Brief Answer:
possible side effects of multiple medicines, let me know dose

Detailed Answer:
Hello Sukarn,

Thanks for writing to us.

You are likely suffering from anxiety disorder and mostly it is panic disorder. our doctor has prescribed pretex ( I cannot get it what it is, it is likely paroxetine, please clarify with the dose) and etilam (etizolam- please mention dose of the same). These are good medicines for anxiety disorder. You have also taken lonazep (it is clonazepam - please mention dose and how much time have you taken in last week).
Apart from these you have also taken medicines for cold and those medicines likely include anti histaminic. Please provide name and dose of those medicines also.

All above medicines can cause sedation and dizziness as side effects and taking all together can cause sedation which is troublesome and that is why you are feeling drowsy.

No possibility of tumour is there as none of the mentioned symptoms support this. If you any symptom like have loss of consciousness, ear, nose bleeding, diplopia, severe unbearable headache, convulsion; then we can go for neurological evaluation otherwise it is not at all needed.

Please revert back to me with details of medicines as asked like dose, frequency, generic name.
If you have undergone any investigations , please attache the reports.

I will be happy to help further after your response.

Regards,

Dr.Chintan Solanki.

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Brief Answer:
medicines and anxiety both are contributing to your problem

Detailed Answer:
Hello,

Thanks for information.

Cough syrup can cause sedation. However that has been stopped.

Etilaam, paroxetine and lonazep all can cause sedation. At present take etizolam in half dose and peroxetine at night. If you have panic attack then only take lonazep.

Inform your doctor about your drowsiness and lack of alertness.

Anxiety in general can cause more alertness and restlessness. But few patients due to low mood and lack of sleep patient can feel drowsy.

Your doctor can do neurological examination and reassure about not having any neurological problem.

Take care and feel free to discuss further.

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Brief Answer:
do not make pretax half

Detailed Answer:
Hello,

Thanks for answer.

Neurological problem is not there. I mentioned only to rule out your concern and reassure you.

Lack of alertness due to anxiety is in your case.

No lonazep will help to make you relax after panic attack.


Only lack of alertness cannot be sign of any tumor.

Etizolam and lonazep are both anti anxiety drugs but lonazep can cause more sedation and more long acting than etizolam.

Make only etilam 0.5 mg half. Do not make pretax 12.5 half , just take it at night.

Yes long flight is precipitating factor of your anxiety disorder. You have past history of the same. You had recovered in past so again you will be recovered soon.

If still any query there, I will be happy to answer. If not, you can close the discussion and if feasible give your feedback and rating so I can improve my service. In future you can contact me directly on this site if you wish with this link:
http://bit.ly/drchintansolanki
by clicking on 'Ask me a question' on same page at the same cost with three follow up questions.

Take care and all the best.

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Brief Answer:
yes it is panic attack only

Detailed Answer:
Hello,

Good morning.

The episode you have mentioned is panic attack only. It resolved after 20 minutes with etilaam and that confirms the same.

Yes psychotherapy also can treat panic disorder. Panic attack can be relieved with medicine like etilam or deep breathing exercise. Do relaxation exercise. During panic attack take deep slow breathing. Inhale for 3 seconds, keep breath in for 3 seconds and exhale for 3 seconds. Do it for 10-15 minutes. You will feel relax.

Simultaneously also go for CBT- Cognitive behavior therapy. CBT is specifically used to correct automatic thoughts and distorted cognition. In CBT psychiatrist/psychologist helps person to identify his/her automatic thoughts and faulty behavior which would ultimately be modified by person with active efforts and help of therapist. It also includes time management, daily sleep, meals and exercise timing.

You can ask your doctor for CBT.

Hope this answer will help.

http://bit.ly/drchintansolanki

Have a good day.

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Brief Answer:
Yes you can take etilaam for few days

Detailed Answer:
Hi,

Thanks for follow up.

I am using etilaam in my patients very frequently in all anxiety spectrum disorders. Usually after symptomatic improvement I tapered it gradually and stop in 2-3 months. Though it is a benzodiazepine it is no or very less addictive. Person can stop it easily without significant withdrawals. You can take it for few days under your doctor's guidance.

Frequent episodes of panic attacks is called panic disorder. My choice of treatment is same paroxetine, etilaam with CBT. Yes many patients are cured with this treatment. You had come out of OCD so you are also likely cured from panic disorder.

Take care.

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Brief Answer:
ENT examination and x-ray PNS are required to check sinusitis

Detailed Answer:
Hello Dear,

Thanks for follow up.

Pressure head can be due to sinusitis but frequent panic attacks cannot be due to the same. In that case we need to rule out sinusitis. You need to consult ENT specialist for clinical examination and if needed X-ray PNS (para nasal sinuses) can be done. By chance if it is there, we can treat it fast.

I do not recommend to stop medicines without consulting your doctor. Better to rule out sinusitis first.

Yes ultracet can be taken with etilaam. However it is pain killer tramadol and prescription drug. You can use it for severe pain.

All the best.

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Brief Answer:
yes possibility of illness anxiety is there

Detailed Answer:
Hi,

Yes you are right if you have headache and you feel anxiety about that you may have panic attack. In that case treating basic cause of headache is needed to cure the problem. Let me know after consulting doctor for sinusitis or other ENT problem.

Etilaam 0.5 mg is very low dose and you can easily stop without withdrawals. If you will take it more than 4 weeks you can reduce to 0.25 mg for one week and then stop without any problem.

Take care.

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