[rascalflatts]

I am currently switching from Tofranil (which I've been on for 8 months for Panic / Depression) to Anafranil that will hopefully also help with OCD Anxiety. My doc and pharmacist both said the switch over should be fine to just stop one and start the other without any titration but I always get anxious about new side effects when starting a new med so my doc said to up my daily Ativan dose of 1mg (which I divide up throughout the day) just a little to help with that. I was on 1 25mg of Tofranil tablet in the AM, then half of one early afternoon, then another 1 25mg at night. I now have the Anafranil 25mg which are capsules and of course can't be halfed. My doc gave me enough to take 3 per day but said to just start with 1 in the AM and 1 in the PM and see how that goes. I took my first capsule last night after taking my last Tofranil yesterday AM. I skipped the half dose at noon. I've been anxious and worried about the switch so woke up feeling a bit panicky this morning. Took a little Ativan (0.25) with my AM dose of Anafranil and am doing ok but still shaky with anticipation. I went on a walk, did some laundry, and am trying to keep my mind off of this as I know it will just take some time to get use to the switch over. But my OCD intrusive thoughts won't let me calm down much. My doc didn't say how much extra Ativan I could take and of course it's Saturday and she can't be reached. I don't want to take too much but hate these anxious feelings!! Any suggestions out there?

[Travelinglady]

Hi, rascalflatts, and welcome to Psych Central! I know such switches in meds can make us anxious, but keep remembering that both the doc and the pharmacist said what you are doing is okay. And you will be all right.

As far as intrusive thoughts, you might ask in the forum for folks who really deal with such issues regularly. Here's the link: http://forums.psychcentral.com/anxiety-panic-phobias/.

I hope you can relax soon and benefit from the change.