If Ativan (lorazepam) is considered too addictive for long-term use and gabapentin made you drowsy, there are other options you can discuss with your doctor for managing anxiety in combination with Prozac (fluoxetine). Here are some alternatives:
Buspirone: Buspirone is an anxiolytic medication that works differently from benzodiazepines like Ativan. It is generally considered to be non-addictive and does not cause sedation or drowsiness to the same extent as benzodiazepines or gabapentin. Buspirone may take a few weeks to achieve its full effect and is often prescribed for generalized anxiety disorder.
Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs): SNRIs, such as venlafaxine or duloxetine, are another class of antidepressants commonly prescribed for anxiety disorders. They work by increasing the levels of both serotonin and norepinephrine in the brain. SNRIs may offer additional benefits for anxiety and can be used in combination with Prozac.
Hydroxyzine: Hydroxyzine is an antihistamine with anxiolytic properties that can be prescribed for short-term relief of anxiety. It is non-addictive and generally well-tolerated. Hydroxyzine is often used in situations where benzodiazepines are not suitable for long-term use.
Vortioxetine: Vortioxetine is another antidepressant that affects serotonin levels and is sometimes used to treat generalized anxiety disorder. Like SNRIs, it can be taken in combination with Prozac.
Psychotherapy: In addition to medication, psychotherapy (talk therapy) can be highly effective in managing anxiety. Cognitive-behavioral therapy (CBT) and other evidence-based therapeutic approaches can help individuals learn coping skills and strategies to deal with anxiety triggers.
Lifestyle Modifications: Adopting healthy lifestyle habits, such as regular exercise, adequate sleep, stress management techniques (like mindfulness and meditation), and a balanced diet, can also contribute to anxiety reduction.
It's essential to have an open and honest conversation with your doctor about your concerns and experiences with previous medications. They can take into account your specific symptoms, medical history, and preferences to recommend the most suitable treatment plan. Keep in mind that finding the right combination of treatments may require some trial and error, and your doctor will work with you to achieve the best possible outcome.