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Insomnia, depression, anxiety

Depression & Anxiety | Last Active: Jun 22 11:32am | Replies (171)

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@amicocercante

Hello, I have a close friend in another country who needs some help that he’s not getting at home. His medical problems started about seven years ago with insomnia which snowballed into myriad other afflictions, many of them side-effects of the medications: depression, anxiety, muscle pain/weakness, persistent nausea/vomiting, total lack of appetite, ED and suicidal ideation. He and his doctors have tried an astonishing array of drugs (detailed below) but have made no progress in treating his insomnia and the other problems reduce his quality of life to near-zero. To complicate things further, an unfortunate family situation routinely serves to make things worse.

I’m posting here today because we’re hoping to find:
- medical professionals who don’t believe that the answer is “more drugs”
- other individuals struggling, recovering or recovered from similar circumstances
- recommended courses of action
- facilities or support organizations with relevant expertise

As his friend, I believe that his doctors at home (in a country with public healthcare) have neither the resources nor the incentives to make him better, and so their efforts to medicate him are more about stabilization than recovery. In other words, I believe that his doctors have basically given up. I will not. We eagerly welcome anything positive that this community has to offer. Thank you.

Drug List

Currently:
- Pregablin (Lyrica) — 3x daily, 150mg
- Mirtazapine (Remeron) — 7 years, daily, 30mg

Infrequently/Recently:
- Lorazepam (Lorazepam Dorom) 2.5mg
- Flurazepam (Dalmadorm) — 30mg
- Zolpidem (Ambien) — 10mg
- Levosulpiride (Levopraid) — 2x daily, 50mg
- Rivotril/Clonazepam (Klonopin) — 50 drops

In the past:

- Olanzapine (Zyprexa) — 1.5 years, varying dosages (5-20mg)
- Quetiapine (Seroquel) — 6 months, varying dosages (25-800mg)
- Melatonin (Circadin)
- Fluvoxamine (Luvox)
- Trazodone
- Clotiapine (Entumin)
- Solian (Amilsupride)
- Aripiprazole (Ablify)
- Venlafaxine (Effexor)
- Paroxetine (Paxil)
- Fluoxetine (Prozac)
- Sertraline (Zoloft)
- Escitalopram (Lexapro)
- Citalopram (Celexa)
- Xanax
- Valium
- Samyr

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Replies to "Hello, I have a close friend in another country who needs some help that he’s not..."

Hello @amicocercante, I would like to add my welcome to Connect along with @suzbyrne and other members. It's good that you can help advocate for your friend's health. Your friend's story sounds similar to this TED talk by Jennifer Brea who became progressively ill with myalgic encephalomyelitis. What happens when you have a disease doctors can’t diagnose -- https://www.ted.com/talks/jen_brea_what_happens_when_you_have_a_disease_doctors_can_t_diagnose

There is a related discussion that you might want to read through to see if it is helpful.
-- Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) treatments: https://connect.mayoclinic.org/discussion/myalgic-encephalomyelitis-chronic-fatigue-syndrome-me-cfs-treatments/

Is it an option for your friend able to travel to a major teaching hospital or health facility like Mayo Clinic?, or is one available where he lives?