I have bipolar 2 disorder and am on Depakote and recently (in the last few weeks) have started vraylar. My anxiety is up like crazy. I have tried Xanax but it's really not doing anything and just puts me to sleep. I don't know what else is good, I go back to the doctor in a couple of days.
This is going to be a controversial answer, because it only seems to work for half the population, but a good start might be Buspar (buspirone). It is non-addictive, and doctors are very comfortable prescribing it. I found that it doesn't work for me to take it the way it's meant to be taken (swallowed), however it works great if I take it sublingually (which makes it go into the bloodstream more rapidly). You can take up to 60mg/day, and spread it out throughout the day. I take 45mg/day by taking 15mg bars three times per day, morning, early afternoon, and early evening.
Should that not be a good solution for you, Klonopin (clonazepam) might be a good alternative for you. Both medications are NOT rescue medications. They are both meant to be taken so that they build up in the blood stream over time so you get round-the-clock coverage. Klonopin, unfortunately, is addictive, so it's best if you start (and stay) at the lowest dose possible. I stayed on Klonopin for about 5 years, and I'm moving to Buspar to get off of Klonopin; so far, it is going well. In only two weeks, I have cut my Klonopin intake in half. I don't know if I can go more than that, but I call that progress.
If you need an actual rescue medication (i.e. for a panic or anxiety attack, and need something that is FAST acting, SEND HELP NOW), you need something of the Xanax, Ativan, Valium variety. I have never taken Ativan, so I can't speak to it. I would advise against Valium only from personal experience, unless you were taking it at night to relax, as it is very sedating (this is what doctors frequently give before an oral surgery procedure to kind of knock you out and help you relax for a procedure). Xanax, on the other hand, has less of the sedating feeling, and more of the "Okay, I'm slowing down, this is good" rescue feeling to it.
I really hope this info is of some help to you!!! :-) Meg
Dump the Vraylar as partial dopamine agonist often stimulate people. An option is a long acting benzo at night like Valium, Tranxene, or Klonopin so you sleep through the initial sedation but if Xanax isn't working I'd think its something with the bipolar and look into Latuda, lamictal, or Topamax. Seroquel would be best if sedation wasn't an issue
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