Hi all, I have currently been on Duloxetine for about 3-4 mths now. I’m not quite as panicky as I was but I am still anxious & often wake with dread & presently feel very depressed & tearful. I will be having some therapy soon but I feel I need something as I feel so bad. I’m going back to wanting to lie down all the time & having that horrible tight chest & avoiding everything & sleeping poorly. It’s like I get this horrible panicky feeling if I sit down & do nothing as I’m putting off what needs to be done. It’s been discussed that I could add on medications, some as off label use so one option is to up the Duloxetine- I am on 60 which I thought was max dosage for anxiety, another is to add on Pregabalin for anxiety, another to add low dosage of trazodone or quetapine ( off licence) to help with sleep. I really do not want to be on meds but I tried to come off mirtrazapine & got incredibly low. Anyhow if you can help & have experience of these do please comment. My doctor will send me info on each one but in the end it will be my choice & I cannot make decisions at the moment and constantly change my mind!!