I have been treated for depression for over 20yrs and now have severe major depression for last 6 months. I take 150 mg Effexor XR and it doesn't seem to be working. I also have anxiety and panic attacks.
What is a good medication for severe major depression?
- Posted:
- 30 May 2012 by PNHHM2
- Topics:
- effexor, effexor xr, depression, anxiety, panic disorder, generalized anxiety disorder, medication
Responses (60)
30 May 2012
Sorry you are having so much trouble finding an anti-depressant that works for you. I am bipolar type 2 depressed, which means I hardly ever get manic. So, essentially I have been depressed most of my life.
After pooping out on SSRI and SNRI meds, my shrink tried me on Lamictal along with my trusted old friend Klonopin. I started with a dose of 25 mg a day and maxed out at 200 mg daily. After a couple of weeks, started feeling a whole lot better. It was amazing to me. So I'm just giving you my extensive experience with anti-depressant meds, 43 years worth, the Lamictal was the answer to my prayers.
30 May 2012
I recommend Pristiq which is an improved version of Effexor. Also, you have the option of increasing the Effexor XR to a maximum of 225mg. I have had to change my antidepressant every 5 years or so to get continued relief. I am finding Pristiq to be very effective.
30 May 2012
Hi,sorry 2 read u have had it that long. Efexor 75mg,in the past helped me with depression,i get down at times,i önly now take valium2 relax my mind n body,and also take a stress free natural herb tablet,anti depresants dnt always wk,but we r all different,talk 2 a doc c wat else they recommend.my pschlgst 4 my anxiety a big help ,im doing gym,piltates relaxes me beta than a tablet,do u keep urself busy?i hope u find an answer 2 feel better.
HI,
I saw your post and was wondering if you have ever taken Xanax before you
tried Valium?? I was just curious. Xanax seems to work wonders, but my
mood swings and anxiety seem to be getting much worse and I am afraid the
Xanax just isn't going to cut it anymore... What Mg of Valium do you take, if you don't mind me asking?
Thanks!!
Julie
Wow, I am interested in this as well.. I take xanax & have for the last 15 years.. only take 1/2 of 0.5 mg in morning, another 1/2 in afternoon & another whole one to sleep, but resently, i have been added seraquil, which makes me gain weight & eat like a horse ! the xanax is not doing it and without the seraquil i am at a loss, but i can't afford to gain weight.. please tell us if the valium helps relax mind & body ?? i have taken relaxors that relax body but not mind, so i am curious as to the valium effect. thank u & take care.
30 May 2012
There are so many, and so many variables as well. What works for one does nothing for someone else. All I can offer is you stay in touch with your Dr and hopefully/eventually you'll hit on something that works for you. Be patient (no pun intended) and keep a good relationship with your Dr. Hope this helps.
30 May 2012
Well, I liked Cymbalta and I was dealing with Recurrent Major Depression with Suicidal Ideation. Two medications in my entire life have ever worked for me on that issue. The first was PARNATE an MAOInhibitor which I was on for 8 years until it seemed to stop working. The second was Cymbalta which worked quickly for me and was on up to 120mg then dropped down to 60mg. The starting dose is 30mg.
It is also possible that you may need a combination of medications: one to handle the depression and the second to handle the anxiety.
For the anxiety and to help me sleep, I take Ativan 2mg at night.
I hope that helps you and gives you some food for thought. Good luck with it and keep us posted should you need additional support or still have questions.
Mary
Great answer Mary,
The important thing to remember is every body is different and reacts differently to each and every psych med. It's a hit and miss kind of thing as far as finding out what works best.
So, that's a really hard question to answer.
Just sayin',
Laura
I know it is... it was really difficult for me too because I felt like a guinea pig with these psych med trials. Some 25 years ago, I was sent to Yale New Haven Psych Hospital as a "case study" because my psych doctor was having such a difficult time getting my meds and me under control. I learned a lot from that experience. Let's see:
a) don't put powder in your socks or go running down the hall after the floors were polished at night. The footprints always seemed to lead back to my room. b) make lots of friends while in the hospital because those nurses and doctors were scarier than the other patients, c) give lots of hugs to other patients just because it was against the rules, and finally, d) no med is going to work if you don't swallow it. Oh yeah, and really finally, e) learn to lie to get out of the psych hospital quicker.
30 May 2012
It appears that u feel the same way that I feel. If u have been battling depression for 20 yrs, have u tried several ADs? If so, which ones have u tried? I recommend that u add SAM-e to your AD as soon as u can. Of course after u talk it over with your dr first. Also, if u tried most of the newer ADs then perhaps u should try the older ones, MAOIs, etc. Have u tried prozac, wellbutrin as an add-on, Paxil, Cymbalta as an add-on, SAM-e as an add on, or deplin as an add-on, inositol as an add-on, celexa or any of the popular ones that pop-up when we google medication for depression?
I feel stunned when on small occasions,I feel it effects in my personality and I also feel it as negative approach/action.
Please help.
Parnate was the first MAOInhibitor I was on that actually worked. Many psychiatrists won't recommend that because of the dietary restrictions. Personally, I didn't have that issue because I didn't like any of the food on the list of things to avoid or not have at all. I was on Parnate for 8 years until it stopped working.
I understand. I was on it for just over a year and it really did not give me any major relief. So, parnate was followed up by ect.
30 May 2012
You have had lots of answers & suggestions here, but personally I feel that everyone reacts differently to different drugs. Your best bet is to discuss this with your psychiatrist if you ave one, & tell him/her exactly what you have describe here. Sometimes we get accustomed to a medication & need an increase of the dose, or they may add a different one. With depression meds, it can be a trail & error type of thing to find the right combo that helps you. My husbby is bipoar & takes zoloft. It worked quite well for a number of years, but then they added wellbutrin with it & he has had wonderful relief. It is best to let your doctor decide what will work for you. I wish you the best...
