How can I get rid of severe depression with anxiety?

Question

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.

Answer 1

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.

Answer 2

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.