I have irritable bowel syndrome with constipation (IBS-C) and am currently taking Neurobion Forte, Petril 0.5mg, Nexito 10mg, Prothiaden 50mg, and Neurokind OD at bedtime, plus Cremaffin Plus twice a day. Despite normal test results (including an endoscopy), I still struggle with poor sleep, daytime weakness, mild pain in my hands and legs, and a heavy stomach caused by incomplete bowel movements at night. Since past medications like Zosert, Nexipride, and Nexito have not provided relief, what other anxiety medications or treatments can help manage my symptoms and improve my sleep?
Dealing with persistent IBS-C, poor sleep, and weakness is incredibly draining, especially when your tests are normal. Since Nexito and Prothiaden haven't fully relieved your symptoms, your doctors might consider adjusting your regimen. For anxiety and gut sensitivity, switching to other generic options like selective serotonin reuptake inhibitors (SSRIs) or serotonin-norepinephrine reuptake inhibitors (SNRIs), such as duloxetine, can help manage both nerve pain and anxiety. For sleep and bowel habits, optimizing your evening dosulepin (Prothiaden) or adding gut-directed therapies like cognitive behavioral therapy can provide relief. Please consult your psychiatrist and gastroenterologist before making any changes to ensure a safe, coordinated transition.