Best Non-benzo anxiety med?

[BipolarSpinster]

I’m taking one half mg of Xanax per day for 2yrs now, and for a few reasons I’m really wanting off of it. Biggest reason being effect isn’t what it used to be. 

I know about 25 years ago a doc had me on buspar with little success, but not sure if dose was high enough. 

Please, any other meds I could take besides anything benzo at all for the tapering time?

not able to use AD either because many cause mania in me  

 

 

Edited May 27, 2018 by GettingUpThere

[looking for answers]

paxil has quelled my anxiety well

[jt07]

Citalopram (Celexa) works for me. In fact, I'd say it works as good as a benzo without the tolerance. The thing is that SSRIs can actually cause anxiety in the beginning, but after 2-3 weeks the anxiety gets way better as the med starts to work. Generally, it doesn't take as long to kick in for anxiety as it does for depression or at least it didn't for me. The point is don't stop your Xanax on the same day you start an SSRI. Give it a couple of weeks to work before you taper down on the Xanax.

[BipolarSpinster]

12 minutes ago, looking for answers said:

paxil has quelled my anxiety well

Oddly enough, this gave me trichotillomania!

2 minutes ago, jt07 said:

Citalopram (Celexa) works for me. In fact, I'd say it works as good as a benzo without the tolerance. The thing is that SSRIs can actually cause anxiety in the beginning, but after 2-3 weeks the anxiety gets way better as the med starts to work. Generally, it doesn't take as long to kick in for anxiety as it does for depression or at least it didn't for me. The point is don't stop your Xanax on the same day you start an SSRI. Give it a couple of weeks to work before you taper down on the Xanax.

This one made me manic. ? guess I should’ve specified non AD also. Sorry ? 

[looking for answers]

1 minute ago, GettingUpThere said:

Oddly enough, this gave me trichotillomania!

This one made me manic. ? guess I should’ve specified non AD also. Sorry ? 

seroquel?

[BipolarSpinster]

Just now, looking for answers said:

seroquel?

Yes, thanks. Good idea, I’m just being extremely careful of weight gain due to past gastric bypass and ED. But this at a low dose may do it. 

[looking for answers]

Just now, GettingUpThere said:

Yes, thanks. Good idea, I’m just being extremely careful of weight gain due to past gastric bypass and ED. But this at a low dose may do it. 

hope it works

[BipolarSpinster]

6 minutes ago, jt07 said:

Citalopram (Celexa) works for me. In fact, I'd say it works as good as a benzo without the tolerance. The thing is that SSRIs can actually cause anxiety in the beginning, but after 2-3 weeks the anxiety gets way better as the med starts to work. Generally, it doesn't take as long to kick in for anxiety as it does for depression or at least it didn't for me. The point is don't stop your Xanax on the same day you start an SSRI. Give it a couple of weeks to work before you taper down on the Xanax.

And thanks for the pointer. Will be so careful!

Just now, looking for answers said:

hope it works

Me too, thanks 

[BipolarSpinster]

9 minutes ago, jt07 said:

Citalopram (Celexa) works for me. In fact, I'd say it works as good as a benzo without the tolerance. The thing is that SSRIs can actually cause anxiety in the beginning, but after 2-3 weeks the anxiety gets way better as the med starts to work. Generally, it doesn't take as long to kick in for anxiety as it does for depression or at least it didn't for me. The point is don't stop your Xanax on the same day you start an SSRI. Give it a couple of weeks to work before you taper down on the Xanax.

My answer to you somehow is lost! All SSRI’s this far have induced mania or had intolerable side effects. I’m thinking Seroquel now. Thanks ? 

[Wooster]

Sometimes blood pressure meds can be used for anti-anxiety purposes, both alpha blockers (like clonidine/Catapres, not to be confused with benzo Klonopin/clonazepam, or prazosin/Minipress--but that's more often used for PTSD-type nightmares) and beta blockers (like propranolol/Inderal, more often used for performance-type anxiety.

I'm curious if you've thought about changing to a longer-acting benzo like clonazepam before changing drug families all together. I hear that you don't want to deal with a long-term taper, and also that you're getting tolerant to the effects of Xanax. Sometimes people have better results with tolerance by changing to a longer-acting med and then tapering gradually from there.

