Originally Posted by
panic_down_under
So you feel it never worked during the 10 years, or that it stopped working recently?
Why a neurologist and not a psychiatrist?
Gabapentin works well for some though these days the similar pregabalin (Lyrica) is prescribed more frequently.
Pizotifen is a migraine med which is little prescribed these days because of its side-effects. Like most antihistamines it can ease anxiety by sedation and antagonizing (blocking) some of the same serotonin receptors as mirtazapine, which might be enough for some, but it's not a first line anxiety med. I don't recall anyone having been on it.