Brief Answer: i find sertaline useful in such cases Detailed Answer: hello There are many good anti anxiety drugs to help in similar cases, but as you are already hypertensive it would be better that you start with sertraline. The begining dosage is 50mg ( safe for cardiac patient also) and increase upto 200 mg daily (as per the repsponse). Please donot go back to xanax as this is addictive plus not curative of anxiety. Get TSH and Vit. B 12 levels- as they are many times altered. Correcting these are quite helpful. You may take etizolam 0.5 mg three times a day initially for some time to handle.anxiety. This is non addicting and non sedative. For palpitations i have seen excellent response with propanolol 20-40mg ( will help.Blood pressure also). So, there is no need to loose hope at all. you will get better with drugs. Hope the reply is useful for you Please feel free to ask more queried for clarification Dr. Manisha Gopal MD Psychiatry

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Brief Answer: Eating more is related to depression only Detailed Answer: Hello The molecule sertraline is amongst the most frequently used drug in psychiatry (it is one of the safest). It can be available under the name of Zoloft ( you have to search the brand name for your country). I think that the issue of weight gain is indirectly related to depression and anxiety only. It is a commonly seen in clinical practice that dperessed patient ( of depression and anxiety) have tendency to binge every time they feel low ( also known as comfort eating). So, when the correct drug is given, it not only helps in removing sadness but also take care of binging part. So, don't fear of the increase in appetite, the effect is different in different people. The binging usually reduces.. And there is almost no drug available for treating depression which reduces or curbs your appetite. This is a non therapeutic/ non desirable effect. It is wise to regulate what and how much you eat, and when the depression is controlled effectively you will be able to do so..Anyone can! For now, it will be wise to add more salads and sprouts to your diet - this will reduce the amount of calories intake by filling stomach and also help in taking care of depressive part. These increase the feeling of well being naturally. The sprouts and salads have more water component, so, they reduce the chances of having dry mouth or constipation. try to FEEL POSITIVE about your treatment and build trust that you WILL GET BETTER. This always helps... Stay with people and go for walks, this boosts / increases endorphins ( happy hormone) in brain and helps in getting better fast. wish you good health! Please ask if there is any more query, I will pbe pleased to answer them. Dr. Manisha Gopal MD psychiatry

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Brief Answer: online stores give zoloft Detailed Answer: Hello Yes, Zoloft is available on many online stores. They take orders from many countries and the delivery is done. The only thing is that you need to see what brand name you need, most commonly used is Zoloft. try to go for good brands. I do to think that they are available on health food stores. Pleass ask if there is any more query Dr. Manisha Gopal

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