Hello
Welcome to Health Care Magic

For last 3 years you are having symptoms of lightheadedness, giddiness, poor concentration mainly in month of Feb and March. Everything came normal on investigations. On coming to India it improves by own.

The symptoms you are showing are most likely due to Seasonal Affective Disorder. This is a disorder especially seen in early months of winter and late summer, but it can occur in late months of winter also. Mood swings, low mood, poor concentration, decreased interest in activities etc are main features. The reason behind these symptoms is thought to be poor light. When season changes the symptoms improve by own.

The symptoms usually are tolerable and these may respond to just making some adjustments in lifestyle.
Try to have 2-3 cups of coffee per day.
Always stay in well lighted room.
Daily exercise will release endorphins and will boost your mood.
Don't take alcohols during that period.

Medicines like SSRI as Fluoxetine, Sertaline are prescribed for SAD (seasonal affective disorder). They have proven results.
Other medicines like Bupropion has been recently approved for prevention of symptoms.
Medicines like Armodafinil, modafinil are also used to make person more active.
In some case Phototherapy along help in improvement.

So if your symptoms are hampering your occupational life I will advise you to visit a Psychiatrist for expert opinion.

If you have more questions you can ask again.

Thanks
Dr. Seikhoo Bishnoi, MD
(Consultant Psychiatrist)

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Hello again

Many medicines are useful for SAD. As you are having symptoms of mild grade I would advise you to please follow non pharmacological management.

Non pharmacological management like I have already mentioned

Try to have 2-3 cups of coffee per day.
Always stay in well lighted room.
Daily exercise will release endorphins and will boost your mood.
Don't take alcohols during that period.
Relaxation exercises like Progressive Muscle Relaxation Techniques, Deep Breathing exercises etc.

Few medicines like Melatonin 3 mg in evening will help to regulate your circadian rhythm and will fasten recovery. It is available Over The Counter medicine. Try these methods for at least 6 weeks and then wait for improvement.

If needed or if symptoms are not properly controlled with these methods then conventional antidepressants like-
- SSRI as Fluoxetine 20 mg/ Excitalopram 5 mg can be taken daily in morning for at least 6 weeks. It will help in preventing episodes. But take these medicines only after evaluation by a Psychiatrist.

Thanks, hope I cleared your query, if you are satisfied with conversation please review.

Dr. Seikhoo Bishnoi, MD

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