I am a 35 y.o. male with GAD, panic disorder, and ADHD-combined type. For years, I was treated with various SSRIs, Benzos, as well as Buspar with minimal efficacy. Xanax has always been effective for ending a panic attack, but I have been constantly searching for a way to prevent them. Recently, I began treatment with Adderall (10mg IR, 2x/day). This has been a Godsend for my ADHD symptoms. Moreover, it has eliminated all of my daytime anxiety, but my anxiety symptoms are still severe at night. I fall asleep fine, but wake up panicky after a few hours. Also, the frequency of night time panic attacks has increased since beginning this treatment. Currently, I take Xanax 0.5mg three times per day for GAD.
Would asking my doctor to change my Xanax script to Xanax XR once nightly (or early evening to combat the stimulant "come-down" effect) be beneficial or should I give antidepressants another go? Would perhaps another stimulant medication let me down easier? I have tried Strattera in the past, and it was not effective for ADHD or anxiety for me.