Hi, Iím new here. I would like to share experiences with other people with my same problem.
I have anxiety almost every day at around 4pm that last til night causing insomnia (just falling sleep). Itís not related with what i have for lunch, or what I drink. In the mornings, I wake up very calmed (perhaps somewhat anergic) and donít have any anxiety until around 11am when it starts very slowly, but definitely the high rush of anxiety is around 2 hours past lunchtime. This is causing me big trouble because with that anxiety I canít work well after lunch.
As a third problem on importance (after anxiety and insomnia), my mood is not very good. I donít enjoy doing a lot of things that I liked before, but i suspect that this is an effect of the first 2 problems.
Let me share the experiences I have had with meds.
Alprazolam (Xanax): Pros: At .25 mg relax me and helps me to fall sleep. Cons: I donít take it frequently because of dependence concerns.
Clonazepam (Klonopin): Pros: Last longer than Xanax, relax me very well. Cons: At 1mg makes me a little lethargic, same concern than above.
Beer : Pros: Great as an anxiolytic after work. Elevates my mood (> 2 beers). Cons: Creating dependence. Not restful sleep. promotes insomnia even more.
Doxepin 2 week trial (Sinequan): Pros: Only med that made me go to sleep early. Great for my acidic IBS-D (>50mg). Cons: Severe cognitive impairment starting with lowest dose capsule available here (25mg). Next day severe hand shaking. Couldn't stand the med
Escitalopram 3 week trial (Lexapro): Pros: Decreased beer craving. perhaps relaxed me a bit. Cons: at 10 mg Anorgasmia, Somnolence in the afternoons but not at nights! Didn't elevate my mood.
Paroxetine 5 day trial (Paxil): Pros: somewhat effective for my IBS-D. Cons: Nightmare for me. "480 Volt" brain shocks in first stage REM sleeping scaring enough to quit immediately the med.
Mirtazapine 8 week trial (Remeron): Pros: Eliminated completely my insomnia after a couple of weeks, great! Always felt very natural (mentally) on it (at 15mg). After 2 weeks it elevated my mood but that only lasted 2 more weeks. Cons: Gained a lot of weight in a disappointing way at 15mg and also 30mg. Couldn't stand more than 30mg because next day sedation.
Pregabalin 4 week pdoc trial (Lyrica): Pros: Worked for anxiety after 1 week. Strange but also elevated my mood (perhaps because of the anxiety stabilization). Cons: Just quit working for both things after a month. Never helped with insomnia.
Duloxetine 2 week pdoc trial (Cymbalta): Pros: somewhat effective for my IBS-D Cons: Extreme afternoon fatigue at 60mg, couldnít stand the med. Made me sound sensitive and phobic. I think i donít need more noradrenaline neither serotonine or perhaps Iím very sensitive!
Exercise, sleep hygiene and quit drinking alcohol doesn't help me much.
Feeling a little hopeless considering all the med i have had.
Today i started Kava Kava, i will give it a try to see if it helps.
After Kava Kava i plan to give a fair trial to plain valerian for the insomnia part.
Please share any experience. Any knowledge you may have on this concern is greatly appreciated.