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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?
Hey all, recently came out of the shadows are a long time lurker on here to ask a few questions. This site has always helped me a lot but I have a specific question that maybe you all can help answer. So I recently went back to a pdoc to get back on meds and he put me on Wellbutrin IR 75mgs (which I had to twist his arm into prescribing me. Libido and weight issues lead me to taking a chance with Welly.) and 2mgs of Trilafon for the intrusive thoughts. I thought it was weird that he was prescribing me an antipsychotic when I didn't have any (previous) psychotic features. This man met me for all of 10 mins and assumes i have psychotic features?!? I'm confused...is it common to be prescribed an antipsychotic for just a little intrusive thoughts?? ARE intrusive thoughts considered to be a "psychotic feature"??