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Therapy and medication for severe anxiety - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Anxiety and Stress
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1705 Questions
Doctor :   hi
User :   Hi. I tried the free trial and something happened when I went to pay and come back to the chat. But here is what we chatted about:
Doctor: hi
Doctor: how can i help you
User: Hello. I have severe anxiety. I have been prescribed xanax and I also have Clonozopem. I understand the differences between the two medications and how Clonozopem lasts longer and how the xanax works fast. I am not taking them both at the exact same time. The clonozopam keeps me mellow throughout the day, but at night does not help me sleep, so I take xanax so that I can just fall asleep. the dosage amounts are .25-.50 of clonozopam in the am, and .5-1.5mg of xanax at night or if I have a panic attack. Just want to confirm this is ok. Again, I am NOT taking them at the EXACT same time.
Doctor: okay
Doctor: no issues
User: okay so that is fine then? And also, this is the first time I use this system, are you a licensed MD?
Doctor: I am a General Practitioner, I believe I can help you within my expertise and If required I shall recommend a specialist.
SYSTEM: Dear User, Your chat period is about to get over. You will be redirected to the Payment page in 10 seconds. It's very economical. After the payment, you will be automatically brought back to this chat page and you can continue your chat with the doctor.
Doctor :   okay
User :   so anywhere that is where we left off.
User :   I just want to make sure I wont overdose using those meds
Doctor :   all the drugs have its own side
Doctor :   but these two drugs i hope prescribed by an doctor
Doctor :   right
User :   yes they were prescribed by a doctor
Doctor :   if taken single dose one at night and other at day
Doctor :   will be helpfull for the anxiety
Doctor :   but they are also sedative antianxiety and hypnotic action
Doctor :   they will soothen the mind
Doctor :   as such taken for a longer time will cause its side effect at this dose regime
Doctor :   as of now not much unless you are sensitive i.e, allergic to it
Doctor :   asyou are taking it you also
Doctor :   should go for
Doctor :   cognitive behavioural therapy
User :   yes I started that this week.
Doctor :   and control your feelings and unwanted thoughts building up
Doctor :   by this therapy
Doctor :   and coping up with the environment you live in
Doctor :   with the policy of adjustment just like others
User :   yes definitely. Unfortunately the next two weeks are just very high anxiety, after that I will be ok and can just continue with less drugs and more therapy
Doctor :   of course
Doctor :   when you have started the drugs it will help you
User :   ok.
Doctor :   with its help i you learn to control your anxiety
User :   So then for now, just to confirm, it is okay for me to take the clonozopem like in the am, .5mgs....then take the xanax at night as needed .5-1.5mgs right? Should I take more of the clonozapem at around 3pm if I feel too anxious?
Doctor :   if it deosnt help you with this then you can change to other regime
Doctor :   but remember both can cause dizziness
User :   yes
Doctor :   so best is to have proper sleep
User :   ok
Doctor :   when you are on medication
Doctor :   and later also
User :   ok
Doctor :   that will solve the problem
Doctor :   but dont go for extra dose
User :   ok
Doctor :   as it will mainly hinder your proposed activity
User :   yes I understand
Doctor :   for the day
Doctor :   trying to be calm will cure you more
Doctor :   try to forgive and forget the bitter incidents
Doctor :   and try to achive anxiety free mind
Doctor :   do simple work ups of things you like
Doctor :   without imposing an rule on yourself or
Doctor :   on others
Doctor :   and dont alter the timing of the medication
Doctor :   if you follow particular dose and timing prescribed
User :   okay. Thank you so much for your help. You have been a great help. I'm gonna start slowly with low dosages, work on the therapy, and try to relax.
Doctor :   which is best for you will do more good
Doctor :   and please fill the feedback form before leaving
User :   I did already. I gave excellent feedback. Thank you! Goodbye!
Doctor :   thank you
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