Regarding my anxiety and depression.

Thanks for reaching out. It sounds like prothiaden 25mg worked for you in the past and you may have stopped taking it after you felt better (nov 2019). Symptoms have come back and you’re looking to restart medicine. Logical next step is to consult a well trained psychiatrist to undergo a detailed evaluation. For your reference, in general, rule of thumb is to restart a medicine which has proven effective for you in the past. There a whole arsenal of medicines out there for you to try including SSRI’s, SNRI’s, other TCA’s, etc. In your case, prothiaden would be an ideal choice assuming no past side effects and it was effective in treating your depression/anxiety and insomnia. If 25mg is not effective, good news is that there is room to go up to 225mg a day which is the maximum therapeutic dose per day. Hope that was helpful. All the best!

Consult your psychiatrist whether in person or online to discuss the best next step.

Maintain a good sleep hygiene and stay active.