Our expert says:
I gather that Pexamil is a generic Escitalopram ( and thank goodness, then, a cheaper alternative to the horibly over-promoted Cipralex ). Alcohol is never a good combination with ANY antidepressant or indeed many other drugs, and f course as it is primarily a brain depressant, its not good stuff to take when depressed, anyway. Marijuana is also not really good for the brain, and may cause worse problems if one has some inborn tendency towards psychotic illnesses. ANd with any drug like alcohol or marijuana that affects brain function, withdrawal from it can also disturb chemical balances.
SO, as you have managed to do without the marijuana for some days, you know its a behavioural habit and not a dependency with you --- so why not stop it anyhow ? The aim of your treatment ( and personally, I'd add some CBT counselling to it, as that is great and with lasting benefits for both depression and anxiety ) will be to give you control over the anxiety symptoms WITHOUT needing anything more, whether marijuana or not. Its interesting that apparently you cope fine with work anxieties without smoking it, and smoke it nights and weekends when presumably your anxiety levels would be lower, anyway.
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