[BipolarSpinster]

2 minutes ago, Wooster said:

Sometimes blood pressure meds can be used for anti-anxiety purposes, both alpha blockers (like clonidine/Catapres, not to be confused with benzo Klonopin/clonazepam, or prazosin/Minipress--but that's more often used for PTSD-type nightmares) and beta blockers (like propranolol/Inderal, more often used for performance-type anxiety.

I'm curious if you've thought about changing to a longer-acting benzo like clonazepam before changing drug families all together. I hear that you don't want to deal with a long-term taper, and also that you're getting tolerant to the effects of Xanax. Sometimes people have better results with tolerance by changing to a longer-acting med and then tapering gradually from there.

Hey, that’s a great idea! That, and then I think I’ll switch to Seroquel. I have bp so I hate to mess with AD’s much if at all possible. Thanks ? !

[BipolarSpinster]

17 minutes ago, Wooster said:

Sometimes blood pressure meds can be used for anti-anxiety purposes, both alpha blockers (like clonidine/Catapres, not to be confused with benzo Klonopin/clonazepam, or prazosin/Minipress--but that's more often used for PTSD-type nightmares) and beta blockers (like propranolol/Inderal, more often used for performance-type anxiety.

I'm curious if you've thought about changing to a longer-acting benzo like clonazepam before changing drug families all together. I hear that you don't want to deal with a long-term taper, and also that you're getting tolerant to the effects of Xanax. Sometimes people have better results with tolerance by changing to a longer-acting med and then tapering gradually from there.

The switching to clonazepam for a bit that is. Thanks!

[jt07]

Gabapentin (Neurontin) is an anticonvulsant that is helpful for anxiety and has few side effects. It's not nearly as sedating as Seroquel but calming all the same.

[Juniper29]

Gabapentin really helps me. I take 100 mg in the morning and 200 mg at night.

[BipolarSpinster]

31 minutes ago, jt07 said:

Gabapentin (Neurontin) is an anticonvulsant that is helpful for anxiety and has few side effects. It's not nearly as sedating as Seroquel but calming all the same.

Oh but I definitely need sedation haha! My sleep is ridiculously disordered. Lunesta, and 300 trazadone and still don’t sleep a good amount of times. Like now. Feeling mixed episode coming on.

 

1 minute ago, Juniper29 said:

Gabapentin really helps me. I take 100 mg in the morning and 200 mg at night.

Now that I’ve thought about it I took that years back and don’t know if it helped cause I was already on klonopin. I’ll think about that one! Thanks ? 

[argh]

Seconding gabapentin. It is sedating at higher doses, but definitely a subtle sedation effect. It’s not the figurative horse tranquilizer disguised as an ad that mirtazapine is.

hydroxyzine perhaps? Decent for sleep and has an added benefit of being a kickass allergy med as it’s a first gen antihistamine.

Edited May 28, 2018 by argh

[mikl_pls]

There's an old antipsychotic called Stelazine that I used to take for anxiety. I was so anxious I couldn't leave the house for months unless someone came with me, and even with that I was on edge. Stelazine gave me my life back! Just 1 mg twice a day. My pdoc was very hesitant to prescribe it to me, but I begged her and she did. When she saw the results it gave me, she was so pleased that when I asked her to raise the dose, she did. She gave me 1 mg 3x/day next, which gave me remarkably better anxiolytic effects. Then she raised me to 2 mg 3x/day, which was the max dose for anxiety purposes.

I was able to not only get out, but enjoy myself at that! It was a miracle drug for me! The only downside was that it did cause some weight gain and it did sedate me a little in the higher doses. I think in retrospect, though, the weight gain was because of me getting off my diet that I had been on at the time. Stelazine is still a go-to drug for me when I have an anxiety crisis. I call it my "brain glue" thanks to a friend of mine. It holds me together. It also gives me an added benefit if being an antidepressant, surprisingly enough for a first-gen antipsychotic.

I had zero extrapyramidal symptoms like akathisia or acute dystonic reaction or anything like that... None of the scary stuff that Haldol or Thorazine is known for causing... probably because it was such a low dose though... It's not meant to be taken long-term for anxiety, but meant to get you through a tough time, I suppose.

I highly recommend giving it a try!

