I've had anxiety all of my life, some years better than others. In 2007 when I was 24, I went on Sertraline to help with generalized anxiety, mild OCD and panic attacks, which I've had all my life but finally had to try something. I was on 50 mg.
Sertraline worked great, had the basic side affects, but it took care of my anxiety. Of course it did not completely cure anxiety, but I felt great, did not have panic attacks, felt very great overall.
2011, went off Sertraline, then in late 2012 the panic attacks came back with what seemed like a vengence. Went back onto 50 mg, it helped a little but never seemed to help as much as the first time in 2007, had what I call Panic attack lite, basically instead of a full blown panic attack of feeling short of breath, just felt jittery and uneasy at certain times. I saw my doctor in august 2013, went up to 75 mg, that seemed to help a lot but still not quite as good as when I first took sertraline in 2007. There is no 75 mg pill, so I bought a pill cutter, cut one 50 mg into half, so take the half plus a full.
Is it maybe not helping as much because I went off the drug in 2011, would I need to go up to 100 mg? I cut the pills pretty much perfectly in half, there me be a tiny difference sometimes, so I don't know if that has something to do with it.
Also I have been always getting sertraline from Walgreen's. I have heard that if you get generics from different pharmacies, sometimes generics have different release mechanism into the body, whereas if I was using Zoloft, it would be the same regardless of where I picked it up.
I wonder if maybe this time I just need to up to 100mg. Like I said, sertraline never got ride of my anxiety completely, but it would be nice to be able to keep my worries in my head and not take on any real physical traits of making me feel jittery like I drank too much coffee, which by the way I limit my caffeine intake, drink chamomile tea and exercise, and have been eating healthier the past two years.
Overall I do feel a lot better, but sometimes I feel like I may need a higher dosage. I wonder if my body needs a higher dosage since I went off the 50 mg for about a year.View Thread
I just need clarification, you said you first had panic attacks in 2008, went on Buspar and the panic attacks (shortening to PA from now on) went away? Now the PA are back, but I am unclear did you go off of the meds and you are asking if you should go back on?
I was in the same situation with Sertraline (Zoloft). These meds work wonders in stopping panic attacks but there are side affects: increased appetite/weight gain, decreased sex drive, dry mouth, different sleep patterns. You have to determine what the trade off is. For me, life became difficult kind of like how you described in missing work, so the meds help with that.
Regarding side affects, you have got to try and make time for exercise. And I don't know about you but since I went back on sertraline I have been eatting a lot more "unprocessed" foods such as crock pots, less take out, more salads, I feel less tired than I remember the first time around on my meds. Is it possible to try a different med in the same class (something to discuss with your doctor).
The other side affect from sertraline is I feel like I don't get as long of a REM sleep cycle, so it does make me feel a little more tired. Believe it or not I gave up all coffee and it's kind of nice not needing it to feel like needing to wake up. I drink soda on occasion, but that is another thing thing to cut out completely or drastically cut back. The first time I took sertraline (2007 to 2011) anytime I had an off day of work I always felt like I needed to nap after lunch anywhere from 45 minutes to an hour or two. Since I have been eatting healthier I actually hardly ever nap.
I am not sure about Migraines.
As for your insurance, having a high deductible sucks. I don't think a typical office visit to get meds should cost too much. You'll see the nurse, they'll weigh you, take your blood pressure, ask if you have any pain, then you'll see the doctor for a discussion. Ask your doctor's office if there is any discount if you pay in cash in advance, sometimes they give you a discount because they have there set prices without insurance, and its not a hassle for them to deal with insurance. If it is $100.00 or so try bringing in actual cash, you'd be surprised at the power of cash in hand.
Good luck. Keep me posted, I hope all gets better.View Thread