Survey...medication.

Nurses General Nursing

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I am curious, and this may have been asked before, but how many, who are willing to admit, have had to start an anti-anxiety and/or anti-depressant medication due to job stress or for personal well-being? I find myself making this decision due to worrying too much, not enjoying my days off like I should, like I am still worrying about my work when I leave or when not there, getting stressed out too easy, not being healthy about eating right (although some days it is just too busy to take that lunch), etc... My floor is just really crazy busy. I am considering starting something for this, and discussing it with my PHP.

I had a doctor tell me once our general medical health is like a continuum, and you cannot expect to go your whole life without some kind of illness, medical problem, cold, etc.., and that mental health is the same thing, it is a continuum, and you cannot expect to go through your entire life without something, whether it be due to a stressful event or whatever...thought it made sense.

I have to learn to take care of myself first, huh? A lot of nurses just do not do that.

Specializes in Peds/outpatient FP,derm,allergy/private duty.

Meds for depression are very common. I'm wondering if the anti-anxiety drugs you are taking are benzodiazepines, and if so, do they cause sedation? Is there a problem with them showing up on a drug screen because benzos are sometimes used recreationally?

Meds for depression are very common. I'm wondering if the anti-anxiety drugs you are taking are benzodiazepines, and if so, do they cause sedation? Is there a problem with them showing up on a drug screen because benzos are sometimes used recreationally?

I am currently not on anything...just considering it. Benzos are a prn option we are thinking about...I would probably take at night to help me sleep a little better. Even a lower dose in the AM to help. It would not be a problem drug screen wise with a prescription, as long as alert and focused at work, of course. I've heard Klonopin is a good one and discussing it...it sounds like a good option with less sedation and lasts longer/longer half-life in system...and "smoother" (if that makes sense) than Ativan or Xanax...guess b/c it is like a slower release over time in the body. I know like any of these meds, it is one that you get over initial side effects of maybe some drowsiness. I am researching it, considering my options. I have tried positive self-talk, journaling, but still may need a little medication to help with this anxiety, even think I am having anxiety attacks (not full-blown panic attacks...yet) and maybe some minor depression.

LOLRN,

You sound a lot like me. I am an LPN but my job is very stressful (at least to me). Since becoming an LPN 5 years ago I have gained weight and my anxiety is at it's worst. I always have been an anxious person but much more so due to my line of work. Yes, I take anti-depressants, anti-anxiety medications, and I am trying to lose all this weight I have gained. It has gotten to the point that I would rather work at a fast food joint or Walmart. Much lower stress!!! If only Walmart would pay better, lol. I love taking care of patients but hate all the bullsh-- that goes along with it!

I agree...Walmart...hmm...:D I have the opposite problem with weight. I have always been small, and I am losing even more weight lately, but some of that is due to no time to take lunch and some to loss of appetite. Even when I do , it is hard to relax and chill to just sit and eat and enjoy that time. Thanks for your input. I want to be nurse, I do have my good days some and know it is for me, and I do enjoy taking care of MOST patients (haha), but it is a high stress environment.

Specializes in Peds/outpatient FP,derm,allergy/private duty.
I am currently not on anything...just considering it. Benzos are a prn option we are thinking about...I would probably take at night to help me sleep a little better. Even a lower dose in the AM to help. It would not be a problem drug screen wise with a prescription, as long as alert and focused at work, of course. I've heard Klonopin is a good one and discussing it...it sounds like a good option with less sedation and lasts longer/longer half-life in system...and "smoother" (if that makes sense) than Ativan or Xanax...guess b/c it is like a slower release over time in the body. I know like any of these meds, it is one that you get over initial side effects of maybe some drowsiness. I am researching it, considering my options. I have tried positive self-talk, journaling, but still may need a little medication to help with this anxiety, even think I am having anxiety attacks (not full-blown panic attacks...yet) and maybe some minor depression.

Panic attacks are no fun, that's for sure! I used to start feeling them every day when I was about fifteen feet away from the elevators taking me to my floor! It dissipated as I got into the "flow" of the day, but the apprehension about all the "what-ifs" that could happen on any given day freaked me out. I started in a pretty high acuity unit. Wish I had allnurses back then to vent some of it! Hope you are able to find the right balance of meds-plus lifestyle (relaxation techniques, etc) that works for you! ;)

Specializes in General adult inpatient psychiatry.
I am currently not on anything...just considering it. Benzos are a prn option we are thinking about...I would probably take at night to help me sleep a little better. Even a lower dose in the AM to help. It would not be a problem drug screen wise with a prescription, as long as alert and focused at work, of course. I've heard Klonopin is a good one and discussing it...it sounds like a good option with less sedation and lasts longer/longer half-life in system...and "smoother" (if that makes sense) than Ativan or Xanax...guess b/c it is like a slower release over time in the body. I know like any of these meds, it is one that you get over initial side effects of maybe some drowsiness. I am researching it, considering my options. I have tried positive self-talk, journaling, but still may need a little medication to help with this anxiety, even think I am having anxiety attacks (not full-blown panic attacks...yet) and maybe some minor depression.

FWIW, Klonopin was a lifesaver when I was having panic attacks on a regular basis for something completely unrelated to nursing. I was taking 0.5 mg BID for a couple of months until my mood stabilized (and the mood stabilizer took the edge off of the anxiety) and it was great. I didn't feel any sedation, though if I take one PRN now and again because my body isn't used to using it all the time, I do find I get a smidge sleepy.

It's great that you're exploring different treatment modalities. Positive self talk and journaling are great coping skills and they help to treat the cause in addition to the symptoms we sometimes have related to anxiety.

Specializes in Telemetry/PCU.

Ok so benzos are ok to have in your system, with a prescription? And narcs are not? Is this correct information?

Ok so benzos are ok to have in your system, with a prescription? And narcs are not? Is this correct information?

All I know is you have to report the medications you are on to the employee health nurse at my hospital. I am sure there are nurses out there on narcotics for chronic pain or stuff, and if they have a drug screen, they have a prescription for it. The important thing is not to be impaired at work. I knew a CNA that had a prescription for a milder narcotic for back pain, if she had a random drug screen, what can they do? She was not impaired at work ever when I worked with her. She was a great CNA.

I have anxiety and take Xanax, 1mg twice daily PRN. I only take 0.25mg before starting my day at work because I don't want to be "impaired" while working. I want to be very alert at all times while at work. Anxiety can hinder one as well though, so the 0,.25mg just helps a little with my anxiety while at work without impairing my ability to think. When I get off work, I take 1mg of Xanax. This helps me sleep at night. I don't think a person has to report this at work unless they seem impaired (Personally, I think it's none of my supervisors business). Of course, if I had to take a drug test, I would start pulling out my prescription bottle.

Specializes in ED, Med-Surg, Psych, Oncology, Hospice.

I personally take Zoloft. I'm more angry than depressed. Or was .... I'm better now!

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