BuSpar (buspirone) - Page 3 - Social Anxiety Forum

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post #41 of 151 (permalink) Old 07-16-2011, 05:01 AM
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Helps with GAD, but not for social anxiety. Like someone else said, when I think it's not doing anything and stop taking it after a few days I start to feel that ever-present sense of doom that comes with GAD, so it must be doing something.

I take it with Effexor.
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post #42 of 151 (permalink) Old 07-17-2011, 01:39 PM
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i've had permanent effects from buspar too..
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post #43 of 151 (permalink) Old 07-29-2011, 02:04 PM
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I am on buspirone 15 mg tabs 3 x daily. I take it with fluoxetine. At first, it seemed to help. But now I notice my attention span has decreased immensely and things like flipping through a magazine, reading a book and studying are no longer enjoyable. Whenever I try to "think" I get what I call brain cramps, what feels like pressure on the brain and no ability to retain any info whatsoever. Anybody else had this problem? I used to write also. Now I can't even think clear enough!
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post #44 of 151 (permalink) Old 08-07-2011, 06:28 PM
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My quick review of Buspar:

I am currently on 10mg of buspar x3 a day.

Initially at first I had dizziness and vomiting so I decided to break the 10mg pills to 5mg and take x6 a day. Worked like a charm, also an empty stomach helped avoid side effects.

So down the to experience. I am on day 10 of Buspar and I am extremely happy with the results. I had really bad anxiety on day 4 or 5 and it was horrible, I was about to quit buspar, Thank God!!! I didn't quit and came through it because now I have almost zero anxiety, I would almost compare this to a benzo working efficiently. I still have more months to go to reap benefits. So excited to finally find my one and only anti anxiety med.

I would give this med about 3.5/5 stars because I still have worry-related thoughts, It just gets rid of physical anxiety.
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post #45 of 151 (permalink) Old 08-11-2011, 06:53 AM
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It might as well be a sugar pill; does nothing for me.

Buspar -- for good reason -- has a strong reputation as the most ineffective psych med around.
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post #46 of 151 (permalink) Old 08-18-2011, 12:38 PM
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Originally Posted by redtogo72 View Post

This med didn't work for me either. I was taking 20mg. I couldn't ever get to the maximum dosage (60mg), because it was making me feel so sick.
Me too. I am taking the max dose right now and don't know how to get off of it. It works some days but not always. But most of all, as you said, it makes me sick, lethargic and I have gained a LOT of weight!
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post #47 of 151 (permalink) Old 08-18-2011, 12:41 PM
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BTW, has anyone ever tried buspar and st john's wort together? i'm trying it now. no effects so far. still gaining weight despite exercise and diet. Don't know if it's from the prozac, buspar, st. john's or a combination of two or all three. Grr. I wish I could find the right combo for me. I've spent 12 years trying to figure this sh** out!
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post #48 of 151 (permalink) Old 11-17-2011, 05:29 AM
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Originally Posted by barry1685 View Post
My quick review of Buspar:

I am currently on 10mg of buspar x3 a day.

Initially at first I had dizziness and vomiting so I decided to break the 10mg pills to 5mg and take x6 a day. Worked like a charm, also an empty stomach helped avoid side effects.

So down the to experience. I am on day 10 of Buspar and I am extremely happy with the results. I had really bad anxiety on day 4 or 5 and it was horrible, I was about to quit buspar, Thank God!!! I didn't quit and came through it because now I have almost zero anxiety, I would almost compare this to a benzo working efficiently. I still have more months to go to reap benefits. So excited to finally find my one and only anti anxiety med.

I would give this med about 3.5/5 stars because I still have worry-related thoughts, It just gets rid of physical anxiety.
wow lucky you. i took 10 mg yesyerday, felt so dizzy. Today i have not taken anything yet, but i feel my anxiety is much higher than usuall. Does it increase anxiety before it works, and how long should i expect this to last? Btw doesen't it produce more side effects if you take it on an empty stomach?
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post #49 of 151 (permalink) Old 11-27-2011, 07:28 PM
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I was prescribed 10 mg of Buspar three times a day originally. 30 minutes after taking the first pill, I passed out at the kitchen table. Luckily, my brother came by twenty minutes later and found me in a puddle of drool. It also gave me this horrible smelling black diarrhea for a couple days. So, my psychiatrist dropped me to 5mg two times a day. That left me light-headed and dizzy for the first three hours after taking it. The first half hour, I was fine, but I could feel it hit because I would lose focus and everything started spinning. The more active I was, the worse it became. However, if I laid down for three hours (awake not asleep) after taking the pill, then I didn't get dizzy at all. Kind of debilitating, but I stayed on it for three months. Never once did it decrease my anxiety attacks. Not even a little. After three months at 5mg twice per day, my psychiatrist bumped me to 10mg twice per day. One 10mg pill made me unable to function normally. The disorientation was impossible to deal with. I took this dosage for a few days and said the hell with it. I didn't get better. The cure has to be better than the disorder. In my case, it wasn't.
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post #50 of 151 (permalink) Old 11-27-2011, 07:39 PM
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Hives?


I just got prescribed 5 mg twice a day. This is my 4th day taking it and all I have noticed is very red and itchy spots on my chest. Anyone else?
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post #51 of 151 (permalink) Old 11-27-2011, 09:51 PM
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Retrospective


Hi All,

I just happened across this thread bookmarked when I'd first joined SA a month or two ago. I had to check my email to get my username, and it made me laugh then get serious when I remembered how stressed and anxious I was when I joined.

I really think for anyone reading this thread who is contemplating trying it, or asking to try it, don't let the naysayers discontent push you away, to your detriment.

Realize a few things up front:

1. This is not a Benzo, and will take 3-5 days to kick in most likely. Rarely less than that unless you luck out and get an initial good placebo effect. And often times a week or two, similar to an SSRI.

2. It IS hard to quantify how or if this is working for many people apparently. And I have to include myself. I know its working because I am now on a scale of 2-3 vs 9.9 when I joined SA. And I am on nothing else.

You're not going to get a Benzo-like sense of relief out of this drug.
What I seem to be getting is a significant reduction of GAD ( I guess thats what I have), and as someone else mentioned, almost no more of those anxiety spikes that seem to pop into your head and cause a physical sensation akin to being speared in the chest, rumination, and the gloom and doom over everything.

This is decidedly different than Paxil and even Lexapro.
If this works for you, be prepared for something of a minor miracle. I haven't gained weight, unlike the above mentioned SSRI's caused me, I don't have sexual dysfunction, I am not shut-down any more than normal, etc, etc.

The effect IS somewhat SUBTLE. I say SUBTLE, in CAPS, because I think a lot of people are used to the forcefield effect which strong SSRI's and Benzo's create.
I don't feel like I am divorced from reality like I did with Paxil/Lexapro. I can feel emotion, my highs/lows do not feel as though they have been clipped to a point where I am living in some intermediate narrow zone of "OK-ness".

I still get stressed and frustrated, however not anywhere near the almost job-quitting levels I was at a short while ago. Nothing there has changed much, perhaps a bit less, but not enough to account for my current well-being.

On the other hand, I can't believe some of the complaints regarding getting scripts/$$. Walmart has this for $4/month in 5mg/10mg tablets.
I read up and upped myself from an initial 7.5mg x2/day to 7.5 x3, and now I am at 15mg x2. I only just realized the other day I should have gone with the 10mg or 20mg to get the best Walmart price, but since I am seeing my Primary in several weeks, I'll ask him to either go to 10mg or 20mg/90days Rx.

I am so glad I persisted even after the first week or two when I felt it was not really working. After I upped my dose (and reading about it from Peer-related studies), things seemed to rapidly, but without noticeable fanfare seem to 'normalize'.

And, I just checked my JOINED date, and it was 10/20/11. Wow, only 5-6 weeks after all..... I have to agree with someone above who said some Dr. called it a Miracle Drug.


I forgot to add, I do feel slight dizziness after taking these occasionally, but then I usually take it upon waking on an empty stomach. Not dizzy enough to affect me to much, or impact my life.


For $4/month, its probably worth asking your Dr. to give you an Rx to see if you are one of the lucky one's it works for.

Average dose is 3x/day, with or without food as long as you are consistent.
2x/day is also what a lot of people do, may work as well, or not.
I am 2x/day because I did want to reduce some of the dizzyness, but I think mainly because I kept forgetting that middle of the day dose until around dinner time......
I've been thinking of going back to 3x/15mg just to see if it helps that much more to be worth the effort.

