Many medications have a sedative effect that lasts up to a few months before they wear off. In addition, many doctors do not consider the size of the individual being medicated when the dosages are determined. A 6'5" man requires a different amount f medication than a 100lb woman. One should ask the doctor if they are considering this when prescribing. All the medicines that you have mentioned have a sedating effect: Cymbalta a SRNI, ambien a sleep med. paxcil a sedating SSRI, Trazadone a very sedating tricyclic that is only given at night because of its sedating effect; Klonopin, valium, and xanax are all sedating benzodiazapines. Ambien is a sleep med that is known for its hang over effect. Do yu have problems sleepin? I would question, my doctor about this and request a non sedating SSRI. I wold also consider Conitive behavioral Psychotherapy that has no side effects.
I would recommend the use of Cognitive Behavioral Therapy. In CBT, one is taught new ways of thinking and behaving and as a result, one's mood improves. anxiety and panic attacks decrease. In addition CBT is evidenced based as the most effective form of treating anxiety. See:
Best wishes and good luck. Consider non sedating medication and CBT which is effective on anxiety and depression. Melissa, I have to get off now to see a patient Aain best wishes.
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