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Had Severe Panic Attacks. Prescribed Lexapro And Xanax. Put On Paxil. Help?

Posted on Tue, 5 Nov 2013

Question: i have esrf knewn it took toxins out with dialysis but i had severe panic attacks my dr put me on lexapro and xanax and iwas healthy no panic attacks for 23 years now i have been cleaned out of lexapro and xanax im having severe panic attacks .renal dr. doesnt know what to give me psych dr put me on paxil 20mg x2 now im having seratonia overload i checked drug book can any dr advise me what to take and how many im open to suggestions then i could tell my psych dr. please these are severe panic attacks is there a dr. out there who can help me

Answered by Dr. Srikanth Reddy (1 hour later)

Brief Answer:
Clarifications

Detailed Answer:
Hello,

Thanks for using health care magic for posting your query.

I have gone through your question in detail and I can understand what you are going through.

However I would require a couple of more details to help you in answering your query in a better justified way.

1) when you say you are having serotonin overload...what exactly are yoi experiencing.
2. How is your current kidney conditions
3. Why laxapro was stopped for you?

Hope to hear from you at your earliest convenience.

Regards and wish you good health,

Dr. Srikanth Reddy MD

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Srikanth Reddy (17 hours later)

i have my body shaking all over, confusion, weakness, my kidney function is 2 to 4 percent on dialysis 3 days week at 3 1/2 hoursl lexapro was stoped because it has short time and dialysis cleaned it out even though i was taking it everyday after dialysis i was told i need a long acting anti depression med but i have been to 3 drs.and they dont know what i need to be on, a psych dr put me on paxal20mg x2 a day it has worked pretty good until now. i am shaking so bad i cant write checks or letters or anything my legs shake so bad i need a cane to help hold me up and keep me going in the right way as sometimes i try to walk straight and i stumble to the left or right side.in dialysis i cant sit still i have to get up and stand moving a little so i can be there then sit back down and try to watch tv but i dont get in the mood for tv please help me. bette laycock 67yrs old

Answered by Dr. Srikanth Reddy (6 hours later)

Brief Answer:
CBT is an option

Detailed Answer:
Hello,

Thanks for choosing health care magic for posting your query.

I have gone through your question in detail and I can understand what you are going through.

The symptoms that you have mentioned are indeed suggestive of serotonine syndrome. The longest duration of action anti depressant is fluoxetine. However even this drug will have a proble with serotonine syndrome.

Bupropion is a medication which will not cause seronine syndrome.

Another option is to use non medicatiln approaches for panic attacks like cognitive behavioural therapy. Cognitive behvaioural therapy is a weekly 20 min sessions lasting for 8 weeks focussing on your deranged thought process.

Hope I am able to answer your concerns.

If you have any further query, I would be glad to help you.

If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.

In future if you wish to contact me directly, you can use the below mentioned link:

bit.ly/dr-srikanth-reddy

Wish you good health,

Kind regards

Dr. Srikanth Reddy M.D.

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar