system
What is the best medicine for anxiety and depression?
human
Respected Sir, I had consulted some psychiatrists but the treatment was discontineud for some reasons.I wish that I should be given freedom for full expression of what I want to say and treatment be decided accordingly. For following reasons the treatment was left. Some drugs caused constipation,some caused daytime sedation. Some caused involuntary bowel movement.some caused excessive dryness of mouth.Some caused rebound anxiety and hangover / blank feeling. Small quantity of stools pass out with the gas/flatus with some drugs. I have phobic and generalized anxiety and depression.There are speech communication problems since childhood. There is great lethargy / inertia,forgetfulness / memory problems,concentration problems and impatience.Weakness is experienced especially in the evening for no obvious and physical reasons. I am 48 years old,doing a clerical sedentary job in a bank.I am health literate and have some literacy of psychiatry. Venlafaxine,Duloxetine caused constipation.Bupropion and Flouxetine also constipation.But they also caused involuntary bowel movement. I donot want drugs that 1.cause constipation 2.cause looseness of bowels / involuntary passage of stools with/without flatus. 3.cause rebound anxiety and hangover 4.cause uncontrollable daytime sedation I wish to have best posssible drugs combination as per my requirements. I want to take advantage of all available medicines. My experience with nitrazepam/ alprazolam/ clonazepam is very favourable. It is for short time of about 5-6 hours.But these cause rebound anxiety which is more painfull. I was on paroxitine and I was feeling good.I had to leave this medicine as sometimes caused stools passage with gas/ involuntary stool passage. Now there are other antidepressants left—citalopram,escitalopram, tinepline,fluoxamine etc. Another category is smaller doses of olanzapine or resperidone.There are also medicines in the category of haloperidol and thioridazine in lower doses, We have anti-anxiety drugs –buspirone and flupenthixol,hydroxyzine. We also have piracetam for memory and anti-epileptic / anti convulsant drugs, melatonin etc.There are many other drugs. Most useful yet flexible combination considering drugs interactions is necessary for me.I am not in favour of over-usage of drugs.But if the drugs are useful and indicated I would like to avail their fullest benefit. If I am put on olanzapine on regular basis,is it possible to take clonazepam on regular / sos basis.Which anti deppressant may be taken with these.Is it possible to add flupenthixol and buspirone. Occationally if sedation at night is necessary,which medicine may be taken SOS.Whether trazodone/mirtazapine-sos will do for sleep. Whether piracetam / similar drug can be helpful for memory problems. Whether hydroxizine-sos can be used for stressfull situation or sedation. Which of the anti epileptic/anti-convulsant drug/s is benificial. What are other useful medicines. Let me have various compatible combinations with alternatives for best optimum results.I want to take treatment seriously,sincerely and regularly without discontinuation.I am in need ot treatment and wish to lead normal happy life. Please let me have such drug treatment plan / regimen with necessary alternatives / options,with all relevant information / instructions / clarifications. I will provide any other required information.I may also be given access to to contact you for any difficulty/problem in a frank and free manner. I may be required to have one or two more communications before finalizing treatment.
gpt
DearWe understand your concernsI went through your details. I suggest you not to worry much.  You should know that these problems are not mental diseases, but are mental disorders. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Exercise, Life style changes, change in thinking pattern, relaxation etc are as essential as medicines. Psychotherapy can help you changing your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL.  Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck.