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Author Topic: anxiety off the charts  (Read 1062 times)

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Offline beach99

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anxiety off the charts
« on: August 31, 2014, 07:58:52 AM »
I am recently diagnosed, on Atripla for two months, have previous anxiety issues and currently on Lexapro taken with Atripla at night, Clonazepam as needed (all the time it seams lately.) My physician just put me on Buspirone as well this week to ween off the Clonazepam. Taking Bactrim as my diagnosed count was 100+. Anyone out there having similiar issues and perhaps suggestions about best time to take the pills? I feel I am under good medical care and on the right track. I just see so many conflicting evidence on the internet about Atripla reducing the effect of anxiety medicine so perhaps this is the cause. (Of course I believe everything I read on the internet) :)

Online Jeff G

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Re: anxiety off the charts
« Reply #1 on: August 31, 2014, 08:29:46 AM »
Hi Beach and welcome to the forum . Atripla is not the best choice of combos for a person who suffers anxiety and or depression . If you have a history of any psychiatric problems you should demand a med change away from Atripla .

While taking Atripla you should take it at night before bed at least 2 hours past and fatty foods . Fatty foods can increase the CNS side effects of the drug and should be avoided with in 2 hours of med time . 

Offline beach99

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Re: anxiety off the charts
« Reply #2 on: August 31, 2014, 08:38:16 AM »
Thanks Jeff I appreciate your advice. I follow the pre-bedtime regime as you suggest. I have spoken to my DR. about switching and will follow up. My question I guess in the meantime is if anyone has any advice about the best time to take the Lexapro for best results until I can switch.

Offline mecch

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Re: anxiety off the charts
« Reply #3 on: August 31, 2014, 10:33:25 AM »
Sorry to hear all that.
You need to get off the EFAVIRENZ ASAP like yesterday.

May I ask which doctors are aware you have all these anxiety meds AND an Atripla prescription.  If the doc who is treating you for HIV is also aware of all the anxiety and the medication for it, you need to ask him/her, and yourself, some hard questions. 

It has been years and years that we know efairenz does not play nicely with depression and anxiety.  You weren't supposed to know that but a doctor should.
ďFrom each, according to his ability; to each, according to his needĒ 1875 K Marx

Online Jeff G

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Re: anxiety off the charts
« Reply #4 on: August 31, 2014, 10:59:29 AM »
It seems many doctors still haven't got the memo that EFAVIRENZ is a piss poor choice for those of us with a history of depression and anxiety ... its so very simple, if you suffer any of these condition's before or after going on that med its not likely to resolve and get better until you change your combo . I also would be hesitant to think complera is a good candidate for the swap if you are having problems with the EFAVIRENZ . We are seeing doctors swap for the complera combo only to have less of the same CNS issues so I would think that since there are other good choices complera should be avoided if a person has suffered CNS issues on EFAVIRENZ . I cant fathom why a doctor would think that prescribing narcotics for anxiety is a wiser choice than a med change, boggles my mind . Here are a few personal story's about Atripla ... http://forums.poz.com/index.php?topic=47901.0

This is my own personal opinion for what its worth .
« Last Edit: August 31, 2014, 11:03:47 AM by Jeff G »

Offline Miss Philicia

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Re: anxiety off the charts
« Reply #5 on: August 31, 2014, 11:22:37 AM »
1) I agree, naturally, that Atripla is not appropriate for someone with general anxiety disorder -- nor is any NNRTI class drug IMO when there are so many other classes to base workable HAART regimen.

2) Is your GP/HIV specialist prescribing your anxiety/depression medications or has he sent you to a psychiatrist for this? It's appropriate perhaps for a GP to do so if it's a simple use of ONE SSRI class medicate, but once a patient needs more than that I can't fathom not being referred to a prescribing psychiatrist, as well as being referred to a one-on-one therapist which would allow you to have a goal of treating anxiety issues with cognitive behavioral therapy and only using medications as a shorter term item. For example in the use of benzodiazepines like clonazepam, in my experience this is something one takes daily, not "as needed" -- a more appropriate same class med taken "as needed" would be xanax due to it's shorter half-life (amount of time it stays in your body) but this is just what I've heard in conversations with my psychiatrist, obviously I am not a doctor. It depends on the severity and frequency of one's panic attacks.

3) I don't see where narcotics were prescribed -- am I missing something or did someone mean benzos?
"Iíve slept with enough men to know that Iím not gay"

Offline beach99

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Re: anxiety off the charts
« Reply #6 on: August 31, 2014, 05:21:43 PM »
Thanks to all for your valuable input. GP prescribed anti anxiety meds, prior to HIV diagnosis. GP is aware of current diagnosis and continues to prescribe and has indeed suggested resources for relieving anxiety. HIV specialist is aware of anxiety meds. I will confer with both for adjustments to some or all necessary meds and availability of options ASAP. I truly appreciate your responses and it looks like I will also need to be much more proactive regarding my knowledge and allowances for prescriptions.


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