Also, Medical Literature. seems to explicitly approve of raising dose every 3-5 days upon starting. This is so odd compared to most SSRI's/etc, so don't dilly-dally at 5 or 7.5mg... I think they want to get you start initially, and obviously at the lowest dose, just to prevent those statistical outliers from side effects. However once you are on it for a week or so, if its not working start ramping it up. If you are on 3x/day, make it 4x. then 5x.
Of course I am not a DR., but talk to your DR. when you ask for the Script, do some reading beforehand of the Lit. where this is discussed as Normal Dosing Strategy, in the event your Dr. is not up on Buspar or is overly conservative.

I think 30-60mg/day is most commonly found to be effective, if its going to be effective for you.

OK, an hour writing this post. Hopefully someone reads this and writes back that they did talk to their Dr. and its working for them.
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post #52 of 151 (permalink) Old 11-28-2011, 02:08 AM
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Hi All,
OK, an hour writing this post. Hopefully someone reads this and writes back that they did talk to their Dr. and its working for them.
I really appreciate you taking the time to make this post and recommend that others read it as well. It really is invaluable and I appreciate how clear you are about talking to your doctor before making any changes to a treatment.

Thanks!
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post #53 of 151 (permalink) Old 11-30-2011, 12:45 AM
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Thanks Drew, though I probably won't get a similar response to a post I just made in the Hallucinogen thread....

Pursuant to that thread, yes, always run changes to your med by your Dr. first. However, be aware that many Dr's simply are not at the top of their game, and really don't keep up with current research anywhere near where they should.
Its all about time, and most of their time is spent with patients, and whats left goes to family. Any leftover, or if they are brand-spanking newly Doctored, goes to keeping current.
Hence my suggestion that people do their own research, if they want to further their 'healing'. I was initially put on Paxil, however after a time did my own research on its side-affects, and found Lexapro. Did a lot of reading on that from peer related articles, NIMH cites, etc, and after being somewhat dismissed by the PA at my Primary, found a new Dr. office with a incredible Grey's Anatomy PA who was very up to speed and agreed with my desire to switch.
That was over a year ago, and I've since been able to go off of it without major issue and think it was great for the duration. As great as any SSRI is ever going to be I guess.

I know this is a site primarily focused on SA, which I don't have. However the process is still the same.
Do your research, as best you can, not being a Psychiatrist or specialist, and try to find out what the current studies are looking at target-wise for your condition, Serotonin Antagonist, Agonist, Dopamine, Choline-Cortisol Syndrome, Hyper/hypo-thyroidism.
Then do searches on that and different medication, or look at some of the top Pyschiatric magizines (online) and see if they have done recent surveys of their member Dr's on what works, or doesn't.

I was surprised to find recently that a lot of old-school 1st Gen drugs such MAO's, Beta blockers and others are useful for numerous conditions, and lots more are being actively investigated/off-label used.

Within a short time you should be able to go in and talk with your doctor, and actually be able to talk/quiz him on your current meds, what they actually do, and alternatives.
Unless you are really going to a specialist, which I originally wasn't, you may be somewhat surprised that they aren't quite as knowledgeable as you'd thought.

Always be willing to find a better Dr. if you really feel as if you aren't making progress in a reasonable amount of time.
And I am a bit lucky here, as my mom was an RN, my sister a PA, my wife an RN.
*Hint, nurses and nursing are a huge cliche and hidden resource. If you know one or know someone who does, you rarely can go wrong by trying to get them to recommend a 'good' Dr.
Not that a reasonable Dr. won't also refer you if you ask, however it just as possible he'll refer you to a golfing buddy who specializes.

Hope some of this is helpful.

And by the way I did break my own rules above and upped myself without calling my Dr. from 2x15 to 3x15mg.
I believe the threshold I crossed at 25-30 is now peaking nicely at 45mg/day. But in my defense, I also know from the Lit. and when I saw my Dr. that this is still basically a middling dose, and nowhere near the high-end which seems variously reported to be 80-90.

In closing, in contemplating Buspirone now, I have to again reiterate that this seems to be a 'weak' drug. Its action seems to be very specific and "weak" because it is a serotonin 5-HT1A receptor partial agonist.

