I’m a 29 year old male who suffers from severe anxiety, GAD, and C-PTSD (which I already take 25mg Lamotrogine for which helps with the hyper-vigilance). My height is 5’11” and my weight is 165lbs if that’s important.

I was recommended to take Buspirone, Bupropion, or an SSRI by my PCP. The problem is that I don’t want to deal with the REM sleep blocking effects of either the Buspar or the SSRIs as I already have sleep apnea (which I use CPAP for). That leaves me with the Bupropion which probably won’t help my anxiety as it will increase my norepinephrine levels.

Should I just try taking the Buspar anyway and take a supplement like melatonin with it to help combat its REM suppressing effects? I really don’t want to mess with my REM sleep as it’s been shown that it’s just as important as the other stages of sleep?