You take both alprazolam and zolpidem. It sounds like you're taking them on a regular basis, not short term - you're risking dependance. It would be better if you were taking alprazolam only on as-needed basis, when you start experiencing severe anxiety/panic attack. For managing anxiety I would suggest you look into cognitive behaviour therapy and mindfulness too. You can also do these types of therapy at home with self-help books and a mood diary (there's iphone and android apps too). It takes time though.
30mg of zolpidem is also a high dose, usual dose is 10-20mg. Try to reduce this if possible.
Taking both of these meds is quite possibly what aggravates your fatigue, esp. in the mornings. Adding a stimulant to this mix will only mask the problem.
It sounds like your doctor has some sort of a "chef like" approach prescribing you meds. Let's add a bit of this and that, correcting and adjusting your "brain soup"... you'll end up with overly spiced up brain. Seriously consider talking with your doctor towards working on a more conservative approach... less is better when it comes to brain.
30mg of zolpidem is also a high dose, usual dose is 10-20mg. Try to reduce this if possible.
Taking both of these meds is quite possibly what aggravates your fatigue, esp. in the mornings. Adding a stimulant to this mix will only mask the problem.
It sounds like your doctor has some sort of a "chef like" approach prescribing you meds. Let's add a bit of this and that, correcting and adjusting your "brain soup"... you'll end up with overly spiced up brain. Seriously consider talking with your doctor towards working on a more conservative approach... less is better when it comes to brain.
I laughed a lot when I read your post, and it makes a lot of sense.