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Re: Lex starting dose 5mg » hok

Posted by me so tiny on December 31, 2002, at 15:28:15

In reply to I think they should make the starting dose 5mg, posted by hok on December 24, 2002, at 10:09:51

> It's been impossible to work my way up to 10mg of Lexapro, even after 2 months of taking it. The anxiety I get from it is just too much stress. I've been at 5mg and although I still have some anxiety from it, it's still a good compromise of anxiety vs. mood effect.

well, I'm switching from deactivated Paxil, and I have very few complaints about Lexapro. The paxil is down to 10mg, from a high of 50, those side effects seem down, including sexual, and I don't think it was antidepressing much anyway. I'm relatively content and I'm digging out from a pile of bills and paperwork I couldn't deal with until now.

I am "more energetic" now, and this might get to be a problem but for now I'm taking it positively. I sleep only three or six hours a night, but during the day I'm not drowsy, and one of my rules of dealing with insomnia is, don't worry about numbers of hours of sleep if I'm feeling fine the next day. I might even cut down my Wellbutrin - it hypes me up and increases the sex, both of which are not needed. See what happens.

> However, I don't have as much daytime sleepiness and cravings with the Lex.

yeah! like that! Under Paxil without WB, I was taking two or three naps a day. Otherwise i'd be cranky. (= depressed)


> How many of you are in the same boat- ... celexa ... better ...
> but ... Lexapro ... less side effects?

I think it's all individual differences. These pdocs know a lot of technical details, but in terms of what works with who, and which drug will have what effect, they have to try it on each person. They don't even know why they take a month to kick in, why they sometimes fade, they don't know lots of other "why" questions. They display confidence when they prescribe you a new drug, cuz they're trying to prime the placebo effect.

My paxil started fading almost from the get-go. For other people that obviously doesn't happen. A cousin of mine, she was on Prozac for ten years and then it faded. Nobody knows why. We're from mixed western european blood - italy, france, germany, britain. Nothing unusual.

Some differences are chemical but some are behavioral coping techniques. For instance, I mentioned above that I don't worry about insomnia if I feel rested the next day. I spent years bitching and moaning about not getting 8 hours of sleep. I found myself checking the alarm clock to see how many hours I'd gotten, without actually feeling. Then I tried hiding all my clocks to force myself to just sleep as I felt sleepy. Finally I decided that I was just a light sleeper and 6 or 7 hours a night is right for me, and that works better.

OK so you can see that one man's Bad Side Effect is another man's Slight Adjustment To Lifestyle.


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URL: http://www.dr-bob.org/babble/20021230/msgs/133936.html