I have had depression and really bad fatigue for a while. Coffee didn't do anything. I tried caffeine pills to see if they'd have a different effect, and they did make me way more awake at the same dosage somehow. However, I started having really bad physical restlessness in the morning after taking it, even at only 200mg per day. So I stopped the caffeine pills after 1 week. But the restlessness continued and it's been 3 months now. I described it as anxiety to my psychiatrist. It happens only in the morning for a few hours, regardless of whether I drink coffee or not. But caffeine does make it worse. Makes it hard or impossible to go to school, it feels like total agony and suffering, and it's ruining my life. It's not emotional, it's an awful physical feeling like I can't stand the time happening. Propranolol doesn't work, hydroxyzine doesn't work, buspar doesn't work, desvenlafaxine doesn't work. Mirtazipine works in the moment, but not enough, and it makes me tired and I already have trouble keeping my eyes open in class. I tried gaba (the supplement) and it doesn't work. CBD doesn't work. Tried spravato (ketamine) for a few weeks and stopped the anxiety was getting worse.
I tried decreasing lurasidone because that can cause akathesia (a kind of restlessness) and also took a tolerance break from vyvanse at the same time and felt really good for 6 days but then the anxiety and depression returned. I thought maybe the pause in anxiety was due to the tolerance break from vyvanse so I'm doing that again and hoping.
It's at the point where I need a solution, I'm suffering so much every day and I'm going to have to drop out of school. It started due to caffeine pills but has flipped a switch in my brain and now I'm suffering hard. Any med recommendations would be very very much appreciated 😭