James Fowler3 said:I was actually expecting a different response from you, I still remember our discussions from quite some time ago...
My neuropsychiatrist prescribed me Eglonyl 2x50mg and Xanax 2x0.25mg for panic attacks—the diagnosis being anxiety disorder. I felt as though I had almost managed to overcome everything on my own, leaving only a few lingering fears, but then out of nowhere, a panic attack gripped me one day while I was home alone with the kids, and then another one just like it... and there I was, constantly calling someone just to have them stay with me, retreating back into all those old habits, reading up on everything... and now that the time has come where I have to be alone with them for the entire day, well, I simply cannot. I’ve been procrastinating for over two weeks on starting these pills because the idea of the tablets—of the potential side effects—terrifies me. But I see now that I cannot handle this alone, given the immense pressure of having to watch them all by myself the day after tomorrow. It's just... how things are...
I truly don't understand why he chose Eglonyl specifically. For instance, my mother used to take the same thing for hiatal hernia—she never had any mental health struggles—and they prescribe it for gastritis or stomach ulcers, yet it's an antipsychotic. Now, my doctor mentioned that much higher doses are used for psychosis, whereas these smaller amounts are for my situation. The pamphlet lists two indications: short-term treatment for anxiety disorders and behavioral issues in children over six years old. Psychosis isn't even mentioned, presumably because these are only 50mg capsules... and I read somewhere that it's prescribed when there is significant somatic manifestation, and I did tell him that the physical symptoms are what bother me most; essentially, the physical sensations start, and then the panic follows...
He told me to take it for two weeks, and if there is no improvement, only then would he consider adding something else...
I suppose I am rambling now, but there you have the details...🙂
I find myself wondering how long it might take before I feel better, and whether there might be any delayed side effects down the line (aside from breast tenderness, which is apparently quite common, but what can one do...)? I already feel a slight sense of relief, though I suspect it's actually from the Xanax, I'm not entirely sure. Ativan never provided this level of relief. It isn't completely unbearable, but it isn't quite "there" yet either...
Why magnesium? As for potassium, I read about it and it actually frightened me quite a bit; I wonder how he would know if I were deficient in potassium... and am I allowed to take a B-complex alongside this?
Well, they should have just prescribed you Sulpiride at 50 mg, but fine, Elgonyl is made of sulpiride anyway.
Yes, Sulpiride is used for things like anxiety-depressive disorders, among other things.
By the way, it can—though it doesn't always—cause amenorrhea, which is when your period stops. So don't go panicking over nothing... goodness.
For what you're going through, 50 mg twice a day would probably be best...
Milk production in non-nursing women is an endocrine issue and it is a completely common side effect; it will stop once the treatment is lowered or discontinued.
Just watch out for weight gain.
Sulpiride can occasionally cause your blood pressure to drop, so be careful not to stand up too fast or you'll get dizzy... and that's a major trigger for panic attacks. Seriously, it's such a simple way to prevent certain things.
It's the same story with standing for long periods... try to avoid that.
You can take B complex; there shouldn't be any issues there.
Dehydration can actually cause a potassium deficiency, and you definitely don't need that. Drink water...
Regarding magnesium, people often mistake the actual underlying condition for a magnesium deficiency—fatigue, exhaustion, muscle cramps, blah blah blah—it could be the illness itself or just side effects from the meds.
There is absolutely no shame in making sure you have enough magnesium. Just take an effervescent tablet and find some peace.
By the way, you have a good psychiatrist.
I honestly believe this combination will help you.