[BipolarSpinster]

1 hour ago, mikl_pls said:

There's an old antipsychotic called Stelazine that I used to take for anxiety. I was so anxious I couldn't leave the house for months unless someone came with me, and even with that I was on edge. Stelazine gave me my life back! Just 1 mg twice a day. My pdoc was very hesitant to prescribe it to me, but I begged her and she did. When she saw the results it gave me, she was so pleased that when I asked her to raise the dose, she did. She gave me 1 mg 3x/day next, which gave me remarkably better anxiolytic effects. Then she raised me to 2 mg 3x/day, which was the max dose for anxiety purposes.

I was able to not only get out, but enjoy myself at that! It was a miracle drug for me! The only downside was that it did cause some weight gain and it did sedate me a little in the higher doses. I think in retrospect, though, the weight gain was because of me getting off my diet that I had been on at the time. Stelazine is still a go-to drug for me when I have an anxiety crisis. I call it my "brain glue" thanks to a friend of mine. It holds me together. It also gives me an added benefit if being an antidepressant, surprisingly enough for a first-gen antipsychotic.

I had zero extrapyramidal symptoms like akathisia or acute dystonic reaction or anything like that... None of the scary stuff that Haldol or Thorazine is known for causing... probably because it was such a low dose though... It's not meant to be taken long-term for anxiety, but meant to get you through a tough time, I suppose.

I highly recommend giving it a try!

The weight gain scares the bleep out of me. I’m in remission from ED, and I’m just now QUICKLY ditching Vraylar cause I gained six lbs in a month on it! And unfortunately, she started me on Fetzima a week ago, now I’m in a mixed episode (bipolar) off Fetzima as of today and now I have to stick with Vraylar until at least I lose the suicidal ideations. Is wt gain a listed side effect for this med?

 Thanks SO MUCH for caring enough to answer. ? 

[Ethansmom]

@GettingUpThere   - I totally understand how you feel. I'm 38 and have been battling an eating disorder most of my life. Unfortunately, trying SSRI's and Benzo's have made me me gain 35 pounds over two years. It's been hard to loose, but i do believe with diet and exercise, I  may be able to loose some weight. I currently taking 10MG of Trintellix, and 2MG of Tritellix daily. The Trintellix  is causing increased anxiety, even though I've been going up slowly with it! I think i may have put on a few pounds, HOWEVER we had a bunch of parties this weekend and I over ate. So that is my falt, not the meds!  

I just got back from the psychiatrist's office and have told her how anxious I feel. I wake up trembling and my heart racing every morning. It's debilitation. I work full time and have a family. I am trying to live a normal life, but it's tough. I can't do it without the right meds and lifestyle change.   My doc prescribed 25 of Seroquel nightly. I am going to start out with a half a tablet. She said it's been known to help with anxiety and lower doses. I've read horror stories of people gaining tons of weight and I'm scared to add on any more. I'm willing to try it for a few days to see if it has any effect on mood/ or weight. 

Do you think you'll try seroquel?

[BipolarSpinster]

2 minutes ago, Ethansmom said:

@GettingUpThere   - I totally understand how you feel. I'm 38 and have been battling an eating disorder most of my life. Unfortunately, trying SSRI's and Benzo's have made me me gain 35 pounds over two years. It's been hard to loose, but i do believe with diet and exercise, I  may be able to loose some weight. I currently taking 10MG of Trintellix, and 2MG of Tritellix daily. The Trintellix  is causing increased anxiety, even though I've been going up slowly with it! I think i may have put on a few pounds, HOWEVER we had a bunch of parties this weekend and I over ate. So that is my falt, not the meds!  

I just got back from the psychiatrist's office and have told her how anxious I feel. I wake up trembling and my heart racing every morning. It's debilitation. I work full time and have a family. I am trying to live a normal life, but it's tough. I can't do it without the right meds and lifestyle change.   My doc prescribed 25 of Seroquel nightly. I am going to start out with a half a tablet. She said it's been known to help with anxiety and lower doses. I've read horror stories of people gaining tons of weight and I'm scared to add on any more. I'm willing to try it for a few days to see if it has any effect on mood/ or weight. 

Do you think you'll try seroquel?

 

2 minutes ago, Ethansmom said:

@GettingUpThere   - I totally understand how you feel. I'm 38 and have been battling an eating disorder most of my life. Unfortunately, trying SSRI's and Benzo's have made me me gain 35 pounds over two years. It's been hard to loose, but i do believe with diet and exercise, I  may be able to loose some weight. I currently taking 10MG of Trintellix, and 2MG of Tritellix daily. The Trintellix  is causing increased anxiety, even though I've been going up slowly with it! I think i may have put on a few pounds, HOWEVER we had a bunch of parties this weekend and I over ate. So that is my falt, not the meds!  

