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.
My brother has some issues like he would don't like to meet people and he easily angery. Never talk politely...he suffering this kind of problem from last 3-4 year
I have symptoms of anxiety and dipression such as no motivation to do anything and restlessness, non stop self talking in mind and feeling disconnected from reality, racing thaughts , also my neck and head pains it , i sleep but do not wake up feeling refreshed and like normal , my behaviour has been changed , my ability to function normally has been affected very much I can't even focus on my study , also have habit to search symptoms again and again on internet for solution ,
But from last few months i have already started exercising so I have improved but there are still the symptoms affecting my life also i can't breath properly and I don't know the reason why this all happened but now i am exhausted and need help earlier I was happy but slowly slowly my mental health drained I don't even realised I also never had taken any meds also i can't think properly and feel little hopeless i also can't feel like my self anymore from much time also i am fit also havedone bloodtestwas nomal
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?
So recently i have been getting alot of rabies news and that has scared me alot because 2 years prior one cat claw scratched me and i didnt had the proper info for vaccination and now i keep feeling scared what if something happens. I need a nuetral doctor opinion should i go for vaccination now after 2 years or should rest thid fear
