0 Members and 1 Guest are viewing this topic.
So my question is, should I keep trying new SSRI's til I find one that doesn't make me feel fatigued?
Should I stick with a daily dose of Klonopin?
I'm also wondering if Klonopin is the right benzo for me. I like that it is long-lasting, but it doesn't help me sleep, doesn't work in an emergency situation since it takes like an hour to kick in,
Should I try therapy?
I'm unclear how long you've now been on Zoloft and Celexa, but I'm assuming 6-8 weeks in total. If so, it may be that the SSRIs aren't the right med for you, but it could still be worth trying Prozac (fluoxetine) which is usually the most stimulating SSRI. Another alternative would be to supplement the Celexa with small dose of Wellbutrin (bupropion) which is the most stimulating antidepressant, but care is needed because it could trigger anxiety too. However, on the principle that one good med is better than two so-so ones, I think the better long term bet would be to switch to either a SNRI or tricyclic antidepressant.
The benzodiazepines (BZDs) are very effective anti anxiety meds, but doctors are becoming increasingly wary of prescribing them because of the perceived dependency issue which makes them risky primary, taken daily meds. IMHO, they are best reserved for occasional use to control breakthrough anxiety, or to ease the transition onto antidepressants.
The cognitive and/or behavioural and/or mindfulness therapies are about as effective as antidepressants so are a good alternative if your health insurance will pay for it.
So I've really only been on an SSRI for 3 weeks now, but the fatigue really messes up my day and I dread putting the pill in my mouth.
I wanted to get tested for ADHD because of my pre-existing lack of focus and motivation, but he wanted to take care of the anxiety first. I wonder if a stimulant would combat drowsy side effects of an antidepressant?
If I were taking an SSRI for long-term wouldn't I become dependent on that and have to taper off eventually? Maybe tolerance plays a role with the long term use of benzos, but I've read posts from people who have taken .5mg Klonopin for years and never needed to increase their dosage.