I just got back from the psychiatrist's office and have told her how anxious I feel. I wake up trembling and my heart racing every morning. It's debilitation. I work full time and have a family. I am trying to live a normal life, but it's tough. I can't do it without the right meds and lifestyle change.   My doc prescribed 25 of Seroquel nightly. I am going to start out with a half a tablet. She said it's been known to help with anxiety and lower doses. I've read horror stories of people gaining tons of weight and I'm scared to add on any more. I'm willing to try it for a few days to see if it has any effect on mood/ or weight. 

Do you think you'll try seroquel?

I have tried Seroquel @50 per night. I even gained on that, but not as fast as other meds. I have a lot to research. ?

[Ethansmom]

Oh, I didn't know you gained weight on that too? Did you have increased hunger?

[BipolarSpinster]

13 minutes ago, Ethansmom said:

Oh, I didn't know you gained weight on that too? Did you have increased hunger?

Yes. 

[mmaryland]

I would vote for Paxil too! Although I have only been taking Zoloft for a little over a week now.

[mikl_pls]

On 5/29/2018 at 3:24 PM, GettingUpThere said:

The weight gain scares the bleep out of me. I’m in remission from ED, and I’m just now QUICKLY ditching Vraylar cause I gained six lbs in a month on it! And unfortunately, she started me on Fetzima a week ago, now I’m in a mixed episode (bipolar) off Fetzima as of today and now I have to stick with Vraylar until at least I lose the suicidal ideations. Is wt gain a listed side effect for this med?

 Thanks SO MUCH for caring enough to answer. ? 

Yes, weight gain is a listed side effect, but it's simply because it's within the class of medications that are associated with weight gain. Weight gain is actually a very rare side effect for Stelazine. I took it later again while I was on a diet (ketogenic) and lost weight!

You're welcome!

[BipolarSpinster]

2 minutes ago, mikl_pls said:

Yes, weight gain is a listed side effect, but it's simply because it's within the class of medications that are associated with weight gain. Weight gain is actually a very rare side effect for Stelazine. I took it later again while I was on a diet (ketogenic) and lost weight!

You're welcome!

Stelazine? I googled it and still don’t recognize any of its names?

[mikl_pls]

1 minute ago, GettingUpThere said:

Stelazine? I googled it and still don’t recognize any of its names?

Trifluoperazine

[BipolarSpinster]

Just now, mikl_pls said:

Trifluoperazine

Right. I don’t remember mentioning that one? Not sure how we ended up discussing that one. ? 

 

8 minutes ago, mikl_pls said:

Yes, weight gain is a listed side effect, but it's simply because it's within the class of medications that are associated with weight gain. Weight gain is actually a very rare side effect for Stelazine. I took it later again while I was on a diet (ketogenic) and lost weight!

You're welcome!

We were talking about Fetzima and Vraylar?

[BipolarSpinster]

14 minutes ago, mikl_pls said:

Yes, weight gain is a listed side effect, but it's simply because it's within the class of medications that are associated with weight gain. Weight gain is actually a very rare side effect for Stelazine. I took it later again while I was on a diet (ketogenic) and lost weight!

You're welcome!

Yeah. I mentioned Vraylar wt gain, then you said stelazine?

im confused?

[mmaryland]

Lyrica is pretty alright, too. Watch out for the initial side effects though

 

[BipolarSpinster]

1 minute ago, mmaryland said:

Lyrica is pretty alright, too. Watch out for the initial side effects though

 

Yeah, actually can’t do antidepressants unfortunately. 

[mmaryland]

13 minutes ago, GettingUpThere said:

Yeah, actually can’t do antidepressants unfortunately. 

Lyrica actually is not an antidepressant

[BipolarSpinster]

31 minutes ago, mikl_pls said:

Trifluoperazine

Doh. Just figured this all out ? getting different threads messed up in my head. 

[BipolarSpinster]

5 minutes ago, mmaryland said:

Lyrica actually is not an antidepressant

Pretty sure I’m gonna try neurontin. Thanks for the help!

8 minutes ago, mmaryland said:

Lyrica actually is not an antidepressant

As I won’t take anything that says anything about wt gain in side effects. 

