In a message dated 10/11/03 5:35:51 AM, Jacquie “Soulkiss” <
soulkiss@…
<
weeks, because of all my dark thoughts. I am onm 20 now but will progress to
30 soon.
Jacquie, please be careful of this. The other day I mentioned that the newest
research coming out (including that from Lexapro’s manufacturer, Forest Labs)
shows that dosages above 10 don’t have any therapeutic effect, just increased
side effects. Remember also that 10mg Lexapro is roughly the same as 40 of
Celexa… so you’re at 80mg Celexa now, about to jump to 120mg (!)…
Also, remember that Lexapro is an “entianomer” of Celexa… basically, Forest
took Celexa, cut the molecule in half, and took the part that works, and
disposed of the rest (in thinking it would reduce side effects). While it have
greatly reduced side effects, and is much more powerful and effective in smalled
dosages, what that process also means is that is is very narrow in the
specific brain receptors it reaches. Compared to other SSRIs, Lexapro has a
beautiful
side effect profile because it only hits a few receptors. This also means it
works wonderfully for some people, and has no effect on others.
If you are having “dark thoughts” still, I urge you to talk to your
psychiatrist and try to find another solution — Lexapro might not be the best
for you.
Another SSRI or even an antipsychotic like Risperdal can sometimes do the
trick. I don’t know your particular situation, but I hope this helps improve
your
quality of life soon
Next… there has been discussion on good starting dosages… 10 is
recommended by Forest, but 5 makes sense as well, because it gives the body time
to
adjust to the side effects (usually headache, insomnia, sexual side effects
and/or dizziness). Someone had mentioned getting a prescription for Valium… a
benzodiazepine is a great temporary solution when beginning an SSRI because of
the long onset of action. Valium (diazepam) in particular is a good choice
because it has a long half-life, and as long as you don’t keep taking it, it’s
potential for addiction is less that others (i.e. Xanax). A request for 5mg
Valium
qd for maybe 2-3 weeks might be a good idea.
Wishing everyone the best,
Brian in Houston