Mary632009 and others are right - only you and your doctor can determine what will work for you. I've been dealing with depression and anxiety for over 30 years, and unfortunately there is no one "magic" treatment that works for all - every individual reacts in a different manner to different treatments. You just have to go through the very frustrating experience of trial and error.
I wish you the best, and hang in there - you'll find a treatment regime that works for you. It took some time, but I did. Many others do as well. I have no reason to believe that you will not also have the same success. :)
30 May 2012
I find it's trial an error with anti depressants. Effexor didn't do much for me either. It took a long time before we found something that worked for me. Manerix with Lithium is what finally worked for me. I find there is always restriction with all drugs so just need to adapt that all. If it works it's really worth it! I no longer have depressions now.
Good luck and take care!
omg, your'e the first person on this site that has had any luck !!! I'm jealous a little. I get pissed when I see that some of these people have luck with things that didnt work for me. Im really happy that you have climbed out. I feel a bit hopeless right now. But your post sort of is giving me hope. Peace
Hi Fallentim,
I know it is frustruating waiting for something to work, especially when you feel depressed. I have had 4 depressions in 20 years, two major ones so it can take the time like I said to find the right med. Keep a log of things that do and don't work for you, also side effects too, sometimes they can combine meds to help just for you. I wish you the best in finding the right thing for you.
Take care,
Smileyhappy
19 Jun 2012
Hi, I have Bipolar 2 which the last person mentioned as well, and I too have had amazing results with Lamictal added to Wellbutrin, and Zoloft. I also have anxiety issues so that why I take both antidepressants.Although for many years Wellbutrin somewhat helped my depression by itself,it was not enough, & that when I was finally diagnosed Bipolar 2. I have had to adjust doses a little bit here and there, but overall I have felt good. I sincerely hope you can find relief, I know how hard it can be just to function at a minimal level..I would keep trying different drugs but most importantly, make sure both you & your Psych/Counselor is really communicating well, otherwise find another one that you "click" with.. Remember, they are supposed to work with you and for you, not treat you like just another number.. JT
Can you tell me more about Zoloft?? Does there seem to be a lot of side
effects?? How well does it work on severe depression?
THanks for any information you can provide me.
Jul
Hi there, I feel like the Zoloft helps my mood stay calm and uplifted, but I can only take one 25mg pill a day along with my other meds, because when we raised the dose of Zoloft it made me feel agitated and anxious.[Apparently this can happen to people with Bipolar taking any SSRI's. This is why I need all 3 things I take.] As for Zoloft's side effects, I only remember being a little sleepier at first, and I had mild headaches too, but these went away in a few weeks. I really think for me, its been a good addition to my other meds. It balances out the Wellbutrin, which is a more stimulating antidepressant and a higher dose of that alone also made me agitated and anxious by itself.With both of them together, I feel calm, good and content but not spacey, tired or foggy. I hope this helps you.
19 Jun 2012
Hi PNHHM -
Since we haven't heard back from you in a while, I am just writing to see if you are okay. I hope that some of the suggestions that we gave you have helped and that you have discussed all possibilities with your psychiatrist. I hope you have a good psychiatrist or psychopharmacologist and not a GP. When it comes to matters of the "head"; the best resource is one who really understands the medication and mental health issues.
I wish you well and much enlightenment on your journey.
Mary
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Wow! 200mgs of Klonopin? That's just amazing that ANYONE can handle that many milligrams. I thought the highest mg pill they made was 2 or 3mgs. Anyway, I was just amazed at your post, and I decided to comment on it. But I hope your meds cheer ya up a bit, and you can live a happy, productive life. God Bless you and your family. Take care buddy.
Oops tee,
I'm taking 200 mg of Lamictal, not Klonopin. If I were to take 200 mg of Klonopin, I'd drop down dead. I take 4 mgs of Klonopin a day.
Hippie
Great answer , Imar. Trial AND error! Love you guys!
Yes, that much Klonopin is a lot, I didn't eve know it came in that dose!
Yes, I always forget about Kolonopin. I took that for awhile and it DID help, but it made me more tired than Xanax and the sleepiness from Xanax went away.
I am also Bipolar. I've got Fibromyalgia & pretty sure Lupus also. Anyways, Effexor helped me tremendously & so did Klonopin. I'm on Neurontin now. 800mgs. 3 times a day. My Dr. Said that'll wk for my Fibro & mood swings. At 1st, it worked great, but my pain is getting worse & the meds. Are not working like they used to. Any advice, PLEASE?
I am on 200 mg of Lamictal twice a day and it has been a God sent to me. Whatever med changes are in my life, the Lamictal will not be cut.
I feel the same way about Lamictal and Klonopin. I cannot believe what a difference it's made in my life. I've been taking both for 5 yrs. plus. I take 400 mg. Lamictal per day, but I'm tapering down to 300mg, and 4 mg of Klonopin. I also take Gabapentin for depression and pain relief.
I'm going to get raked over the coals for this, but I have to tell you that Cymbalta worked great for me.
God bless you and I pray you find the med that will alleviate depression,
Anna
I too have had help with Lamictal. I still go through depression, but the agitated states are not as bad
would you please tell me which of these 3 lamictal has helped you? ODT XR or regular? thank you.
Isn't klonopin a benzo ? 200mg, u must have developed tolerence, I'm starting on desipramine. From reviews that I have read its rated high for severed depression hoping the best for you.