[argh]

Neurontin is not an anti-depressant either. Depression is actually listed as a potential, albeit rare, side effect.

That said, it works as an anti-depressant for myself and a few others on this board. Quite well, personally, if I may add.

[BipolarSpinster]

Just now, argh said:

Neurontin is not an anti-depressant either. Depression is actually listed as a potential, albeit rare, side effect.

That said, it works as an anti-depressant for myself and a few others on this board. Quite well, personally, if I may add.

I know it is not an AD. That is why I said I was going to try it for anxiety, instead of a benzo. 

2 minutes ago, argh said:

Neurontin is not an anti-depressant either. Depression is actually listed as a potential, albeit rare, side effect.

That said, it works as an anti-depressant for myself and a few others on this board. Quite well, personally, if I may add.

And it is unlikely to cause mania from what I read. 

[notloki]

Neurontin is another anticonvulsant; it first came on the market for seizures. It was subject to a lot of off label prescribing, at one point it seemed it could treat anything. It is a GABA analogue, a decent anticonvulsant and mood stabilizer.

[BipolarSpinster]

Just now, notloki said:

Neurontin is another anticonvulsant; it first came on the market for seizures. It was subject to a lot of off label prescribing, at one point it seemed it could treat anything. It is a GABA analogue, a decent anticonvulsant and mood stabilizer.

Yeah. I was on it A LONG time ago. But only a small dose. 600’ish. 

[notloki]

7 minutes ago, GettingUpThere said:

Yeah. I was on it A LONG time ago. But only a small dose. 600’ish. 

Generally to be effective the dose is above 1,000  mg.

[BipolarSpinster]

2 hours ago, notloki said:

Generally to be effective the dose is above 1,000  mg.

I’m just hoping she’ll let me have that and Topamax. Topamax is a must to get my appetite back down. 

 

Edited June 1, 2018 by GettingUpThere

[mikl_pls]

9 hours ago, GettingUpThere said:

Right. I don’t remember mentioning that one? Not sure how we ended up discussing that one. ? 

 

We were talking about Fetzima and Vraylar?

 

9 hours ago, GettingUpThere said:

Doh. Just figured this all out ? getting different threads messed up in my head. 

Wait I'm confused lol. Are you asking about Stelazine weight gain or Fetzima and Vraylar weight gain? I mentioned Stelazine (trifluoperazine) weight gain. But just in case you are asking about Fetzima and Vraylar, yes it is possible but not very common. For Fetzima, being an SNRI, it's not as common for Fetzima to cause weight gain; in fact, I believe from what I've read that it's one of the least likely SNRIs to cause weight gain. Vraylar I've read is kinda all over the radar as far as weight gain goes, unfortunately. I personally lost weight on it, but I have a good friend who took it who gained weight.

[BipolarSpinster]

7 hours ago, mikl_pls said:

 

Wait I'm confused lol. Are you asking about Stelazine weight gain or Fetzima and Vraylar weight gain? I mentioned Stelazine (trifluoperazine) weight gain. But just in case you are asking about Fetzima and Vraylar, yes it is possible but not very common. For Fetzima, being an SNRI, it's not as common for Fetzima to cause weight gain; in fact, I believe from what I've read that it's one of the least likely SNRIs to cause weight gain. Vraylar I've read is kinda all over the radar as far as weight gain goes, unfortunately. I personally lost weight on it, but I have a good friend who took it who gained weight.

Oh! You lost? That’s great to hear! I’ve been sticking with it until my urgent appointment tomorrow so maybe if we add Topamax everything will work out!

feeling more hope this morning in general, thanks for the help!

[notloki]

4 hours ago, BipolarSpinster said:

Oh! You lost? That’s great to hear! I’ve been sticking with it until my urgent appointment tomorrow so maybe if we add Topamax everything will work out!

feeling more hope this morning in general, thanks for the help!

Topamax has the nickname Dopamax due to it commonly making people mentally dopey. Lower doses less so than bigger ones. 25-50 mg would be a lower dose. All anticonvulsants have the potential to affect your cognition, get the dose high enough and all anticonvulsants will affect brain functions. Efter all, they are intended to stop seizures so this is done by making the brain run slower; making it less conductive electrically.

