I found duloxetine and the other SNRIs and things like NARI etc to be quite activating, which means anxiety/general jitteriness for me. Some of them calmed down after a couple of weeks, others didn't. I was thinking more of something sedating like amitriptyline (tricyclic) or mirtazapine (tetracyclic). Fluoxetine/Prozac is said to be recommended for anxiety, but that made me hypomanic and gave me akathisia, or there's paroxetine/Paxil, but I've never taken that. The good thing is that a sedating one could help both your anxiety and your insomnia. I was on amitriptyline for ages on it's own for sleep and then found out that it has some anti-anxiety effects even at the low dose I was taking, which may explain why I did ok on just that for ages, but then it pooped out :/

Do your GPs do house calls in the US? Here if you're too sick to go to the surgery, or agoraphobic etc, they have to come to see you in your own house. Otherwise is there somebody like a friend or a support worker or advocate you could get in touch with to help you get help? It's kind of a catch 22 when a person is too anxious to get the anxiety help they need


Thanks and I can relate. I was really worried that they were going to shout at me for not brushing my teeth often enough, so I kept putting it off. I only forced myself to make an appt because I was getting bad shooting nerve pains in the ones that need fillings. It's so stupid because I know full well if I don't brush my teeth, they're going to fall out, and I don't want that, I'm scared of that...but I can't seem to brush my teeth. I don't know why and nobody else IRL 'gets' it because they think it's just 2 mins twice a day - how hard is that?! Well I used to think that, but now it's like expecting me to run a marathon twice a day and I have no idea why. So yeah I get it


Well both will clear up on their own with time. Antibiotics only help the bacterial ones, but viral earache is more common, especially if you've recently had other viral symptoms.


*jealous* I melted marshmallows!

*Willow*