I'm a 41 yr-old-male who started suffering anxiety and insomnia issues earlier this year. I had started stressful job and had a family situation that triggered really bad insomnia as well as anxiety. I had a couple of panic attacks after drinking coffee, back in May. I also worry about my health because of family heart issues, even though I am healthy, exercise (aerobic and resistance training) and eat very well.
On any rate, my general Dr. sent me to a Sleep Dr. to address the insomnia. I was on Trazodone for several months at varying dosages. While that by and large helped my sleep, it actually increases my anxiety (I know, bizarre). I've been on/off it about 4-5 times since and every time I am on it, my anxiety shoots up - and I was on it when I had those two panic attacks. The problem is, it does help me sleep at night!
My general Dr. had put me on Zoloft, but that made my insomnia REALLY bad and quit it after 4 nights. It was awful and made my stomach sick.
I've tried Mirtazapine for just a few days - stopped it because I was so very groggy and really irratitable - and I rarely ever get irratable. However, I am thinking of resuming it and seeing if those effects will pass after a week or so.
I also tried Doxepin for about 9 night for insomnia. I felt fine taking it, but would not get me drowsy (from 10-30 mg).
I've tried Buspar for about 9 days (20-30 mg a day) and it seemed to help only very slightly.
My general Dr. has given me Xanax .25 mg of 30 pills for a month at a time. I have been taking it about 2-3 days per week, one or two pills at night for sleep. My anxiety also always gets worse at night.
I was seeing a general therapist for cognitive behavior techniques. My issue has been excessive worrying and dwelling on things that could happen which are bad.
Anyway, my question: I need something for general anxiety because I know occasional Xanax is not the answer, but at the same time I need something for sleep or at least something that will not hurt my sleep like Zoloft did.
My sleep Dr. once offered me to try another SSRI paired with Trazodone, but not sure that combo would work as Zoloft and Traz didnt.
Is there another trcyclic or SNRI worth trying that might not affect sleep? Or maybe try another SSRI like Celexa which I hear is more mild?
I will probably try the Mirtazapine once more and that could possibly kill two birds (insomnia and anxiety) with one stone and simplify things for me a bit.