[BipolarSpinster]

14 minutes ago, notloki said:

Topamax has the nickname Dopamax due to it commonly making people mentally dopey. Lower doses less so than bigger ones. 25-50 mg would be a lower dose. All anticonvulsants have the potential to affect your cognition, get the dose high enough and all anticonvulsants will affect brain functions. Efter all, they are intended to stop seizures so this is done by making the brain run slower; making it less conductive electrically.

Yep, I’ve already read quite a bit on it, and aware it can impair cognition. I’m not at a high paced job, or anything needing to be perfect, etc so if it helps my ridiculous, out of control appetite, it will be worth it to, me. I’ve been on other anticonvulsants that have done the same, so I’m ready for it!

 Thanks for your concern!

16 minutes ago, notloki said:

Topamax has the nickname Dopamax due to it commonly making people mentally dopey. Lower doses less so than bigger ones. 25-50 mg would be a lower dose. All anticonvulsants have the potential to affect your cognition, get the dose high enough and all anticonvulsants will affect brain functions. Efter all, they are intended to stop seizures so this is done by making the brain run slower; making it less conductive electrically.

PS: I’ve also got migraines, so it’ll kill 2 birds with 1 stone!

[mikl_pls]

20 hours ago, BipolarSpinster said:

Yep, I’ve already read quite a bit on it, and aware it can impair cognition. I’m not at a high paced job, or anything needing to be perfect, etc so if it helps my ridiculous, out of control appetite, it will be worth it to, me. I’ve been on other anticonvulsants that have done the same, so I’m ready for it!

 Thanks for your concern!

PS: I’ve also got migraines, so it’ll kill 2 birds with 1 stone!

If it's any consolation, I've been on 200 mg in divided doses and while it gave me the Dopamax effect for the first several months I was on it, I've gotten used to it or accommodated to it, and I no longer feel dopey. 

[BipolarSpinster]

Just now, mikl_pls said:

If it's any consolation, I've been on 200 mg in divided doses and while it gave me the Dopamax effect for the first several months I was on it, I've gotten used to it or accommodated to it, and I no longer feel dopey. 

That is relieving! I can’t even remember what time my emergency appointment is with pdoc this morning! I’m pretty screwed now! I’m not sleeping well at all though so there’s that. I’ll just have to make accommodations as well! Hope she prescribes it, on 3mg Vraylar and now crawling up the walls. No Adderall for me these days!

[mikl_pls]

10 hours ago, BipolarSpinster said:

That is relieving! I can’t even remember what time my emergency appointment is with pdoc this morning! I’m pretty screwed now! I’m not sleeping well at all though so there’s that. I’ll just have to make accommodations as well! Hope she prescribes it, on 3mg Vraylar and now crawling up the walls. No Adderall for me these days!

I take doxepin 10 mg for sleep (Sinequan) and it works pretty well. Lower doses are better for sleep than higher doses of doxepin from what my pdoc said.

I hope your emergency pdoc appointment went well!

[BipolarSpinster]

8 minutes ago, mikl_pls said:

I take doxepin 10 mg for sleep (Sinequan) and it works pretty well. Lower doses are better for sleep than higher doses of doxepin from what my pdoc said.

I hope your emergency pdoc appointment went well!

It did, since I got the Topamax. Unfortunately, the doxepin won’t happen anytime soon since she’ll only switch one med at a time and we’ve got a few to take off after adding cymbalta back on the 11th. Getting stable seems to drag sometimes. But I’m grateful I have access to it. 

[Persona_Is_Life]

What about Vistaril? 

[BrianOCD]

Seroquel 25-100mg always helped me.  And worked for decades.

Edited September 2, 2018 by BrianOCD

[DammitJanet]

On 9/2/2018 at 4:00 AM, BrianOCD said:

Seroquel 25-100mg always helped me.  And worked for decades.

 

Edited September 5, 2018 by DammitJanet

[mmaryland]

Right now my dr has me on Lyrica for anxiety. I can't take SSRI or antidepressants because they trigger mania, I can't take xanax or klonopin or ativan because my dr  wants them "out of my system", haven't tried buspar, but yea I can't take mostly all of the medications dr's usually prescribed for anxiety due to my commodities and past substance use disorder (legit though my substance abuse of benzos and alcohol a result of paxil induced mania, which lasted 5 and a half months)

The Lyrica is good, side effects are intoxicating at first, but you will get used to them within a few days of dosing. I am on 300mg twice a day by the way