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Meds for severe anxiety

Posted by tensor on February 14, 2023, at 6:03:51

I have suffered from (TRD) depression and anxiety my whole life, I'm in my forties now and currently taking fluoxetine 40mg (upping to 60mg), clonazepam 2mg (for SA), smaller doses of mirtazapine and nortriptyline. PRN meds like melatonin, queiapine and oxazepam. In the future I'm going to have to a take a longer trip abroad by flying, I have never flown in my life because of anxiety. The idea of being away from home also gives me anxiety. I will likely try and take a shorter flight first and also talk this through with my therapist and doctor. I need some medication that can effectively suppress anxiety, benzos are not strong enough, never had any luck with atypical APs like a high dose of quetiapine. Have tried Zyprexa but only at 10mg (useless at that dose) so that could be worth trying at a higher dose. In the past I have successfully quit clonazepam over the course of 10 days with help of Lyrica/pregabalin. Lyrica is the closest med I have tried that could actually not only suppress anxiety but also lift my mood through slight euphoria (lasts a few days iirc), which is very welcome although I might react dfferently to it now, I want to enjoy this trip as much as possible. I don't drink alcohol. The trip will likely last 1-2 weeks and the destination is my wife's home country.
Things I have not tried are meds like haloperidol and trileptal, I would only take them as needed.
Any ideas greatly appreciated.




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