Hi, 53 yo, white, obese man. I thought this may have been serotonin syndrome again but it has lasted longer. With last's night tremendous low pressure, I was beside myself. I take 300 mg Wellbutrin, a calcium channel blocker HBP, Effexor xl cap, lamotrogene tab, prazosin, verapamil, lorsartan k, asprin. I was on zomig, asthmanex, some new type powered inhaler. I have working diagnosis from the VA: PTSD, Migraine w/aura, cluster headaches, hbp, panic attacks, anger issues, major depression due to medical condition, sleep apnea . A few days ago I was a racking sobbing man at night ending in no sleep, hot and cold with varying degrees of this damn cold. Last night after taking lamotrogene, vitamin b, asprin, prazosin. I did not immediately fall asleep because of continued nerve action throughout my body. It felt like low range dc shocks. In some cases I would compress muscles or flail in response. I went to bed cold but not blue. While I was drifting I had a building pressure in both ears and my skull until it reached a peak and it felt like a gun shot, with immediate blood movement to my head to cause sweating and tingling all over.minor non crusing chest pain, pain is the back of my leg that continued. I couldn't move. eventually I could move and did the finger rundown on both hands, cranking my face around, checked my face.. I went back to bed. Fell asleep started having vivid, really intense dreams. I woke that I was grappling, find my left and right hand in a fight. Another was overhearing my ex wife of many years while we were married planning a trip without me resulting in me waking yelling her name and telling her it wasn't fair to plan without me. After, intense feeling of sadness and loss. I know you would say go to an er. It is 42 miles away, in the middle of a sever storm, volunteer ambulance, a causeway that flood and is impassable in storms, a bridge that twists and bounds and gets closed down in under high winds. Now you will say go to an er. I will but I am trying to sound intelligent and have an idea of other things that may come to mind. thanks