BuSpar, Xanax, or other Alternatives For Anxiety?

Nurses General Nursing

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I'm considering taking medication for a period as I cope with stress and increasing anxiety related to nurse-to-patient ratios on our med-surg unit and to our hospital going on line with computer documentation in just over a week-- not to mention Christmas being right around the corner. [see thread here:]

https://allnurses.com/forums/showthread.php?s=&threadid=50616

My intention is to use the medication for as short a time as possible. I've been doing reserach on the web about Xanax, and it scares me. Reserach on BuSpar makes it sound like something that may be helpful. I wondered if anyone had ever taken BuSpar or had any experience with its use by family/friends and patients. I've taken Paxil in the past for a little over a year and don't want to go back on it because of various unpleasant side effects and problems with weaning off.

I exercise regularly-- recently took up Spinning, and that really sweats out the stress-- try to eat right, have loving relationships with spouse, friends, and family, have a strong faith, able to cry prn, but I'm not coping so well lately. I'm not asking for sympathy or pity, just any ideas concerning meds-- especially Buspar, prn anti-anxiety meds, or other alternatives. (Anyone have success with Kava? Oh forget it-- just did research and FDA says it can cause severe liver damage. http://vm.cfsan.fda.gov/~dms/addskava.html) I tried Yoga a few times and am considering getting back to that, too.

I agree with much of the what has been written previously. I would avoid benzos at all costs not only because they are addictive but because they can "impair" you. And no one needs to worry about being impaired when they're trying to deal with anxiety and stress from their job. Frequently our doctors use low dose Seroquel or Neurontin for anxiety. Additionally, there is also Xanax XR which has been released and requires only once a day dosing. Allegedly it doesn't give the "buzz" like the benzos(regular Xanax) and it lasts 24 hours. Both Celexa and Lexapro are very effective in reducing anxiety. I've never seen BuSpar do anything for anyone! Find a good psychiatrist ( I believe they are the experts) and let them help you decide what's best for you. Good luck!

Originally posted by renerian

My doc put me on that for about a year after my mom died suddenly and I kept thrusting my tongue out. I could not stop. Went off it pretty quick!

renerian

Yuck! Sounds like extrapyramidal syndrome...I get this w/Reglan and Compazine.

Just an observation that is off topic (but on topic at the same time):

The replies have been a great example of different philosophies nurses have when it comes to pharacuetical intervention:

Prevention: a daily non-benzo medication,

Treatment: benzos on a PRN basis when other stress/anxiety reduction techniques fail.

RN PA I wish you the best of luck with what ever you do. Have you considered looking for another job? Sounds like your work enviorment is causing you all the stress. Medication can help with the the effects but not the cause. Before taking any benzo's or any other narcotics, call your BON and ask what the legal remifications of taking those meds could be. Several states require a medical review of your case before you can take these meds and work. What ever you decide, I hope things get better for you soon.

Hummmm...all this chemical stuff...if you can afford it, you might want to try a few Relaxational Swedish Massages...will relax you, promote circualtion and take you into another world for awhile. Save yourself time and anxiety and tear yourself away from all of this research on all the "poisons" out there and try something natural first....hey if it doesn't help, you can always go to the chemicals.

Meditation may help too...if you have time and can afford it, after your spinning class, get the massage and meditate for awhile afterwards...you'd be surprised at how much this helps and how many people use this method of dealing with stress without the risks of drugs.;)

Also, you might want to consider that it takes a few weeks for some of these drugs to reach therapeutic levels, by that time, X-Mas will be over with and some of this stress may go away....just a thought:)

Specializes in Med-Surg, Long Term Care.
Originally posted by montroyal

RN PA I wish you the best of luck with what ever you do. Have you considered looking for another job? Sounds like your work enviorment is causing you all the stress. Medication can help with the the effects but not the cause. Before taking any benzo's or any other narcotics, call your BON and ask what the legal remifications of taking those meds could be. Several states require a medical review of your case before you can take these meds and work. What ever you decide, I hope things get better for you soon.

Thanks for your good wishes and thoughts, montroyal; I've done a lot of thinking about other jobs and even getting out of nursing. But, without going into all the reasons, I want to stay where I am. Our hospital goes "live" tomorrow with the new computer system, and I will just have to accept and get through this period-- I have a lot of company since all of my co-workers are in the same boat.

Originally posted by PilotJim68

Hummmm...all this chemical stuff...if you can afford it, you might want to try a few Relaxational Swedish Massages...will relax you, promote circualtion and take you into another world for awhile. Save yourself time and anxiety and tear yourself away from all of this research on all the "poisons" out there and try something natural first....hey if it doesn't help, you can always go to the chemicals.

