I have anxiety
disorder and my symptoms when not under control are, anxious feeling, hot and cold/ tingling sensations on my chest and arms when trying to fall asleep at night. It can continue throughout the whole night and the next day, as a result I have severe insomnia
I started the treatment with lexapro 5mg nightly, valdoxan 25mg at bedtime, xanax 0.25mg as when needed. It went well for one month, during which I only had one occurrence of anxiety attack.
Then on instruction of my doctor, i began to taper off valdoxan because according to him, it's for sleep and not for controlling anxiety/panic. He wanted to start some behaviorial therapy. I noticed my MOTN insomnia slightly worsened (wake up 3,4 times MOTN) when on half dose and complete stop, but no anxiety attack.
After one week of stopping valdoxan, I began to have a relapse. Two anxiety attack episodes happened in two afternoons which I coped with deep breathing, music and xanax, followed by one that happened at night, which I failed to cope even with xanax.
I called the doctor and he told me to resume valdoxan at one dose, and the problem will improve. This is the second day I have resumed the med, and the anxiety attack has reduced in severity, but it's still there and i couldn't sleep. I also experienced some acid reflux.
I would like a second opinion, on what to proceed from here? My next appointment is on 6th, and I am very miserable at the moment, coping with insomnia and anxiety attack. On the side note, I stored my lexapro at room temperature about 27~29 degree, could it cause it to lose strength, because it has instruction to be stored at below 25 degree.