Hi all. I saw my (worthless psychiatrist today- I’m seeing a new one in March)
I suffer from severe anxiety and panic, OCD (ruminating thoughts, racing thoughts, intrusive thoughts), derealization, severe insomnia, agitation and depression. I have tried many many medications. Nothing has helped.
I specifically went to talk about trying Nardil today. She’s willing to let me try this, but will have to go off Zoloft and remeron for 2 weeks which scares me. Then if Nardil doesn’t help/work, I’d have to wait another 2 weeks to get back on something else.
She offhandedly asked if I had ever tried rixulti and I told her no. So she pulled out a sample pack for me. I’ve been reading reviews of drugs.com, and it seems that it helps many people with depression, but makes OCD, anxiety, agitation and insomnia worse. Doesn’t sound like a good medication for me.
Was hoping for some thoughts on this. TIA
Hi everyone. I’ve been dealing with unbearable symptoms for over 4 years. Insomnia, racing thoughts (OCD), derealization, irritability, brain fog and depression.
I have tried so many medications, but none help. My insomnia and anxiety are through the roof and I have 24/7 derealization. Years ago, 2007, when I was struggling with depression, my psych talked about starting an MAOI, but we instead we added geodon to Zoloft and it worked (for awhile)
Long story short, I developed sudden onset ruminating thoughts (in form of OCD), insomnia and Anxiety in 2009. After many trials of meds (I’m adverse and paradoxical to most) I finally was put on remeron which got me sleeping again and in turn helped my other symptoms.
From 2010-October 2014 I did relatively well, that is until remeron stopped working and all my symptoms came back.
Since I have been inpatient several times trying every sleeping med , bipolar med, SSRI etc with no relief.
Mom wondering if an MAOI could help me? Can MAOI’s treat anxiety? Racy brain? I’ve read they can make insomnia worse, which I don’t need.
Symptoms: severe insomnia, lucid dreams/nightmares, 24/7 derealization, severe anxiety and panic, major depression, brain fog, dizziness, migraines.
I believe, like in 2009-2010, many of my symptoms are from sleep deprivation. I am very desperate to get control over my anxiety and sleep. I’m at the end of my rope.
Could an MAOI help me as a last ditch effort to get some kind of quality of life back?
Current meds: weaning off Zoloft, weaning off remeron, geodon 20 mg X2, Ativan 5 mg per day (please don’t jump down my throat about this, it will give me a panic attack. I know it’s a high dose and I need to taper this too), prazosin 2 mg.
I made the prolonged mistake of not refilling my meds for about 3 weeks. Whoops! I'm on 20 mg of aripiprazole (Abilify) and 200 mg of lamotrigine (Lamictal), which I've been on for about 2 years in varying doses. So my friends finally took me to the pharmacist today to pick them up, but I want to make sure I'm safe about going back on. Should I slowly increase dosages? Or can I just start back on my normal amount ASAP? I would go to a psychiatrist to figure this out, but I there aren't any appointments for another 2 weeks.
Circumstances in my life are driving me to extreme levels of anxiety and tension, and benzos do very little if anything for me. The current PRN antipsychotics I use (Stelazine and Thorazine) either work and are not able to be ordered (Stelazine), or do little if anything at doses that aren't sedating and are too sedating at doses that actually do something for my anxiety (Thorazine).
I'm looking for an AP that isn't too sedating that will work for anxiety, and wonder if anyone has taken any of these for anxiety.
AP's and AAP's I've tried:
chlorpromazine (Thorazine: see above) fluphenazine (Prolixin: took for Tourette's but did nothing for anxiety) haloperidol (Haldol: an emotional sledgehammer--makes me feel zombified even in low doses) loxapine (Loxitane: actually did quite a lot for me mood-wise, but not much for anxiety; nevertheless, pdoc refuses to prescribe it anymore... I suppose I could get it from my gdoc?) pimozide (Orap: took for Tourette's, not fond of this one, did nothing, want to avoid because of cardiovascular side effects) prochlorperazine maleate (Compazine: does nothing for me...) trifluoperazine (Stelazine: see above) aripiprazole (Abilify: currently taking, does a lot for mood, but does very little if anything for anxiety...) Latuda (lurasidone: can't take anymore... insurance pays 50% of retail value of drug, so it's ridiculously expensive, even with copay card, and can never seem to qualify for PAP's) olanzapine (Zyprexa: currently use PRN, but causes extreme weight gain after just days of using, which is a no-no for me as I'm already very obese and trying to loose weight) quetiapine (Seroquel: not effective at any dose and causes weight gain) Rexulti (brexpiprazole: caused worsened depression from a dose range of 0.25-3 mg, so no thanks... insurance only pays for 50% of this one...) Saphris (asenapine: actually did quite a lot for my anxiety for quite a while, but began to flatten my affect, and eventually made me extremely dysphoric and have crying spells; besides, my insurance only pays for 50% of this one too) Vraylar (cariprazine: worsened depression over a prolonged period of time while taking at 3 mg, didn't have enough strength to stabilize my mood at 1.5 mg, 4.5 mg caused extreme dysphoria and terrible akathisia, and insurance will only pay 50% of retail cost) ziprasidone (Geodon: this one helps with psychosis, mood, and a little bit with anxiety, but at the dose that it helps with this, it is a bit too sedating to handle; this one may be worth revisiting, but the aripiprazole is hard as hell to get off of...) I don't want to get mixed up with thioridazine (Mellaril)...
