How can I get rid of severe depression with anxiety?
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I have severe depression alternating with severe anxiety. I have tried many medicines. Currently, I am taking 40 gm of Prozac in the morning and 30 mg of Remeron at bedtime. But during the day, I am a nervous basketcase. No doctors will give me any Benzodiazepine for some reason. I have difficulty functioning enough to be productive and unable to enjoy anything in life. I need more help. I do not want to continue living this way. Earlier, I was on Buspar, Vistaril, Trazodone, Paxil, and Doxepin. Doxepin was the most helpful but did no good when I am awake. The laboratory tests performed were blood tests. Only triglycerides were elevated.
Hello,
Welcome to icliniq.com.
In my opinion, you can discuss with the treating psychiatrist the following options: I suggest Increasing dose of Prozac (Fluoxetine), substituting Prozac with Prestiq (Desvenlafaxine), Wellbutrin (Bupropion) or Zoloft (Sertraline). You can also opt for concurrent CBT (cognitive behavioral therapy) sessions and Practicing a relaxation technique like breath relaxation exercises daily shall help.
Patient's Query
Hi doctor,
Thank you for your prompt response.
I have just one quick question. I have friends with similar issues and they have all been prescribed Xanax and say that it is a huge help for them. Why is Xanax not an option for me? I am aware of the risk of addiction. But I am very careful to take all my medications only as prescribed.
Hello,
Welcome back to icliniq.com.
Xanax (Alprazolam) or any other benzodiazepine can be used to treat anxiety for the short-term only because of addiction potential and CNS depressant effect. I do not know why it had not been considered in your particular case. But if given, it should be used only for the short term.
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Psychiatry
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