Although I believe I felt effects within a week or two, I've come to think its effect is so subtle that really may deserve its reputation for needing 3-4 week ramp-up to noticeable affect. Its also possible I am wrong, and starting at 15mg x2 or x3/day would have had a more pronounced and timely affect.

Unfortunately, the more I read the less I think this will be useful to many with SA. However as its available as a generic at Walmart for $4, it should be worth a shot if you are one of the minority of SA sufferers who do benefit from it.
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post #54 of 151 (permalink) Old 12-01-2011, 11:27 PM
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I'm really torn about this. My body is very sensitive to drugs. It couldn't handle SSRI's at all and Clonazepam was the only one it responded to with minimal side effects back in 2002. I just got a new doctor and she's gently suggesting this drug. She said it doesn't work for most people, but when it does work it REALLY works. What confuses me is that I was diagnosed with panic disorder & agoraphobia. GAD was a theory years ago...

The clincher is my disorder stems from the fear of the symptoms and it sounds like this drug emphasizes those symptoms (dizziness, nausea, not thinking straight...). I guess there's no harm in trying, right? I'm currently on Clonazpam (1 mg/day).
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post #55 of 151 (permalink) Old 12-02-2011, 02:21 AM
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Seafolly,

I originally came back because I wanted to post some quality info/link to Buspar, specifically relating to dosing and current established and recommended dose increase schedule. Its here: http://www.rxlist.com/buspar-drug/in...ons-dosage.htm

My comments above were actually more conservative than whats recommended.


In your case, just as a layman, you seem more concerned with -possible- side effects than the possible help this could give you.

At a minimum this could help with the panic, though most likely not the agora. Not that I've happened to run across in my reading.

You may be one of those statistical outliers who just happens to be way more sensitive than most in the median standard deviation, or the center of the bell curve.

As such, I would consider doing what your doctor suggests, and maybe start Buspar, but after more thinking, considering your concern, see if you can get the 5mg Rx, and use a pill cutter to split them and do 2.5mg 2x/day and see how that works for a week or so. This drug is really like bringing a paring knife to carve the Thanksgiving turkey if that helps visualize things.
I doubt you'll see any affect either positive or negative at this level, but if might be easier on you mentally.
After a week, simply move to 5mg 2x/day, and monitor for a week.

On the flip side, after re-finding and reading my link above, I am going to start taking mine with food, and see if that improves bioabsorption and hopefully reduces the occasional short term light-headedness.
Either way, since I assume I have some form of GAD w/Panic on the side, similiar too you, I would really suggest you try to give it a shot.

Would like to hear how things go for you.
Best of luck.


Quote:
Originally Posted by seafolly View Post
I'm really torn about this. My body is very sensitive to drugs. It couldn't handle SSRI's at all and Clonazepam was the only one it responded to with minimal side effects back in 2002. I just got a new doctor and she's gently suggesting this drug. She said it doesn't work for most people, but when it does work it REALLY works. What confuses me is that I was diagnosed with panic disorder & agoraphobia. GAD was a theory years ago...

The clincher is my disorder stems from the fear of the symptoms and it sounds like this drug emphasizes those symptoms (dizziness, nausea, not thinking straight...). I guess there's no harm in trying, right? I'm currently on Clonazpam (1 mg/day).
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post #56 of 151 (permalink) Old 12-02-2011, 09:47 AM
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It's very true - I can't deny I'm fuelled by fear more than anything else. Whenever a doctor mentions going on yet another drug I immediately tense up and politely decline. Previous doctors that I did take prescriptions from abused it (one, a well respected one, even admitted she thought of me as a guinea pig!) and I'm pretty upset about being on Clonazepam still, 10 years later. At 16 I was only concerned about the good it could do and trusted the doctors to know the risks and monitor me, not to mention wean me off when I was in a good spot. So now I focus on anything but the good it could do (as none but Clonazepam were worth it) as I don't feel I can trust the professionals to do their job.

Then, of course, there are the countless drugs that I was put on, each causing me to be so physically sick I practically lived in my bathroom for a month. So I guess it's a mix of mistrust and fear of reliving what I experienced those years ago. This doctor is very new to me, I've only met with her four times now and so I've yet to put my trust in her. It's funny to think I went from one polar end to the other.