I've read that perphenazine has good anxiolytic effects, but can be sedating. I have idiopathic hypersomnia, so that would be a bad thing to combine with that.
I've read that thiothixene has a psychostimulant effect at low doses (below and around 10 mg/day), but I don't know anything about any anxiolytic effects it may have, and I imagine the stimulant effect it purportedly has at lower doses might not be good for anxiety. I would hope to get away with a low dose of this one since it's a FGA.
I've also tried all the other anxiolytic agents like Atarax, Vistaril, BuSpar, etc., SSRIs/SNRIs/SARIs/SMSs/various TCAs/amoxapine/mirtazapine/etc./various anticonvulsants, so I'm not looking for alternative advice, see my signature as to other meds I've tried before recommending an alternative to these two meds. The only anxiolytic agents I've not tried are the barbiturates and meprobamate (Miltown).
Can anyone who has had any experience with these two AP's give me any insight into their effects on anxiety?
Bipolar sucks so much.
i got a high paying job and it’s not glamorous at all. I’m a woman, and it’s traveling in construction management. I actually used to work for the same company several years ago and did very well, but I wasn’t cycling and was unmedicated with no need for medication. My how times have changed.
im very sick now. I’ve been off work for 6 months and tried to get back to work and thought this would be a good job. I must be crazy. I can’t handle the stress at all. It’s destabilizing me rapidly. Another thing that’s a ticking time bomb that just tells me I need to quit ASAP. My psychiatrist back home. The last time I saw him was October 18th. I told him I was going to get back to work and travel and he thought it was a good idea and he assured me he could call in my scripts to any state and as long as I saw him once a year that would be fine. Well, I called about a month later to get call in scripts and he was taking time off and having another pdoc call in his scripts. Gulp. So I have been doing that since October and I think my state medical board only allows another dr to do that for two months. I have enough meds hoarded for another month and a half. I called my psychiatrist and he was supposed to be back mid December and now they are saying mid February so now I am stranded with no psychiatrist and 5 meds including geodon and klonopin I’m dependent on.
so I’m in trouble. Plus I’ve been cycling since I started working even on meds. I’m realizing I can’t work like I used to and I just need to face reality and move in with my parents and file disability. It’s hard to face. Hard. My sister is friends with a psychiatrist and she called him last night. I have two options on the table now. 1. Quit my job at the end of the week and tell my boss the truth and deal with him being mad and just get over it and make the 12 hour drive home and check myself into the hospital and see the new psychiatrist and get my meds changed and tweaked. 2. Wait on a call from the psychiatrist to my sister tonight telling her if he has any outpatient appointments over Christmas and if he does see him then and try to get him to call in scripts across state lines and keep working anyway even though it’s breaking me down. I couldn’t change meds because I wouldn’t have any time off to do so.
I think I know what I have to do but I’m terrified to talk to my boss. The company is based out of my hometown and I’m not sure what to say. I was considering talking about my doctor disappearing on me and not being able to get my scripts and needing them immediately or I will have seizures. Or just outright saying I have bipolar and I can’t do this and I apologize. I can’t work anymore and this is disabling and I didn’t want to think it was. Or just say I quit and I’m leaving my computer and company phone and it’s effective immediately. Help. What do I do and say? I wish I hadn’t gotten into this mess. The problem is he will have to replace me immediately or the job will shut down. I have to look at that as not my problem. My problem is my lifelong bipolar diagnosis and the fact that I could go psychotic if I don’t get help. That’s my problem. Not this project.
Any helpful advice is welcomed. I wished this had gone differently but I guess bipolar just blew up my life. It’s about to ruin my finances and burden my parents to care for me until I get ssdi. Plus I own a house that my parents will have to pay for until we rent or sell it. I feel like I’m made of glass. I used to handle stress without a worry. Now it destroys my life. I feel like I’m crying inside right now.