Hi everyone! I've been dealing with a severe panic disorder for over 10 years now ( I'm now 28). My panic attacks come in the form mostly of not being able to breathe or just feeling like I can't get a breath in. Hands, face get tingly I get dizzy and lightheaded and these will last all day long. I've tried countless meds like paxil, lexapro, Zoloft, effexor, buspar, Xanax and a few more that I can't remember off hand. Xanax worked great but I get these attacks so often that I would need to take it everyday which I didn't like because I noticed severe withdraws when I didn't take them so I stopped taking them. I also have ADHD so my doctor now has prescribed me 20mg xr once a day, celexa 20mg once a day at night, and Klonopin for emergency situations. Anyone currently on these meds? If so what are your experiences with combining these?
Need advice on meds for ADHD and severe panic disorder?
- 1 Feb 2017 by Chelsiep101
- 16 February 2017
- panic disorder, attention-deficit hyperactivity disorder (adhd), disorder
Added 1 Feb 2017:
Also my panic attacks will come at anytime for no reason so it's always been difficult trying to figure out what triggers them. Anyone else have this problem?
I am not privy to the insider knowledge/experience--as when a patient takes them daily as a thorough therapeutic regimen--and tidbits. What I do know as a prescriber is that these types of admixed drugs are often used in concert when treating stage fright; panic disorder; GAD and public speaking and others. Your symptoms (including): SOB (shortness of breath); dizziness/lightheaded are classic symptoms of GAD (generalized anxiety disorder). You mentioned the different pharmaceuticals you have tried with/without success and you sound a bit frustrated. If I May offer a suggestion and an alternative combo therapy it might work for you very well. Try Effexor® XR capsules at a dose of 75 - 150 mg. This particular depression and anxiety drug is quite powerful yet without serious side-effects for most people. Add to this a long acting benzo; my personal choice would be clonazepam at say 1 mg per dose. For the purpose of prophylaxis to ward off a possible panic/anxiety attack you would be better off taking the Klonopin® and Effexor in the daytime (if you don't plan on driving) or better yet 1 - 1:30 before you have to do something that historically causes you anxiety/panic. Your having ADHD shouldn't be a big problem, anecdotally I have ADHD too, in terms of your overall drug regimen except that stimulants (the class of drugs most prescribed traditionally for ADD/ADHD) can cause and/or exacerbate panic attacks and anxiety attacks. My advice is to work out an exceptable balance of drugs and their doses. Combining drugs can be difficult at worst but a God send when properly chosen and titrated to therapeutic level(s).
Hi Chelsea: With all due respect to "ahyperdoc's" comment, I had a very bad experience with effexor xr at both 75mg and 150mg. Weaning off of it was very unpleasant with the withdrawal syndrome that came with it for me! It was really rough. Lexapro also exacerbated my panic attacks. I was working when I was taking it, and I had to leave work because of the side effects from it a few times while I was taking it. Sigh. As far as your ADHD is concerned, I am surprised that your doctor didn't try prescribing Wellbutrin, as this is prescribed in many cases to treat people with ADHD. That, along with a low dose of Buspar (only 5mg once a day now), has worked very effectively for me for anxiety/panic/depression, although some might tell you it isn't for panic. I never have panic attacks anymore when I am taking my Wellbutrin. I have "dental phobia", so when I go for crowns or root canal dental procedures, I take ativan, as a "rescue med". It's just a suggestion from someone who has gotten relief from this medication, Wellbutrin, which I have taken long term. I hope you feel better. G
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