I have been a member of this board for over 2 years and this is the first tread I am starting!
This is mostly about me and my situation and what I have come to, but I am sure many can relate.
I really feel that I need some input on this.
After two and a half years of living with this painfully piercing, high pitch grating noise in my right ear(brain) along with debilitating H, it has come down to this! Kill myself, to end the suffering, or start a regime of continuing use of benzo, as to me it is kind of a miracle drug in fighting T and to an extent H.
Still both options scare me.
I´ve tried to avoid it coming down to this by trying
hearing aids, noise generators, CBT, meditation/mindfulness, acoustic -neuro -modulation, acupuncture, physical therapy, chiro, and many different drugs including AD´s, glutamate antagonists, dopamine agonists, beta-blockers, anti-histamines, anti psychotics, CBD- oil and just trying to stay busy and involve my mind with different tasks. Everything to no avail, I get no breaks and habituation seems impossible.
Like many other on this forum I have also been researching anti-epileptic drugs as well, I have tons of Keppra and Trobalt next to my bed, but never dared to try it after reading many horror stories regarding their side- effects. I finally landed on Lamotrigine as a possible helpful drug and
I´m currently on it, sadly with no positive effect so far.
The only thing that will alleviate, in fact, at times totally quiet my T and to some extent ease the pain of my H, is benzodiazepines. In my case Diazepam. Only 10 mg will make it livable for 2-5 days. Often the positive effect won´t emerge until the third day after taking it which is surprising and has made me ponder if it is the muscle-relaxant properties of the drug being the reason.
Anybody else experienced this?
So, why is this still a difficult decision?
Well, I´m very sceptic to its sustainability. One will get tolerant to the drug, and it will take up-dosing to sustain its effect over time. The most scary thing is of course the withdrawal symptoms if one has to/tries to renounce. This is nothing new to me though as I´ve been more or less in protracted benzo withdrawal since 2012, thus I´m taking it very sparingly indeed. I´ve been suffering with general anxiety for most of my life and my typical encounter with doctors can best be depicted like this:
Never took it every day though and never at high doses. But over an extended period of time, 18 years.
When it comes to benzo and suppressing T, I think one will have take keep a regular and stable regime in order to keep the GABA levels constantly elevated in order to sustain neural inhibition within the brain.
The mechanism of action is described in this video, I find it very interesting, indeed(many may have seen it already though):
There is a member on this forum that have pursued such a treatment successfully for many years. He/she is supplementing benzo with two different glutamate blockers/modulators because of the brains natural reaction of wanting to counteract inhibitory GABA- with excitatory Glutamate- neurotransmitters. This because the brain wants balance. This mechanism is also what generates T too isn´t it? Filling in the gaps and balancing out for the lack of input. With no regards for its host. Stupid brain
Anyway, the doctor prescribing this is a psychiatrist who specializes in the treatment of all disorders of addiction. He should know what he is doing, right? Still this goes against common medical practice. The shortage of research in long term benzo use in treating T is also very limited.
Metaphorically, one needs to activate the brakes and ease off of the gas at the same time, thus suppressing T, in my case, effectively. In theory, this sounds ingenious to me, still I´m questionable to it´s sustainability and long term overall uncertainty.
But considering the other option, the choice should be an easy one!
Maybe me and my doctor simply are not brave enough to pursue this, even though I think he is ready to comply as he sees how I suffer, he is advising against it.
So, in summary, my life is torture where sounds have become my biggest enemy, both T and H wise. And I just can´t go on any longer like this.
If I thought this was purely a phycological problem I wouldn´t have written this. I don´t believe I am a catastrophic thinker. Im quite rational about all of this, I have just been living with severe unbearable pain for so long as many others on this and other forums have. You read about it every day!
I am, of course, aware of all the research going on now that can one day help us all. And this is mainly the reason for hanging on. I just can´t wait for any research to be fruitful. And the waiting game, the if´s and the when´s is in itself troublesome. I´ve reached a point of total physical and mental exhaustion.
Thank you for reading this! It´s not a "happy" tread, but maybe something fruitful can emerge. I know there are a a lot of smart and investigative members on this forum that may add something to this and the kind of treatment I am proposing.
I suggest this tread to be where we can discuss this, share our experiences, comprising what kind of benzo works for you/or not, what dosage will it take to find relief, what kind of relief are you experiencing and for how long etc..
All inputs and sharing of own or anecdotal experiences with benzo as a treatment is appreciated.
My feeling right now is I´m damn if I do, and damned if I don`t, regarding both options, really!
I find it extremely difficult and it is all I have been thinking about the last few months.
I just had to let it out!
Thanks again!