Our expert says:
I'm rather puzzled, and wondering who exactly has been treating you. Obviously such a complicated case should NOT be handled by a GP alone ; and Trepiline, about the very oldest antidepressant still on the market, is a rather odd choice if someone has diagnosed treatment resistant depression, where there are various complex variations in treatment that can be used, including careful combinations and the use of adjuvants of different kinds.
The odd hand feelings and tinglings you describe sound like the effects of hyperventilation and over-breathing ( which people quite often do when very anxious and panicking ) which changes the chemical balance of the blood and causes such feelings, which are often reversed if one can control the sighing and deep breathing, and re-breathe in and out of a paper bag.
The main way to clear it up is to get proper treatment of the underlying anxiety and panic disorder.
As you have no medical aid, explore what you can do to be seen and help[ed at the psych department of your nearest medical school or large state / provincial hospital. And ask them about CBT, a form of counselling which their psychology dept should be able to offer, which is good for treating depression, anxiety and panic even without meds.
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