depression or bipolar. Indeed there's a link between neuroplasticity and mood disorders:Well since nobody seems to be listening to me, you could try low dose SSRI's with Stablon (this is actually no convincing evidence that Stablon is an SSRE). However Pregabalin or Buspirone are better options. Stablon combined with low dose Buspirone would be very interesting indeed.
http://www.jaoa.org/.../111/4/298.full
So with Stablon, I would be hitting two birds with one stone: Helping my anxiety and protecting me from depression. If Stablon doesn't curb my anxiety completely, adding Buspirone might kill it. I am open to all options and will keep this thread up to date. I hope Stablon will be a breakthrough for me.
#17
Posted 07 December 2013 - 03:40 PM
#18
Posted 07 December 2013 - 03:54 PM
#19
Posted 07 December 2013 - 04:01 PM
Pregabalin works as quickly as a Benzo (but its effects continue to build up over a couple of weeks), is at least as effective as Buspirone, Venlafaxine, Sertraline or Clonazepam comes with a tolerability profile no worse than that of an AD (stablon has a tolerability profile that seems no different to that of other AD's according to most research - not a drug I've tried but one I soon intend to) and its unlikely to trigger mania or fast cycling, in fact it could be a treatment for Bi-polar although research so far hasn't been performed.
#20
Posted 07 December 2013 - 06:44 PM
#21
Posted 07 December 2013 - 07:30 PM
#22
Posted 09 December 2013 - 02:21 PM
#23
Posted 20 December 2013 - 10:05 AM
So why's Pregabalin your first choice and not Buspirone?
I haven't tried Pregabalin, but went thru Buspirone on and off for a year ( I've also been dealing with GAD+insomnia for a long time ). Buspirone is a lottery. It's known in the real world for having a high failure rate, but if it works for you, it can be pretty great as it induces less sleepiness than benzos, and almost no withdrawal problems. The most severe side effects you may get are dizziness and nausea. In my case I couldn't stay on it because the nausea was overwhelming. But it's certainly worth a shot. Also it doesn't really take months to know if it's working or not, usually a week will give you an idea about what to expect.
#24
Posted 20 December 2013 - 10:58 AM
#25
Posted 20 December 2013 - 12:12 PM
Edited by nowayout, 20 December 2013 - 12:15 PM.
#26
Posted 01 January 2014 - 09:56 AM
You got to inject it, but the effects also last a good while, and there probably only is a limited set of side-effects though many general benefits to bathing your brain in this
Edited by Nume, 01 January 2014 - 09:56 AM.
#27
Posted 01 January 2014 - 12:10 PM
#28
Posted 01 January 2014 - 04:49 PM
#29
Posted 01 January 2014 - 07:47 PM
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#30
Posted 01 January 2014 - 10:14 PM
Can you explain or qualify "awesome"? Looks interesting; but, little info on it.Opipramol without any reasonable doubt. It's awesome.
Seems promising without SSRI activity:
http://www.ncbi.nlm....pubmed/11199949
Anyone know a supplier?
Also has moderate antipsychotic properties at higher doses.
Also tagged with one or more of these keywords: anxiety
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