HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

How Can Anxiety,insomnia,depression Be Cured Without Medicines?

Posted on Thu, 26 Dec 2013

Question: Anexity Disorder, Insomnia, Sleepless nights, Depressed when I am not taking the above medicines for even 1 day which leads to Anger and Anexity, I am Taking the following medicines every night - Paxidep 12.5CR, Lobazam 10 Mg and Respidone .5Mg. I would like to stop these medicines and would like sleep naturally, please help me out.

Answered by Dr. Ashish Mittal (39 hours later)

Brief Answer: Do not stop medicine suddenly. Detailed Answer: Hello, Thanks for your query. I appreciate your efforts for medical consultation in so much distress. Important aspects of your query are: • 39 year old male • Known case of anxiety and depression, on treatment for 6 years • Complaints of: difficulty in stopping medicines and anger/anxiety on stopping medicines for 1 day Anxiety and depression are chronic illness like diabetes and hypertension which require long term treatment. Anxiety and depression occur due to neurotransmitters imbalance in brain most commonly involving serotonin neurotransmitter. In some cases where symptoms recur frequently, treatment may require for life long. Both drug and non drug treatment like cognitive behaviour therapy (form of psychotherapy) are used for treatment. In drug treatment of anxiety two types of medicine used. For immediate relief of anxiety benzodiazepines group of medicines (like lobazam in your case) are used for short duration (due to risk of dependence). For long term relief most commonly SSRI (selective serotonin reuptake inhibitors like paxidep in your case) are used. SSRI takes around 3-4 weeks to show its effect, till that time benzodiazepines control the anxiety symptoms. SSRI (Paxidep) do not produce dependance like benzodiazepines(lobazam) and can be continued as long as required. With this back ground following steps will be helpful: -Try to stop lobazam gradually. Reducing 2.5 mg lobazam per week will not cause much discomfort and you can stop it 4-5 weeks. -After that reduce respidone 0.25 mg per week and stop in 2 week. -Start non drug treatment like cognitive behaviour therapy (form of psychotherapy) from nearby psychologist to control anxiety and depression. It will help reducing medicine doses also. -Also check your thyroid hormone profile as its imbalance lead to increase anxiety. -Stopping paxidep decision differ patient to patient according to their condition in OPD visit. Some patient may require it for years. -All these medicines are prescription medicine and doses should be change under psychiatrist supervision. I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups. Wish you good health. Regards, http://bit.ly/Dr-Ashish-Mittal

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

Follow up: Dr. Ashish Mittal (3 hours later)

Dear Dr, Thanks for your brief explanation, now I understood how to go about, it is really helpful, I will start following the method that you have suggested. Regards, XXXX

Answered by Dr. Ashish Mittal (36 minutes later)

Brief Answer: hi Detailed Answer: Thanks and wish you good health.

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

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