Posted by SLS on March 16, 2018, at 7:53:55
In reply to Re: **TRIGGER** Current meds and question » ed_uk2010, posted by Clearskies on March 15, 2018, at 18:48:39
> Im currently on nortriptyline at night, as well as prazosin; sertraline, bupropion xl,propanol, and I went down to .5mg from 2.0 of clonazepam.
>
> Its quite the cocktail. The sertraline made the biggest impact on the depression. Honestly, my anxiety is as worse as ever, although I have tricks and strategies to get around it in order to live day to day.Perhaps Ed can comment.
I think Zoloft and Prozac are the worst SSRIs for treating anxiety. Paxil is the best, but comes with more robust side effects. Have you tried adding Effexor or Cymbalta to nortriptyline? Effexor is almost as effective for anxiety as is Paxil. Paxil, Effexor, and Cymbalta are all indicated in the treatment of generalized anxiety disorder (GAD). Pristiq doesn't seem to be as effective.
I take prazosin for depression. It works very well, and I wouldn't want to be without it. My childhood history is one of chronic trauma (adversity). The following three terms are used to describe the resulting condition.
1. Developmental PTSD.
2. Complex PTSD (C-PTSD)
3. Complex trauma disorder.What dosage of prazosin are you taking? Most doctors under-dose their patients when treating PTSD or trauma disorders. I take 20 mg/day. You can go up to 40 mg/day. I was taking 30 mg/day for a long time. However, I discovered that this dosage caused some dysphoria and memory/cognitive impairments. 20 mg/day seems to be the best dosage for me. Prazosin should be dosed 3 times a day.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
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