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Re: Best med for complex-PTSD?

Posted by undopaminergic on January 6, 2020, at 8:06:59

In reply to Best med for complex-PTSD?, posted by Limone on January 5, 2020, at 16:16:35

> Long story short, need to find a med to suggest to my GP to help with depression/anxiety caused by (self-diagnosed) c-ptsd. I would say that t would need something to reduce that feeling of dread that something bad is about to happen. And anything that gives me more motivation. I have serious problems with attention/motivation.

In that case, for several reasons, a stimulant would seem ideal.

> So. Buspar for c-ptsd?

I don't know, but would say it's worth trying if you can't get stimulants.

> Mocledebide (stopped as got too anxious due to the food interactions stuff, which is ridiculous looking back)

Did it work?

> Speed (calmed me down and gave me a general sense of well-being

If it calmed you down, you may have ADHD. This substance would seem your best choice, but of course it can be hard to get it prescribed.

> Coke (I've been usually drunk at the same time so but gives me a high etc).

Maybe if you try using it orally. Then there will be less of a high, and a dose may last longer. Of course you can't get this prescribed, and it may also be too expensive for daily use.

> Codeine (once got this after an op and I loved the warm fuzzy safe feeling I got).

Me too. It is ideal for anxiety and depression, but tolerance and dependence are likely in the longer term. Maybe if you take regular "drug holidays" off from it. Alternatively, memantine or ketamine may prevent tolerance and potentiate the effects. Opioid rotation is another strategy for maintaining efficacy in the longer term. But it is probably hard to get it prescribed for mental disorders.

I would also suggest that Nardil (phenelzine) could be a choice, but most doctors won't subscribe classic (irreversible unselective) MAOIs.

Some GABAergic anticonvulsants may work, especially for anxiety. Eg. gabapentin and pregabalin.





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