[caedus]

A lot of people on this forum say they like celexa, course once I read all the side effects for that I could totally freaked out as I do have severe agoraphobia and I am constantly worried about dying from physical ailments that do not exist. So I'm wondering what type of medication would be best for my anxiety and panic attacks with the fewest side effects especially sexual side effects, but to be honest it's something to take away my panic attacks and anxiety I would be thrilled and I guess side effects wouldn't be that big of a deal if it made me feel better mentally, I'm tired of going to hospitals and telling them I'm having a heart attack when its just a panic attack, I'm tired of going to the gastrointestinal doctor and coming inches away from getting an endoscopy in the colonoscopy just because I get constipated from opiate use. Everything for me is always worse case scenario and I react to it drastically I need something some regular non narcotic medication to help me with these problems<br />
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[Altered Moment]

I have a buddy who is exactly the same way. He has had so many tests on his heart and all that. The doctor tells him everytime that his heart is as healthy as a horse. I have finally convinced his it is the anxiety causing physical symptoms and he has to treat the anxiety. It is very rare he will take a xanax. mostly he runs to try to control it. I see him fighting it all the time though and he gets frustrated and worn out from it and yells at his kids.

Benzodiazapines are very very effective with no real side effects. If you take them daily for a long time and then want to stop they can have very bad withdrawal effects. They can be addictive if you are prone to that. If you take them just as needed for panic attacks or when things are real bad then the risk is low I think.

Some people get lucky and a SSRI or SSNRI will work for anxiety. They all have sexual side effects though.

[LastQuestion]

I was prescribed a benzo for insomnia and it helped for that, so I kept taking it. Eventually I developed severe tolerance and started having interdose withdrawal. Between the interdose withdrawal and rapid taper my CNS and stress response have taken a hit.

I have not had any serious anxiety issues in my life until withdrawal from benzos. I have, developed a predisposition to worry, to have disproportionate responses to stress due to the neurological, physiological, and psychological trauma caused by withdrawal from it.

I have found Ashwagandha extract and L-theanine quite helpful. It's interesting noticing how they affect me. Stress is still stressful, but it is not overwhelming. However, I learned the hard way that benzos and ashwagandha don't mix well, or rather, are tricky to mix to the point that it can be dangerous. In some ways mixing them increased my rate of recovery and in others took a toll I paid dearly for.

Yet, now, it is entirely beneficial with the only unpleasant aspect being it's diuretic action. I'm still recovering from the damage done to my CNS, but it's becoming clear I'm reaching a point that I can reduce the ashwagandha and adjust the Theanine. For me it's wonderful stuff, but some people respond differently, though, not in the way people differ in psychotropics, nothing so serious.

It's best to work with a psychiatrist when integrating substances like these into treatment as otherwise it requires a great deal of research and experimentation with no one to help at least offer some educated perspective. Examine.com has useful summaries and lots of citations for many supplements that would be of use to a clinician in assessing potential interactions between medications.