So I've been reading, and I know that can be dangerous, but...
I have treatment resistant anxiety, hospitalizations, etc., so I'm a hard case, this is for fellow hard cases. First line, SSRI and benzos never got it done for me. So what's next?
Pretty much I've learned from my own long experience, there seem to be two general paths that come next: the first is the anticonvulsants like gabapentin/Neurontin; pregabalin/Lyrica; and lamitrogine/Lamictal.
The Lyrica absolutely wiped out my anxiety. Seriously. It was like a dragon slayer. Never went over 200 mgs. Lyrica is like a souped up version of Neurontin, much more potent. Downside? Edema, aka puffiness, and fatness. Heavy weight gain, very fast for me. Have not given Lamictal a fair trial, still an option.
Atypicals are the other... Seroquel, Zyprexa, Geodon, Abilify, now Latuda, tried them all. Zyprexa, another dragon slayer, side effects, forget about it. EXTREME weight gain and it totally screws up your bloods, as in metabolic syndrome. Seroquel, not quite as bad. And on down, Abilify, not as bad, etc., still same problems, just not as acute. And now the next new thing... Latuda. Stupid name. Been on it a week. It doesn't, or isn't supposed to, screw up your bloods OR make you fat. Possibly too good to be true. Downside, movement disorders galore. Thankfully, not for me, not yet anyway.
So here I am. Maybe this is the compromise don't know. The drug costs a fortune. Jury is out on effectiveness. Lamictal is generic now, probably should have given that a run first but didn't want to go through the endless weaning in period.
This I have learned in four years of fun with pharmaceuticals.