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How Long Do Perphenazine, Lithium, Lexapro, Remeron And Klonopin Take To Show Effect?

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Posted on Wed, 15 Mar 2017
Question: I was just hospitalized for 1 week they added perphenazine 4mgs 2x a day and lithium 600mgs 1x a day. im also on 15 mgs of lexapro which they brought down from 20mgs.. n remron 15mgs for sleep.. n klonopin .5mgs 2x a day.. this is all for severe anxiety.. I was great in the hospital..but now im feeling like the anxiety is creep ing back up.. how long does it take these new meds to take the anxiety away fully..?
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (44 minutes later)
Brief Answer:
At least two to three weeks

Detailed Answer:
Hello,
Thanks for using Healthcaremagic.

I read your query and understand your concerns about severe anxiety and multiple medications.

Although every patient responds differently but most patient show clinically noticeable improvement over the period of one week after the start of medication. The positive effects continue to increase and the sufferers observes a great difference but the end of two weeks or sometime three weeks.

I do not mean that two-three weeks are enough to show full effect as complete remission may take upto six to eight weeks.

I also like to make a point that try to remain occupied what ever interests you like your hobbies, helping family members, music, pets and so on. This is very important as generation of positive energy helps in reducing the response time to medication to a great extent.

I hope this answers you.
If you have more questions feel free to write back to me.
Thanks and regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (5 minutes later)
how do u feel about these 2 medications helping with severe anxiety? have you seen them work well for people?
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (1 hour later)
Brief Answer:
Follow up

Detailed Answer:
Hello,
Thanks for reverting back to me.

Before I answer your question I like to inform you that both of the medications are helpful in augmenting the action of anti anxiety medications and have little anti anxiety properties when used alone.

They are used when the primary line of medications fail to show desired response and have potential anti anxiety effects even in resistant cases.

As per my own experience I have seen great improvement after the use of lithium even in resistant cases and hope that same translates in your case. I have not used perphenazine that frequently but I had positive response whenever it was tried.

I hope this assists you further.
If you have more questions I will be glad to assist you further.
If you do not have more questions, please close the discussion and if possible rate the answer for my future patients.

In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (9 hours later)
what do u think about neurofeedback therapy? for anxiety is it bs
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (43 minutes later)
Brief Answer:
Follow up

Detailed Answer:
Hello,
Thanks for reverting back to me.

We use in our hospital biofeedback therapy and get kind of mixed response. When we use it along with medications there is good response. I mean to say that a good change in response can be expected if the neurofeedback is combined with drug treatment.

I must inform you that it is free of side effect therapy where person learns to change his/her response with feedback of his own neurological activity such as EEG.

I hope this answers you further.
Thanks and regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (34 hours later)
so u think lamictal or lithium for anxiety would benefits bettee
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (1 hour later)
Brief Answer:
Follow up

Detailed Answer:
Hello,
Thanks for writing back to me.

Yes as per my understanding and knowledge lithium and lamictal help the anti anxiety medications in treatment of anxiety and helpful even in cases of intractable anxiety.

I hope this assists you further.
If you have more questions I will be glad to assist you further.
If you do not have more questions, please close the discussion and if possible rate the answer for my future patients.

In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3355 Questions

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How Long Do Perphenazine, Lithium, Lexapro, Remeron And Klonopin Take To Show Effect?

Brief Answer: At least two to three weeks Detailed Answer: Hello, Thanks for using Healthcaremagic. I read your query and understand your concerns about severe anxiety and multiple medications. Although every patient responds differently but most patient show clinically noticeable improvement over the period of one week after the start of medication. The positive effects continue to increase and the sufferers observes a great difference but the end of two weeks or sometime three weeks. I do not mean that two-three weeks are enough to show full effect as complete remission may take upto six to eight weeks. I also like to make a point that try to remain occupied what ever interests you like your hobbies, helping family members, music, pets and so on. This is very important as generation of positive energy helps in reducing the response time to medication to a great extent. I hope this answers you. If you have more questions feel free to write back to me. Thanks and regards.