Posted by Four Feathers on September 8, 2008, at 22:57:54
In reply to Re: Brief immediate responses to meds?? - Advice Pls, posted by bleauberry on September 8, 2008, at 21:24:56
Thank you all for your responses.
Bleauberry, it sounds as though your experience, is very similar to mine. Your theory also may hold some validity with my experience. My best response to any AD was with a combination of Lexapro, Strattera, and Atenolol which had been initially prescribed before anxiety and depression was recognized for slight hypertension. I now fully believe that the HT is due to the anxiety/depressive disorder and I hope that it can ultimately be addressed if I can get the anxiety and depression adequately treated. When on Lex and Strattera (for about a year) I was able to decrease the Atenolol down to less than 25mg. If not for the severe constipation I would have likely never discontinued this.
While the Atenolol is cardio-selective, I noticed definite improvements in my peripheral physical "anxiousness" as well as a slightly improved mood and concentration for a short time after taking this. I was on Atenolol for about 10 years before switching to Lisinopril earlier this year to determine if it was exacerbating my depression. I have since seen that it did not cause depression to be worse and am considering going back on a beta blocker, perhaps Nadolol for its non-cardio selective peripheral action and decreased rate of crossing the blood brain barrier.
I don't know if I am going to give the Nardil more than another few weeks as I am beginning to see a number of side effects and no significant response on a consistent basis.
Given the above information, what would be your recommendation of other meds to try should my pdoc and I determine to discontinue Nardil? Would Nadolol be best for peripheral treatment or Pindolol as you mentioned (I am not very familiar with this BB). What about ADs to try at this point that would have a significant NE effect as this appears to be a major contributor in my case?
poster:Four Feathers
thread:850938
URL: http://www.dr-bob.org/babble/20080903/msgs/851107.html