Constant anxiety

[mcjimjam]

I’m constantly anxious. I don’t know what to do. I just feel so uneasy, uncomfortable and restless. Benzos are off the table. I’m still on a low dose of clonaz but tapering off it. It doesn’t work anymore anyway. I’ve never tried a TCA but anything fattening is not too appealing. I gained weight on Lyrica so gabapentin and lyrica are probably not a good idea either. Therapy doesn’t help. What can I do?

[Blahblah]

@mcjimjam It seems like your regimen isn't cutting it. Is this new symptom or has it always been the case? Can't see a med you're on that might exacerbate it, except for maybe Rexulti, or Prozac...You could maybe increase Seroquel or try a more calming AD (like Citalopram, Paxil) Effexor also is great (at least for me) at low doses for wiping out anxiety, but of course YMMV..

[CrazyRedhead]

10 hours ago, mcjimjam said:

I’m constantly anxious. I don’t know what to do. I just feel so uneasy, uncomfortable and restless. Benzos are off the table. I’m still on a low dose of clonaz but tapering off it. It doesn’t work anymore anyway. I’ve never tried a TCA but anything fattening is not too appealing. I gained weight on Lyrica so gabapentin and lyrica are probably not a good idea either. Therapy doesn’t help. What can I do?

I agree with @Blahblah'  's suggestion of possibly increasing Seroquel, and maybe replacing Prozac with a more calming AD......Prozac tends to be stimulating for many people.

Also, I would suggest looking into Buspar (buspirone)....It is an anti-anxiety med.....It doesn't work for everyone, but might be worth a try for you.

Edited Tuesday at 02:09 PM by CrazyRedhead

[mcjimjam]

On 1/14/2020 at 10:59 PM, Blahblah said:

@mcjimjam It seems like your regimen isn't cutting it. Is this new symptom or has it always been the case? Can't see a med you're on that might exacerbate it, except for maybe Rexulti, or Prozac...You could maybe increase Seroquel or try a more calming AD (like Citalopram, Paxil) Effexor also is great (at least for me) at low doses for wiping out anxiety, but of course YMMV..

I can’t do Seroquel increase cuz it is giving me heat hives. I’m tapering off it. A different AD might be worth a try. I’ll ask the doc. Thanks.

On 1/15/2020 at 12:48 AM, CrazyRedhead said:

I agree with @Blahblah'  's suggestion of possibly increasing Seroquel, and maybe replacing Prozac with a more calming AD......Prozac tends to be stimulating for many people.

Also, I would suggest looking into Buspar (buspirone)....It is an anti-anxiety med.....It doesn't work for everyone, but might be worth a try for you.

I’ll keep buspar in mind, thanks.

[Iceberg]

Really low dose typical AP? If you and your pdoc feel you’ve gone through all the mainstream options 

[mikl_pls]

3 hours ago, Iceberg said:

Really low dose typical AP? If you and your pdoc feel you’ve gone through all the mainstream options 

Stelazine! ❤️❤️❤️Definitely a life changer with me, alongside oxazepam and hydroxyzine pamoate.

* * *

If your signature is up to date, your thyroxine dose could possibly be too high and cause you to be hyperthyroid, which can definitely cause anxiety, but I'm sure you have regular blood testing done to keep up with that.

Another definite possibility is the phentermine. The first time I took it when I was still stimulant-naïve was like a panic attack in a pill for me. It still makes me pretty edgy as its predominantly noradrenergic.

What could possibly help at least the somatic symptoms of anxiety like jitteriness and racing heart/chest pain would be a beta blocker like propranolol. Sometimes a tiny dose of propranolol (10 mg) as needed from time to time is all people need, sometimes people need larger, regular doses, and for that the long acting version is in my opinion better, but the lowest dose it comes in is 60 mg, so you have to be taking at least that much to need it.