I'll try it...mostly because I now know there are people on here to speak to (well, you) about it.
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post #57 of 151 (permalink) Old 12-02-2011, 09:52 AM
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hello everyone im new on here my head started shaking basicly like a year ago my husband noticed it he thinks its cute but i think its really embarrassing n makes me sad i try n hide it so ppl dont look at me like whats wrong with her my ex use to hit me and he hit my head a few times i dont kno if that caused it i dont even kno if its a anxiety thing cuz i never got it checked out cuz i dont have health insurence but it kinda seems like its getting worse its like when im layin in bed my heads fine but when im doin things it starts to shake idk what do to
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post #58 of 151 (permalink) Old 12-02-2011, 10:13 AM
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I am referring you to the National Association of Free Clinics, here: http://freeclinics.us/
25.7 miles away from Gloucester City, NJ is a clinic in West Chester, PA: http://freeclinics.us/clinics/commun...teers-medicine

Please call them and see them as soon as possible. You don't want to wait around with a head trauma.
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post #59 of 151 (permalink) Old 12-02-2011, 12:00 PM
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I just got prescribed 5 mg twice a day. This is my 4th day taking it and all I have noticed is very red and itchy spots on my chest. Anyone else?
that could be an allergic reaction. you need to tell this to your doctor. like today. read up on the side effects - http://www.drugs.com/sfx/buspar-side-effects.html

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post #60 of 151 (permalink) Old 12-02-2011, 10:17 PM
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It's very true - I can't deny........
I'll try it...mostly because I now know there are people on here to speak to (well, you) about it.
I would have a real heart-to-heart with your current Dr. at the very next opportunity. I would explain how your past has caused you to distrust Dr's, and see if she can put you at ease or demonstrate why she is different.

So far, I have not seen a specialist, such as a Psychiatrist. However I think my condition/s have been have been less disabling than yours, and I would suggest you try to get a referral to one in the event you are seeing a General Practitioner or other non-specialist.

All I can really say with my current level of understanding of Buspar and SSRI's in general with my experience, is that the side affects if any, should be very moderate at the low doses you will most likely be taking. And at the worst, Buspar does not have that Paxil-flu type affect which requires a rather involved weaning process. There is another forum based solely on weaning people off of Paxil, and to a similar but lesser extent Lexapro, etc. Everything I've read about Buspar is that there basically is no after effects of stopping cold turkey.

I hate to say it, but I think everyone is a bit of a guniea pig to some extent to every doctor. We all have different psyiologies(sp), and are going to react in slightly different ways to all drugs.
It might help if you think of this from the perspective of statistics. And its how drugs are devised, manufactured and graded against effectiveness.
In case you haven't taken Statistics, you can find layman's pages on the net, of which this one is good for a simple graphical explanation. http://en.wikipedia.org/wiki/Normal_distribution

I was going to go on and on, however I decided to find a link that would mean something to you personally, and happened across this one.
Its very useful, clear, and actually I was surprised that it seemed to mirror you and your history rather closely.
The most interesting thing though was that pills will only bring about temporary help, which is often needed. But using them in addition to CBT can help you make -permanent- changes to your brain biochemistry.
Now -I'm- interested....
http://www.anxietynetwork.com/pdmed.html
As you can see, Buspar in this authors opinion/experience has not been very useful with panic/agorphobia.
But the older MAO's appear to be much, much more useful, and some of the dietary restrictions appear to be manageable and of minimal impact compared to the help they can bring. The bottom part of the page appears very sound in advising you to find a Social Anxiety specialist if possible, and if you have coverage that allows it.
If you don't, you should print it out or send your Dr. a link to it before your next visit so she can review it.

So, after all this I think Buspar may offer some hope, but am not sure I would bet on it. But then as I said, its a fairly weak drug with subtle onset, which might be worth the $4 cost and month's time to give it a chance.
The MAO's should, statistically speaking, be a much better choice. I know you still resent the fact that a doctor told you that you were in effect a guinea pig, but to be far, he was being honest with you, and he more than likely would have explained it in more contextual detail as I've tried to do, if he knew it would have such an impact on you.
Try to reasses what he/she told you, and take a moment and think if he really was just playing roulette with you, or perhaps didn't give enough context to his explanation.

Best of luck, and come back and post on your progress if you can.
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