Meditation may help too...if you have time and can afford it, after your spinning class, get the massage and meditate for awhile afterwards...you'd be surprised at how much this helps and how many people use this method of dealing with stress without the risks of drugs.;)

Also, you might want to consider that it takes a few weeks for some of these drugs to reach therapeutic levels, by that time, X-Mas will be over with and some of this stress may go away....just a thought:)

Thanks for your thoughts, too, Jim. After considering your ideas and all the other responses, I'm going to try to get through this naturally. I'm simplifying Christmas preparation as much as I can, taking more time to pray, keeping up with exercise, and I will try to schedule a massage at the gym in the next week or so. Massages are expensive, but cheaper than psychotherapy and medication in the long run. ;) It's not that I'm against medications-- I will consider all the recommendations made here if I feel I can't get through this naturally. Only time will tell.......

I thihk you have made a good decision, and as you know, if the natural stuff dont work then there is always the meds. If you can find a good LMT that understands money situations, there are many deals out there. I offered my clients discounts for referrals, one free massage after 5 full price massages and some clients I even set up on a payment plan (depending on their needs). In the long run, massage is cheaper that psychotherapy and all the meds that come with it....not to mention it keeps the poisons out of your body. Hang it there though, there IS light at the end of the tunnel. Geeeze...I find it funny that I say that, after all I am only in my first semester of nursing school and I am saying there is light at the end of the tunnel....what am I thinking???:roll

Specializes in Med-Surg, Long Term Care.
Originally posted by PilotJim68

Hang it there though, there IS light at the end of the tunnel. Geeeze...I find it funny that I say that, after all I am only in my first semester of nursing school and I am saying there is light at the end of the tunnel....what am I thinking???:roll

Hey-- I'll take advice, encouragement, and hope from anybody-- :chuckle Thanks!

Perhaps I'll get the chance to return the favor for you some day. We all need to see the light at the end of the tunnel. The hospital went "live" today with computer documentation, but I don't work again until Friday, so I have time to (mentally and spiritually) gird my loins for battle in the next few days. First I have to recuperate from working the weekend, though. :rolleyes:

Specializes in Med-Surg, Long Term Care.

Well, since my previous post above, I've decided that I'm going to need more than getting through this period of learning computerized documentation "naturally".

I've spoken with the nurses who have been working this week with the new system, and came to the realization that I'm going to need some medication to help me through this, and so I made an appointment this morning with my family doctor. After researching your very helpful suggetions, I've decided I will ask for Lexapro. The doctor I'm seeing is new to the practice, so I'm not sure what her knowledge level of these kind of meds is or her philosophy of care for mental health issues.

I'll report on my Dr. visit when I return, and thanks again for your input.

Specializes in Med-Surg, Long Term Care.

I met with the doctor this morning and we discussed my various anxiety issues, and long story short, she wants me to try Wellbutrin XL. I mentioned that I'd felt positive about trying Lexapro, but she said that the 2 side effects from Lexapro could be bothersome: it's known for causing headaches (I already struggle with headaches on and off), and the sexual side effects are very similar to Paxil's-- reasons, among others, why I quit taking it. The doc. said that Wellbutrin has a good component for obsessive-compulsive problems. I'm the obsessive half of that, so could be helpful. I plan to research more on Wellbutrin tonight.

Problem was, when I took the Rx to be filled, the pharmacist informed me that because it's such an expensive med, the Wellbutrin has to first be approved by my insurance which could take a few days. :o I was really hoping to get started on it today to give it time to kick in. (They were out of samples at my Dr.'s office)

I did get a script for Ativan 0.5 mg q8h prn. I took some about an hour ago and I'm pretty sure I'd have to cut it in half for work because it's making me pretty drowsy and heavy-lidded. However, if I consider the adrenaline that'll be flowing this time tomorrow at work, I wonder if I'd be tired in the least-- hopefully, a little more relaxed. I just don't want to feel dopey. I'll keep seeing how I feel as I do chores and write Christmas cards tonight.

(On a side note, I spoke today before a staff meeting with a co-worker whom I totally respect and admire. She knows of my struggles and when I told her about my appointment and meds today, she admitted to taking Prozac over the past 2 years-- Really surprised me!)

RN-PA really eager to hear from you!! did you get on the wellbutrin xl???? i've considered going on meds a few times, especially when my anxiety bugs me, but i have done it naturally, i take kava form time to time but for the most part i train my mind to do what it must, hard though. I don't work either, i will be starting school soon here, in the Fall of 2011, thinking about trying something, so please if you would don't give up, let us know how things are going for you!!

You are an inspiration please know that : )))

Specializes in RETIRED Cath Lab/Cardiology/Radiology.

RN-PA hasn't been active on this board since 2007, and the thread itself is seven years old.

It is unlikely the member will be back to answer your questions, jewelspassion.

Thank you for your interest and kind comments to this member. :)

Thread closed.

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