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Re: Meds for severe anxiety Jay2112

Posted by tensor on February 16, 2023, at 3:21:50

In reply to Re: Meds for severe anxiety tensor, posted by Jay2112 on February 15, 2023, at 16:11:14

Hi Jay!
> 1. Nabilone (generic name) It's the synthetic equivalent of THC. It has a gentle anti-anxiety effect.

I have to research this one.

> 2. Propranolol (beta-blocker used extensively in anxiety/depression treatment) and/or a calcium channel blocker.

I use propranolol periodically and it's a med worth having in my arsenal especially for situational anxiety.

> 3. Risperdal (generic name risperidone) Atypical antipsychotic. Greatly reduces agitated depression/anxiety.

Does it work PRN? I have tried several AAP but not risperdal. The only one I remember gave me a calming effect was Geodon, which I gave up on too early, I slept a lot for a week but that was also due to depression. Some dose tweking had been a better idea.
Which makes me interested in Latuda, structurally close to Geodon and also Risperdal, but with even more favorable s/e profile, little to no prolactin (esp < 120mg) and no metabolic problems, with once a day dosing. I'm thinking of adding e g Latuda to my meds and take Lyrica as needed (if I can get it prescribed).

> 4. Methoprazine (brand name Nozinan here in Canada) Hit/or/miss, but works when nothing else does.> 5. Have to mention choline again. It's been found to be very low in people with GAD/Panic Attacks.

I need to read up on these.

> I'd really take a shot at ketamine. It's not perfect, but is a very unique treatment.

Yeah, let's see what my doc says when she calls me. It's either that or Latuda I guess.
Side effects always scare with new medications, and Ketamine has some unique s/e for a couple of hours at least. I could do without the whole "tripping" experience.

/tensor


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