HomeAnswersPsychiatrymajor depressive disorderI have been prescribed multiple new medications for major depression, GAD, and night terrors. Why?

Why have I been prescribed multiple new medications to address major depression, GAD, and night terrors?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Aditya Gupta

Medically reviewed by

iCliniq medical review team

Published At November 1, 2023
Reviewed AtNovember 1, 2023

Patient's Query

Hello doctor,

I visited my psychiatrist recently because I have been struggling with sleep issues. I wanted to explore natural options to supplement my current medication regimen (like melatonin) and also asked about natural remedies for anxiety without altering my existing anxiety medications. However, instead of providing suggestions, she seemed adjusted one of my medications while introducing another. Initially, I accepted the recommendations. However, over the past few days, I have contemplated whether I should have advocated for my preferences more assertively, as I had reservations about adding more prescriptions. For context, I am diagnosed with major depression, generalized anxiety disorder (GAD), and night terrors. I will turn 21 later this year. Here is my updated medication regimen following the recent additions:

  1. Sertraline, 100 mg, two tablets daily.

  2. Lamotrigine, 100 mg, one tablet daily.

  3. Prazosin, two mg, two tablets daily.

  4. Clonazepam, 0.5 mg, one tablet daily.

  5. Trazodone, 50 mg, one to two tablets daily as needed.

  6. Additionally, I am taking two pills of 50,000 IU Vitamin D (D2) weekly.

I did inquire whether transitioning to a lower maintenance dose after completing this prescription could be considered. Unfortunately, that question was met with a dismissive response as well. While I understand that none of us here are medical professionals, I would greatly appreciate hearing other opinions. I am starting to feel that I might be on too many medications, but I also recognize that my emotional response to the additional prescriptions might influence my thoughts. Please help.

Thank you.

Answered by Dr. Aditya Gupta

Hello,

Welcome to icliniq.com.

I have read your query and understand your concern.

You can discuss tapering off Clonazepam with your treating psychiatrist, as benzodiazepines are typically prescribed for the short–term. The rest looks fine. To address sleeping problems and anxiety through natural methods, I suggest you consider the following steps:

  1. Maintain a regular sleep schedule, including waking up at the same time.

  2. Avoid consuming caffeinated beverages at least eight hours before bedtime.

  3. Refrain from using devices like TVs, mobile phones, or laptops for at least 30 minutes before sleep. Engage in relaxing activities such as taking a shower.

  4. Avoid consuming refined sugars and high-protein meals close to bedtime.

  5. Reserve your bed solely for sleeping – avoid eating or watching TV in bed.

  6. Minimize daytime naps.

  7. Engage in regular exercise, preferably not close to bedtime (at least two hours before sleep).

  8. Incorporate a brisk 20-minute morning walk into your routine.

  9. Dedicate at least 30 minutes each morning to meditation, which can help you relax and reduce anxiety. Consistent practice can help you regulate your breathing during moments of anxiety.

  10. Consider adopting a Modified Mediterranean diet, known for its potential benefits.

I hope this helps.

Revert in case of other queries.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Aditya Gupta
Dr. Aditya Gupta

Psychiatry

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