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Best SSRI to prevent nighttime panic attacks?

Question:
I suffer from anxiety/panic attacks, and agoraphobia.

Does anyone know anything abut stopping it suddenly?


Answer:
I'm on Abilfy. It's an antipsychotic medication. I'm on it because I have severe depression, that when it gets really bad turns into psychosis. So I have to be on something like that (I used to take Risperdal, which isn't any cheaper). I also have an anxiety disorder with panic attacks. Ain't life a blast?

I get free Abilify samples from my doctor, and he gave me a prescription with a coupon on it for free Abilify, too. So far, I haven't paid for it. There's no way I could ever afford to pay that kind of price.

Try and find out if there are any free mental health facilities in your area. We have one downtown I used to go to. It was bad there. Lots of people with dirty clothes on talking to themselves....but the meds were free. Right now I go to a private practice that has a sliding scale (meaning I see the doctor and therapist for free) and the doctor is careful to only prescribe the cheapest medicine he can for me and give me samples.

I feel really bad for you paying all that money when you can't even work. Really, look in the phone book and call around and find out if there's a free facility that gives free meds.

I know nothing about your med it seems to me there is a site called needymeds that gives info on how to get meds free from the maker if one cannot afford them, I do know that not every med is available this way and that it is something that has to be done by the doctor. Were I in your situation I'd talk to my doctor and pharmacist to see how i could get the meds for what I could afford to pay or free.

if you are not suffering from psychosis or a bipolar disorder you can stop abilify. It is used to treat severe anxiety by some psychiatrists with mixed results. You have been given the "needy meds" sites you can also contact the manufacturer for programs for needy patients, your doc can supply you with samples etc etc--what is most important is that you seek appropriate therapy, preferably with a cognitive therapist to treat and learn ways to become un-housebound. Terrap has do it at home courses but they are expensive and a personal approach with a good doc is much better. You are entitled to medicair benefits and since you cannot go to them, they come to you-all you need is a docs report stating so.

log on to rebt.org to check out this form of cognitive therapy-

First I should say that I am 10 weeks pregnant. I have suffered from panic attacks for years, but they went away over the past 2 years when I finally got help- I was on 37.5 mg Paxil CR and 1mg Klonopin twice a day. I stopped all that when my husband I decided to have a baby. Very early in the pregnany (5-6 weeks) I had a few panic attacks, all of which were at night and made me feel like my heart was skipping beats and I can't breathe and feel like I am choking.

I mentioned this to my ob/gyn who told me not to take the Klonopin (I was afraid because I had taken it before I knew I was pregnant for about 4-5 weeks)- I spoke with her about the panic attacks at my last appointment and she told me that she allows pregnant patients any SSRI that they want tot ake because her office feels they are safe. She said most of her patients use Prozac but she allows Zoloft, Paxil and Paxil CR, Lexapro etc. also.

I tried weaning back on the Paxil CR because it was once pretty good for me, but this time around, even though I was taking EXACTLY the same as I had before for over a year, I had bothersome side effects (I was trying to wean back on by starting out with 12.5mg and I couldn't tolerate THAT dose even though I took 37.5mg CR with no problem)- what Paxil does to me now is when I take it in the a.m, I can't sleep at night- I have restless legs and limb movement while I am trying to sleep (I had a sleep study done before for insomnia and even though I didn't notice it, they told me they thought the Paxil could be causing it)......but now it's bad since I *notice* it and can't get to sleep, and can't keep still.

I don't understand why I used to be able to take 37.5mg CR but now can't tolerate 12.5mg (I had wanted to take the lowest dose possible while I am pregnant) Anyway does anyone have any suggestions for an SSRI I could try that might be gentler than the Paxil CR that should help prevent panic attacks? I am considering Lexapro or a small dose of Zoloft. The doctor told me that in some people a smaller dose of an SSRI may be effective for panic attacks than what would be needed for depression...the ob/gyn is not really an expert on any of these as far as that goes but she does believe they are safe during pregnancy...

What do you guys think, are any of the SSRI's particularly good at preventing panic attacks when taken alone and in smaller doses?





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