Hello, i have been diagnosed as bipolar iii+ GAD, and i am on escitalopram, lithium, lamotrigine and propranolol since 6 months, i am an mbbs doctor and i had taken escitalopram 20 mg for social anxiety issues in 2020 but then after three months i slowly quit those meds, after quitting i have developed sexual issues, physical symptoms and mood issues. Now that i am on these meds i have seen improvement in mood and social anxiety, but i still have sexual issues like low libido and possibly erectile dysfunction, also physical symptoms like fibromyalgia random muscle pain, pins and needle sensation and some ibs like symptoms. Unfortunately I cannot increase escitalopram bcz it causes me to switch and benzos like etizolam makes me drowsy. I also tried agents like tofisopam and buspirone but they didn't help. Now what should i do in such cases. Also i had really like really high Libido, also due to these meds currently i have lost that rage and motivation, is PSSD real? EMA is saying yes.
I am struggling with anxiety and dipression symptoms and it it affecting my daily life and do online psychiatrist consultation prescribe medication if I am struggling to function properly ? Also have no motivation to do anything feel disconnected from the world racing mind , overthinking, i also struggle to go outside, have head ache and neck pain to much , restlessness to much
I am already taking naltrexone,and for my headache neurologist added amitriptyline I forgot to tell him that I am already taking naltrexone
Is there any interaction?
Can be taken both together?
I was in petril beta 20 for 3 months and then on cloba 5 mg in half for one months and I want to leave benzodiazepine I am scared of withdrawal and I am having withdrawal like head going to explode and bursts as I went a medicine gap of benzodiazepine for 2 weeks and then I changed doctor again he is giving clonotril0.25 mg for ten days and pari cr 12.5 mg what should I do to leave benzodiazepine or how to tapper
Late wakeup, no Interest in anything, disconnection in logical thinking, unable to think beyond present,
