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Re-traumatised - Depression - S I -now Anxiety & Meds Question

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I was prescribed gabapentin for chronic pain. It's very subtle but, at least for me, very helpful (more helpful than tramadol)...so it points to my pain being an issue of nerve over-excitability. Which is also the story of my life. I don't sleep well, I tend towards hyper and distracted. Anyway, I do notice a subtle relaxing and also organizing effect with this. It also helps me sleep better (still need a sleep med, but I notice whatever I take works better with this...but actually can't take ambien anymore because the combination relaxes my judgment too much...gabapentin alone is totally fine, does nothing weird to your head). The relaxed effect is common. Gabapentin has been prescribed off-label for anxiety and mood regulation.

I only take about 400-600 mg because I get some nasal/mucus side effects that are sort of irritating. No weight side effects and I don't think that's common. Some people start right off with higher doses. You'd have to sort that out with your doctor.

I'd ask your doctor. It's a pretty harmless med, from what I've read. You can go up to pretty high doses and take longer term (much better med for chronic pain than something like an opiate). You wouldn't want to be taking a lot for a long time and just stop...would not be like opiate withdrawal, but likely some anxiety and lack of sleep. But you'd just stay on or trim back gradually if needed. I think it's actually becoming pretty common for things like fibromyalgia. It also works okay with many meds, like it's not loaded with dangerous contraindications, so I can take it with tramadol, or flexeril, or amitriptyline (other pain meds)...likely because it's actually an anti-convulsant.

I have a hard time understanding neurotransmitter language, but this is a pretty useful little article. It explains sort of what GABA does, what a lack of it looks like, and also connections to trauma and also early brain wiring/circuitry related to trauma:
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I can't do SNRIs...somehow make me more spacey and dissociative. But interesting that could help with your fibro pain too. There is definitely a nerve/neurotransmitter connection to all of it.
 
I was raped by my brother and I empathize. I am deeply sorry you have gone through this trauma.

I've been on a daily low dose of Clonazepam for about 9 months. I have a lot of shame and guilt for taking it, and I still feel my anxiety creeping through my dose.
 
Thank you for answering my queries Chava. We are all so different. Yet the same. I will be doing more research on it and see if there is much evidence of it helping with carb cravings as this has been an issue for a very long time.
 
Sorry @ReachingOutJ for your traumatic experience. Just be in good contact with your doctor about meds and options...like switching things up, if possible, before increasing doses too high (or supplementing benzos with other supporting anxiety meds). I've met people in treatment for Clonazepam too, but they might have been abusing their prescription or not connecting honestly with their doctor. If you are using as prescribed and keeping in touch with your doctor about concerns and your level of anxiety, you are doing your best. Hang in there!!
 
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