Our expert says:
You don't mention how long you have been taking the Lexamil - all ADs take 2 weks or a bit more to show their benefits, and on the other hand their side-effects are worst in the first week, as one adjusts to get used to them.
There are a great many alternative antidepressants that can be effective, whether taken for depression or panic disorder or other indications. You can't change to any other AD without a doctor's prescription, and suddenly stopping any AD can make you feel unpleasant for a while. So you need to re-visit your prescribing doc, for a review of the situation, a discussion of alternative meds, and how most comfortably to get there from here.
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