Posted by BusuB on October 7, 2014, at 10:36:04
Good morning Babblers, so I've been on a pretty rocky medication quest to help with my GAD and resultant depression (Dr. thinks I get depressed due to my anxiety rather than a problem on its own).
At any rate, I've been through multiple medication trials to include most of the SSRI class (Luvox is the only one I hadn't tried), Clomipramine, and the SNRI's Cymbalta and Effexor. Along the way, I've augmented with buspirone and lamictal in addition to getting a lot of sleep relief from Trazodone.
The problem? All of the AD's cause a lot of inner restlessness that doesn't go away. What I mean by that is that it's kind of like anxiety, but in a way I can tell that it's not MY anxiety... if you know what I mean. My anxiety is a pit of the stomach dreadful feeling, and the medication seems to produce a jittery caffeinated (and very uncomfortable) feeling. Not to mention the insomnia (no problems falling asleep but I find myself awake at 4am every morning with the aforementioned jitters).
Unfortunately, benzos give me a hung over, dysphoric feeling the day after use, but I will use an ativan if the caffeinated feelings gets too strong. Obviously not a long term solution.
I'm currently on 20 mg citalopram for the past 4 weeks after titrating up from 10 mg (which I had been on for 3 weeks). Total of 7 weeks and I still have that agitated jittery feeling daily, and my sleep still sucks. Mood is.... okay. I can definitely improve in that arena, but I think proper sleep and getting rid of the jitters will go a long way in alleviating that.
At any rate, at my last appointment, my pdoc mentioned the possibility of using Trileptal (didn't specify as add-on or mono therapy) to help with the GAD. Has anyone else heard of this? Any experience with Trileptal in general (as in is it calming)? I see him in a couple of days for a follow up, so any insight would be helpful.
poster:BusuB
thread:1071971
URL: http://www.dr-bob.org/babble/20140914/msgs/1071971.html