I was about to @you because I knew you always recommend it. I might try it out, read about it a bit online so I can knock the pdocs socks off with my unusual knowledge of anticonvulsants. Yeah, also, you’ve said before that it has like libido effects or something, that might be a deal breaker for me, so we’ll put that down as a side note. I’m also gonna probably start googling phrases like “anticonvulsant mood stabilizers”.
To be honest I’d recommend beta alanine over L-theanine for anxiety. BUT like I said I don’t know the long term effects. I’m a guinea pig right now in that regards with respect to beta alanine.
Also I haven’t tried coming off beta alanine yet so don’t know how that would go.
I found this text in the Spanish language, and I translated it to English.
*Modified from: TIP 54 SAMHSA: BENZODIAZEPINE ALTERNATIVES
Alternatives to Benzodiazepines for Sleep
Trazodone: 50mg – 100mg po QHS
Mirtazapine: 15mg po QHS
Amitriptyline: 10mg po QHS
Nortriptyline: 10mg po QHS
Doxepin: 10mg – 25mg po QHS
Cyclobenzaprine: 10mg po QHS
Benadryl: 50mg po QHS
Melatonin: 5mg po QHS
Hydroxyzine: 25-50mg po QHS
Alternatives to Benzodiazepines for Anxiety
Citalopram: 20mg po QD
Sertraline: 25mg po QD
Pregabalin: (Social Phobia and Generalized Anxiety) Escalating dose over 8wks to 450mg po QD.
Gabapentin: (Social Phobia) Escalating dose over 8wks to 2700mg po QD.
Lomotrigine: (PTSD) Escalating dose over 8wks to 500mg po QD
Valproic Acid: (Panic Disorder) 500mg to 2000mg Escalating dose over 8wks.
Buspirone: (Generalized Anxiety) 7.5mg po BID increase by 5mg Q 3D, to 15mg po BID. Maximum daily dose 60mg.
Clonidine 0.1mg po can repeat x 1 (Caution with BP)
Alternatives to Benzodiazepines for Panic Attacks
Acute: Clonidine 0.1mg po can repeat x 1 (Caution with BP)
Acute : Propranolol 10mg can repeat x 1 (Caution with BP)
Prophylaxis: Propranolol 10mg po TID. (Caution with BP)
The libido effects are opposite most drugs. They strongly increase my libido. But it’s not a commonly reported side effect, and I’ve only heard of it happening to girls.
Still tentative on it, but gonna ask the dude about something for general moods swings. Thats his big area so he’ll likely talk circles around me. It will be nice arrangement for that to be the case for once
When I got my first benzo prescription my pdoc gave me a choice between Ativan and hydroxyzine. I’ve had hydroxy zine in hospitals before and does a good job with anxiety. I had it combined with clonidine which I heard also helps.