I already take 200 mg of Zoloft and have tried almost all of the SSRI meds for anxiety or if it was essential tremors, the SSRIs don't work for either the anxiety or essential tremors. My psychiatrist now wants me to add on Aplenzin ER 174 mg to the Zoloft (Wellbutrin with bromide), but I've taken Wellbutrin before and it doesn't work. Plus, I get severe dry mouth, and that's the top side effect of Wellbutrin.
I am trying to get-off Clonazapam because I'm beginning to build up a tolerance, and I want to save it for when I have another bad shaking episode.
I could feel the last shaking episode coming on in November and December 2012, and it was a steady decline. All of my appendages, including my head, would shake in a pattern. Also, when I was in a resting period or sleeping, I would get strange bolts or twitches of energy in different parts of my body, and it would wake me up.
Then in January 2013, the shaking appendages deteriorated so rapidly I couldn't control them anymore. I didn't go to the E.R. It took almost three weeks to get two different appointments with two different neurologists. I had difficulty communicating, driving, writing, and the shaking was so intense that I couldn't hold a glass of water without people staring.
At the end of January, the second neurologist, who is also a motor specialist, analyzed both of my MRIs (spine and head) and told me that I didn't not have Multiple Sclerosis, Parkinson's, Hunington's, etc. He diagnosed the essential tremors, and prescribed the clonazapam and 180 mg of Inderal per day as needed.
I noticed a big difference initially with the clonazapam, and now that it's the end of March, a person would not notice that I still slightly shake in my appendages. I am just worried that if I get another BIG episode like the entire month of January, do I go to the E.R. to get an Ativan shot since it's stronger than Inderal and anti-anxiety pills? Plus, the Inderal doesn't work immediately. I never want to go through another shaking episode like that again. I feel so lost.
I have appointments next month to consult again with the psychiatrist and the neurologist's physician assistant. They both are going to look at me and think I appear completely normal.
I have been researching the essential tremors online, especially the official website of essential tremors. There really seems to be no medication specifically developed for the tremors, but they do mention Inderal, Primitone, and Clonazapam as meds to help.
I am a school teacher and cannot miss a month of teaching with another bad episode of a month of shaking severely. Any suggestions? Please?