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Suggest Treatment For Anxiety And Depression Despite Being On Alprazolam

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Posted on Mon, 3 Aug 2015
Question: I have anxiety disorder and the only thing that works is Tablet; Oral; Alprazolam 2 mg 2X a day, How can I get a prescription for this, Im in XXXXXXX AZ and free tomorrow, I have a very short temper, stress, I throw fits, destroy things, and have the feeling of worthlessness when I make mistakes, I question often why am I still alive and why I did not die bleeding to death at UMC trauma 3 18 2015, why am I still here and nobody wants to help, I have health insurance too, 2 polcies. I don't get it.
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Answered by Dr. Manisha Gopal (2 hours later)
Brief Answer:
start an anti anxiety drug, its depression & anxiety

Detailed Answer:
Hello,

You have anxiety and you take alprazolam 2mg twice a day to keep it in check. Even being on alprax, you have anger,voilence issues and you feel hopeless helpless and worthless and have wishes to die.
The problem is that you have depression along with anxiety and alpax will not treat any of them. Its just a good symptomatic reliever for some time and the anxiety comes back again in its full color.

You should take venalafaxine or paroxetine. They will help you live...please take any of these and you will feel better in few days only. Its an illness and there is no need to die or do anything which can harm your body in any way. Alprazolam is bad for liver if taken for long.

Anxiety with depression lowers the tolerance level and makes mind prone to see all negative things in life...all bad sides of all the things. It reduces our perception of seeing good things...its more of a state of mind..and not real always. This happens with all patients of this illness and gets better with treatment.

If the sleep is disturbed without taking alprax, you can try - chlordiaxepoxide or zolpidem 12.5mg at night. They are non addictive.

So, please discuss them with your team.
Also get serum vit B12 & vit D level and thyroid Treat them if low- this will also help a lot in making you good.

Wish you luck.
ask more queries for clarification.
Dr. Manisha Gopal
MD Neuropsychiatry

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

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

Psychiatrist

Practicing since :2005

Answered : 947 Questions

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Suggest Treatment For Anxiety And Depression Despite Being On Alprazolam

Brief Answer: start an anti anxiety drug, its depression & anxiety Detailed Answer: Hello, You have anxiety and you take alprazolam 2mg twice a day to keep it in check. Even being on alprax, you have anger,voilence issues and you feel hopeless helpless and worthless and have wishes to die. The problem is that you have depression along with anxiety and alpax will not treat any of them. Its just a good symptomatic reliever for some time and the anxiety comes back again in its full color. You should take venalafaxine or paroxetine. They will help you live...please take any of these and you will feel better in few days only. Its an illness and there is no need to die or do anything which can harm your body in any way. Alprazolam is bad for liver if taken for long. Anxiety with depression lowers the tolerance level and makes mind prone to see all negative things in life...all bad sides of all the things. It reduces our perception of seeing good things...its more of a state of mind..and not real always. This happens with all patients of this illness and gets better with treatment. If the sleep is disturbed without taking alprax, you can try - chlordiaxepoxide or zolpidem 12.5mg at night. They are non addictive. So, please discuss them with your team. Also get serum vit B12 & vit D level and thyroid Treat them if low- this will also help a lot in making you good. Wish you luck. ask more queries for clarification. Dr. Manisha Gopal MD Neuropsychiatry