Since your current medications (including Tramadol and Neugaba) aren't providing relief, you need a medical re-evaluation, possibly with an MRI to check for nerve compression. Better treatment options to discuss with your doctor include: 1. Medication Adjustments: Switching Neugaba to other nerve pain medications like Duloxetine, or adding short-term anti-inflammatories (NSAIDs) if medically safe. 2. Physical Therapy: Targeted physiotherapy is highly effective for relieving sciatic nerve pressure. 3. Epidural Steroid Injections: These can provide powerful, targeted pain relief directly at the affected nerve root. 4. Specialist Consult: A consultation with a spine specialist or orthopedician is recommended to explore surgical options if conservative treatments fail.

Dealing with career-related stress and depression is challenging. For depression and focus issues, medications like SSRIs (such as sertraline) or SNRIs (such as duloxetine) are commonly prescribed. Another option, Bupropion, can help improve both mood and concentration. However, these medications require a precise diagnosis and prescription from a doctor, as they carry risks of side effects. I strongly recommend consulting a psychiatrist or your primary care physician. They can evaluate you and tailor a safe treatment plan, which may also include Cognitive Behavioral Therapy (CBT) and stress management techniques to help you regain focus and improve decision-making.

Depression is a treatable medical condition, but there is no one-size-fits-all medication. Common antidepressants include SSRIs (like sertraline or escitalopram) and SNRIs (like duloxetine). However, the right medicine depends entirely on your specific symptoms, medical history, and potential side effects.\n\nIt is highly critical that you do not self-medicate. Please consult a qualified psychiatrist or doctor for a comprehensive evaluation. They will safely diagnose you, prescribe the correct medication and dosage, and discuss therapy options. You do not have to go through this alone; professional support is available.