AskDocDoc
/
/
/
Medications for anxiety and depression
FREE!Ask Doctors — 24/7
Connect with Doctors 24/7. Ask anything, get expert help today.
500 doctors ONLINE
#1 Medical Platform
Ask question for free
00H : 47M : 56S
background image
Click Here
background image
Mental & Emotional Health
Question #10271
352 days ago
485

Medications for anxiety and depression

Gina smith

I am currently taking ativan 4 mg daily for anxiety and effexor 75 mg daily. Just cross tapered off lexapro with last dise taken a week ago. Have been taking effexor fir about a month. Still having periods of severe anxiety and feelings of disconnection. Should this be happening on my current regimen? Also waking during the night and morning with anxiety. What would you recommend

Age: 60
FREE
Question is closed
FREE! Ask a Doctor — 24/7,
100% Anonymously
Get expert answers anytime, completely confidential.
No sign-up needed.
CTA image asteriksCTA image

Doctors' responses

It’s not uncommon to still experience anxiety during a medication transition, like you’re describing with the cross taper from Lexapro to Effexor and ongoing use of Ativan. Effexor (venlafaxine) usually takes several weeks to build up to a therapeutic level, especially when transitioning from another antidepressant. However, if you’re having severe anxiety and disconnection, these could be side effects or signs that your current regimen might need some adjustments. With Ativan (lorazepam) at 4 mg daily, which is a relatively higher dose, tolerance could reduce its effectiveness, or the medication could be contributing to feelings of disconnection or even worsening your anxiety. The waking anxiety might relate to the natural dip in medications levels overnight or potentially other issues like withdrawal from previous medication. It’s really important to consult your prescribing doctor here for an assessment. They can help evaluate whether your Effexor dosage needs adjusting or if any other issues might be influencing your symptoms. It’s also worth discussing non-drug strategies, like cognitive-behavioral therapy (CBT), that can be extremely beneficial alongside medication to manage anxiety. Night-time routines that focus on reducing stimulation and practicing relaxation techniques before bed might help alleviate waking anxiety. Be open with your healthcare provider about these symptoms so they can tailor a plan specific to your needs. Remember, while Effexor takes time to work, you shouldn’t feel worse during the process. Immediate evaluation by your doctor is advisable if anxiety becomes overwhelming or unmanageable.

20599 answered questions
91% best answers
Accepted response

0 replies
FREE! Ask a Doctor — 24/7,
100% Anonymously

Get expert answers anytime, completely confidential. No sign-up needed.

About our doctors

Only qualified doctors who have confirmed the availability of medical education and other certificates of medical practice consult on our service. You can check the qualification confirmation in the doctor's profile.


एक टीनएजर के तौर पर मुझे अपने गहरे दुख और गुस्से की भावनाओं के बारे में क्या करना चाहिए?
I'm suffering from depression anxiety fits from 7 years that's why I'm not Able to do study
Struggling with Memory Issues and Mental Health Conditions
ओसीडी की दवा के लिए मनोचिकित्सक की मदद लेना
मेरे अंदर जो आवाजें आ रही हैं और ऐसा लग रहा है कि कोई मशहूर व्यक्ति मुझे कंट्रोल कर रहा है, इसका कारण क्या हो सकता है?
मुझे आवाजें सुनाई देने और किसी मशहूर व्यक्ति द्वारा नियंत्रित महसूस होने का कारण क्या है?
अगर मैं 17 साल का हूँ और मुझे निराशा, डिप्रेशन और रोज़ाना सिरदर्द हो रहा है, तो मुझे क्या करना चाहिए?
जुनूनी विचारों के लिए दवा की तलाश
Pain in neck for almost 4 months now
मेरे भ्रम और बढ़े हुए यौन विचारों के साथ अवसाद का कारण क्या है?
I usually feel energetic and not sleepy
I have health anxiety i constantlyfear of getting lofe threatening diseases
Pain in neck for 2.5 months.....
Forhead and temples pain without any another symptoms
How to get rid of OCD and stress?
How to develop emotional stability
Insomnia depression anxiety mood swings
Concerns About Side Effects from St. John's Wort
25 साल के युवक के लिए सामाजिक स्थितियों में लगातार मतली और चिंता का सबसे अच्छा इलाज क्या है?
Concerns About Porn Addiction and Anxiety
Neck pain since 2.5 months with no injury
How to get rid of attachments quickly
Anxiety since 2 years after break up
मेरे दिमाग में धुंधलापन, चक्कर आना और गतिविधियों में रुचि की कमी क्यों हो रही है?
मेरी चिंता और लोगों पर भरोसा करने को लेकर भ्रम का कारण क्या है?
अगर मैं 17 साल की उम्र में उदास महसूस करूं, आंखों के नीचे काले घेरे हों, सिरदर्द हो, और मल और नाक से खून आए तो मुझे क्या करना चाहिए?
Mujhe acha feel nhi ho rha kisi baat krne ka mnn nhi hota bhookh lgti h pr khane ka mnn nhihota ye sb thik kaise hoga?
I have pain in right side of my head for sometimes
मेरे लगातार ओवरथिंकिंग और पैनिक अटैक का कारण क्या है, और मैं सुरक्षित इलाज कैसे पा सकता हूँ?
मेरे दिमाग में धुंधलापन, चक्कर आना और ध्यान केंद्रित करने में दिक्कत क्यों हो रही है?