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

question-icon

Suggest Treatment For Anxiety Along With Ringing In Ears

default
Posted on Sat, 15 Nov 2014
Question: I am having an anxiety attack right now, have severe tinnitus. The ringing is loud and severe right now. Unable to stop shaking from the anxiety I am going through right now. My doctor prescribed Xanax, 0.25. I took it this afternoon about 2:00 pm. It is now 11:00 pm. Can I take another pill now to stop the anxiety attack I am feeling or is it too soon? I am at the brink of snapping.
doctor
Answered by Dr. Srikanth Reddy (40 minutes later)
Brief Answer:
Panic attacks

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.
Coming to your question directly, yes you can take xanax 0.25mg again right now and also can repeat it if required after 2-3 hours. Its a safe medicine and can take upto 2mg/day if it doesnt cause drowsiness. Its only to be avoided taking daily.
The condition that you are having is basically panic attacks. This is a disorder of anxiety and occurs cause of imbalance of certain neurotransmitters in the brain. especially serotonin, nor adrenaline, and dopamine to some extent. Medicines are the best options to take care of these symptoms. Paroxetine is the the most popular medicine and my drug of choice. I generally prescribe my patients 12.5 mg per day at night which takes care of anxiety symptoms. Also certain medicines like propranolol and clonazepam can be give as required when there is a panic episode or expected situation where panic attack can appear.
Also there is an option of cognitive behavioural therapy (CBT). This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness.


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.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Srikanth Reddy (4 hours later)
Thank you for your quick reply. One of my concerns taking Xanax (alprazolam) is my glaucoma issue. The ringing is attributed to my sudden hearing loss. The ENT says I have to learn to live with it. I cannot accept that answer. I will be getting an MRI soon, but the ringing has been devastating. Is there any help out there for me? I am desperate.
doctor
Answered by Dr. Srikanth Reddy (6 hours later)
Brief Answer:
Not an issue

Detailed Answer:
Hello
Xanax is not contraindicated in glaucoma. You may get an IOP done after you are using xanax and in case if there is no worsening,there should not be any issue.
Regarding the ringing, sensory neural hearing loss can lead to ringing in ears but you should try to get it evaluated further by doing an MRI. Being not my speciality, I wont be of much help to you in this regard.
Hope this helps,
Kind regards
Dr. Srikanth Reddy MD
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Srikanth Reddy

Psychiatrist

Practicing since :2007

Answered : 2770 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Anxiety Along With Ringing In Ears

Brief Answer: Panic attacks 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. Coming to your question directly, yes you can take xanax 0.25mg again right now and also can repeat it if required after 2-3 hours. Its a safe medicine and can take upto 2mg/day if it doesnt cause drowsiness. Its only to be avoided taking daily. The condition that you are having is basically panic attacks. This is a disorder of anxiety and occurs cause of imbalance of certain neurotransmitters in the brain. especially serotonin, nor adrenaline, and dopamine to some extent. Medicines are the best options to take care of these symptoms. Paroxetine is the the most popular medicine and my drug of choice. I generally prescribe my patients 12.5 mg per day at night which takes care of anxiety symptoms. Also certain medicines like propranolol and clonazepam can be give as required when there is a panic episode or expected situation where panic attack can appear. Also there is an option of cognitive behavioural therapy (CBT). This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness. 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.