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RND2011
02-03-12, 21:39
Hi all

I haven't posted for a while and if you read any of my previous posts you will see that I have struggled with panic attacks for some time particularly relating to driving. I was also suffering from depression.

SSRIs definitely do not agree with me so my GP suggested I might want to see a psychiatrist to consider other options, particularly to help with the anxiety that was fuelling the depression. This inevitably meant a private appointment at a cost of £240. After a lengthy session the psychiatrist suggested that I try pregabalin (Lyrica) initially on a low dose but raised by my GP after a couple of weeks. I was advised to continue taking the anti-depressant Lofepramine.

As I understand it, this is actually an anti-epileptic drug which is licensed for the treatment of anxiety. I believe this is why only specialists can prescribe it for anxiety.

Whilst I accept that not all medication is for everyone I urge any sufferers of anxiety and panic to at least explore this option. Although I would not say I find driving entirely comfortable I am now back to making longer journeys and everyday driving is no issue at all. If I do feel anxious the feelings somehow do not go anyway - almost as if the drug dampens them down.

I have experienced virtually no side effects with occasional mild dizziness being the most noticeable.

Anyway, I hope that you will at least consider discussing this with your GP. I am sure that panic attacks and anxiety can be reduced by other means but I also felt at the time that I just could not beat it and the fear of an attack was just too much. To think that two pills a day could bring about such a change is remarkable and I wish I had discovered pergabalin earlier.

ZD
02-03-12, 21:44
Well done on your progress , fantastic news you
are able to do the long journeys again , you should be proud of your self , I believe it's not just the medication yes that helps but believing in your self to want to improve . So proud of you .
Zoe
Xxx

RND2011
02-03-12, 22:13
Thanks for replying.

I agree - I think one of the benefits of the meds is that they help you to use the other techniques. The fear does rise but knowing that a panic attack will not develop gives you the confidence to put the other methods into practice.

As I said - not every drug is for everyone but pregabalin may help to break the spiral of fear and avoidance.

Pipkin
03-03-12, 00:23
Hi RND,

Great to hear a positive story so thanks for sharing - really good news! So many people here struggle with SSRIs and this shows there is another medication that can work. The NICE guidance says for GPs to consider pregabalin as the third line medication choice as it is relatively expensive - it's about £70 per month for an average dose as opposed to £1.70 a month for sertraline which is the first medication to be recommended.

I struggled with sertraline but found success with venlafaxine (an SNRI). If this wasn't successful, I was going to push for pregabalin so I agree with you.

Take care

Pip