Posted by jono_in_adelaide on January 29, 2013, at 20:46:21
I'll start by saying that I am very lucky, that my depression is very well controlled by the cocktail of reboxetine, sertaline and risperidone.
However, I am still often bothered by disabeling anxiety, even when taking Xanax 1mg three times a day
Thinking about my options, i have come up with the following
- Drop sertaline and risperidone and substitute mirtazapine 30-45mg at night. I have never felt that SSRI's do much for me, and I'm wondering if mirtazapine might be better against anxiety than low dose risperidone (1.5mg at bedtime)
- Drop sertaline and reboxetine and start nardil with or without nortriptyline. I'm sure Nardil would help the anxiety, but the side effects worry me, I get no side effects from my current drugs apart from a bit of dry mouth and delayed orgasm (sory if that was TMI)
- Change the 1mg alprazolam tid to 1mg clonazepam tid (clonazepam is both more potent and longer action, so I'd effectively be giving my self a dose increase of benzo) I worry that this might be the slippery slope to ending up like Elvis.
Any thoughts or comments or advice anybody could offer?
poster:jono_in_adelaide
thread:1036804
URL: http://www.dr-bob.org/babble/20130124/msgs/1036804.html