Advice on meds

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Okay I have Combination post traumatic stress disorder, anxiety and depression, borderline personality disorder and general anxiety disorder.

I’m having dialect behavioural therapy and am on 200 mg of sertraline and 60mg propranolol.

But it’s not working, I’m still having bad mood swings/fluctuations, I’m losing my temper like literally wanting to hurt myself or others- I haven’t but it’s getting so bad now.

I’m feeling down a lot more often now too, I just can’t see a end to this and I feel so worn down and fragile.

I just want it all to stop.

My anxiety is so high recently that it’s draining me both physically and mentally.

Does anyone know of any other medication I can suggest to my doctor either along with sertraline or in replacement?

I’m at my wits end, everyone I’m around on a daily basis is honestly going to end up hating me if they don’t already. I’m just flipping without even knowing or having a warning of it, and my urges to self harm are beginning to return. 

Ever feel like your just at a dead end? I was beginning to feel like I might be getting somewhere a year ago but now it just feels like I’m back on replay😔

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13 Replies

  • Posted

    Hello

    Suggesting medications to someone we do not know is problematic. We are all different and with your diagnosis, did you get that from a Specialist ?, is best if you talk to your GP. You do not mention how long you have been on medications or what you have taken in the past,

    Above I understand you have been in some kind of remission twelve months ago, this again will possibly dictate what medications you took then.

    If you are still attending a plan of treatment, or it is still now just your GP, discuss your problems with GP or Specialist.

    Mental health can be problematic to treat  because we expect  an instant fix and cure this can be unfortunate and we need to be patient to let our medications work. Approx four five weeks

    Good Luck

    BOB

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    • Posted

      It is a clinical diagnosis from a psychiatrist and gp yes.

      I’ve been on different anti D’s since I was 12  some being fluoxetine, mirtazapine, citalopram and those alike. I have also been on diazepam a few times for short period of time. so a lot of years. Been on sertraline for about 2 years now, so it’s not a matter of waiting for it to take effect.. 

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    • Posted

      Your Specialist will be able to take into consideration your Mental Health needs and prescribe in a more effective way. They need to consider a further way forward and possibly move you on to a new medication, if they feel that may help.

      Strange to say I was at my GP today and I was quizzing if there was something different to try, the attitude sometime is if it is not broke do not fix it, or just carry on, the latter was the instruction I was given. You will also know the problems we have when changing our medications do become problematic, so they defer and keep us stuck to the medications we have been on for a long time. We would not be human if we never question our GP decisions sometimes

      You have been all the top four so looking for a new medication may be the least important concern they have, however in your case I understand your need, I would advise a chat, with your GP or your Specialist

      BOB

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    • Posted

       Dear borderriver

       I’m only saying this because it might be of some help. GPs don’t have the knowledge of specific medications as  psychiatrist do.

       I was feeling my antidepressant wasn’t working and was actually causing some stress. Actually my psychiatrist told me when I’ve been on a prescription like an antidepressant over a long period of time he can work against you and causing Anxiety. It’s important that you know from a professional that deals in specific Antidepressants  that when you’ve been on one too long they stop working for you and you need to go to another which I have done the last 30 years of my life and it’s worked out quite well. Just thought I’d share that! 

      Pro digitus

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    • Posted

      Hello

      I have been on Citalopram now for quite a long time, several decades in fact and they still work with me. I had a course of CBT about two months ago and they decided too leave me on this medication. I feel that the medication over this extended period has leveled my move although sometimes I do get a kick back when I suffer a health flare. I do take Pain medications, Opiates on top of my ADs and I also take a further AD to treat nerve damage throughout my body,

      Like you my disability and depression has been a problem for over thirty years and was given training in taking medications from a pain clinic. So I find management of medications can prevent to many problems if you are sensible.

      Many modern AD medications can be very much the same and moving on can still be problematic.

      If you feel your medications do not work talk to your GP and He may be able to get you a further assessment  from your Specialist. In my case it seems like these types of appointments can be a problem because of the lack of resources in the NHS, the Mental Health  System is a poor relation, that is why I suggest you initially talk to your GP as the wait to get an appointment may be a problem

      BOB

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    • Posted

       Dear border river 

       I’ve never had pain in my life I’m 61 years old. I was exposed to mold in my apartment for six months and I’m now an arthritic painful person… Migraines neck pain knee pain… It’s so hard for me because I love golf tennis and I’m not quite sure I’ll be able to ever play in those endeavors 

       I don’t know what condition you have it sounds like fibromyalgia but it’s so hard to get pain medicine these days even when you have pain… Maybe I need to go to a pain clinic… hmmmm  should’ve thought that one through!!

       Thank you for your comments! 

      Prestigious

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    • Posted

      Hello

      Getting NSID to suit can be a problem, if needs must, I take a Cox Inhibitor medication that causes less side effects. The problem we all have with actual pain medications is they upset your tummy and you end up taking medications in bursts to prevent that.

      If in pain ask your GP regards a TENS Machine I have several the one I use regular is a V TENS with two channels, so you treat two different areas at a time. Many can with adjustment be used as an EMS that stimulates the muscle groups and tones the area after sports. EMS are used by Sportsmen to tone and relax

      My condition is Psoriatic Arthritis and I have pain in most parts of my Body, it effects the Tendons.

      Regards medications AD generally I suppose a great deal can be put down to wait and see, we have to be patient and give the things time to work.Given that I always find if I give time and be willing to bide my time I get more cover and I feel less anxious and Depressed. However with being to the GP yesterday my mood has hit rock bottom and I do not feel anyone around me is able to help, I have to snap out of it and my wife is there to catch me as I begin to recover back to normal.

      If you are told to get a Tens a nurse or Physio will train you in its use. I am on a road where they cannot do anything for me The attitude is you have the tools use them I think

      BOB

       

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  • Posted

    I'm practically in an identical situation Forestflower, except I've never harmed myself. I don't have any answers but I just wanted you to know there is someone else out here with pretty much the same conditions, same thoughts and feelings, same in feeling that things were improving at one point but have now gone to breaking point. I can't understand how my life has come to this. 

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  • Posted

    Dear Florist Flower

    Please read my last Two messages  catch up with this all situation you’re going through. When you isolate yourself  and stay in doors you radically open yourself to phobias and fears 

    No matter what it takes GET OUT OF THE HOUSE It only  gets worse the longer you stay in the home. And incredibly successful drug is called Abilify  when it is combined with an anti-depressant it is highly successful if you been on this  antidepressant for months and it isn’t working for you there are so many other options to try 

    Paxil ,Prozac,Zoloft , leprexo Combined with  Abilify  can do wonders for you… You also might need to get on my benzo diazepam to help with your stress right now. 

    I care

    Prodigious

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    • Posted

      I have been on different anti d’/ for many years. I have been on fluoxetine sertraline citalopram and mirtazipine. 

      I am going to talk to my doctor about ability. 

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    • Posted

       Excellent! What Abilify does is boost your antidepressant and give you a more calm undepressed demeanor… You need to speak with the specialist however because GPs aren’t up on the latest medications and how they work! 
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