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Suggest Treatment For Headaches And Dizziness
Question: Hi Doctor,
Just wanted to update you about my health, since I was on Fludac 40 mg and still it was not effective so my Doctor has changed this by Venlafaxine 75 mg (2 in morning) on 29th Sep with Lorazepam 1 mg in Night.
Still I have the below problems:
1. Continuous Ear Ringing (Mostly in right ear)
2. Headache (Some time)
3. Pain in Temporal Area.
4. Dizziness
5. Irritation and suffocation in evening
6. No interest in daily activities like working on laptops, TV, Newspapers etc.
I discussed with my doctor yesterday again about this, he added 1 more Venlafaxine 75 mg in evening and changed lorazepam with Qutipin 25 mg in Night. He said that you are now recovered and just need 10-15% recovery and these problems will go away within 2-3 weeks. Here I have some queries:
1. Will this really go away within 2-3 weeks?
2. My current problems are side effects of medicines? My temporal area both side is little bit swelled (In my view) and I feel pain there but even Physician denied that it’s swelling.
3. I tried my best to work on system but within half an hour I feel irritation and headache starts.
4. Can I discontinue Anti-depressant as I heard that taking this for a long time and after that its withdrawal could be more severe?
5. Ear ringing is very irritating. Should I go for brain and Audio checkup?
6. Can this headache related to Migraine?
7. It’s now around 2 Months but still I feel the same situation. Only improvement I can feel is – No Panic attacks, No fear, No unknown voices, well sleep.
Please let me know that should I still wait or I should go for some other consultation as I am totally down with this and not able to do work in office properly.
Regards XXXXXXX
Just wanted to update you about my health, since I was on Fludac 40 mg and still it was not effective so my Doctor has changed this by Venlafaxine 75 mg (2 in morning) on 29th Sep with Lorazepam 1 mg in Night.
Still I have the below problems:
1. Continuous Ear Ringing (Mostly in right ear)
2. Headache (Some time)
3. Pain in Temporal Area.
4. Dizziness
5. Irritation and suffocation in evening
6. No interest in daily activities like working on laptops, TV, Newspapers etc.
I discussed with my doctor yesterday again about this, he added 1 more Venlafaxine 75 mg in evening and changed lorazepam with Qutipin 25 mg in Night. He said that you are now recovered and just need 10-15% recovery and these problems will go away within 2-3 weeks. Here I have some queries:
1. Will this really go away within 2-3 weeks?
2. My current problems are side effects of medicines? My temporal area both side is little bit swelled (In my view) and I feel pain there but even Physician denied that it’s swelling.
3. I tried my best to work on system but within half an hour I feel irritation and headache starts.
4. Can I discontinue Anti-depressant as I heard that taking this for a long time and after that its withdrawal could be more severe?
5. Ear ringing is very irritating. Should I go for brain and Audio checkup?
6. Can this headache related to Migraine?
7. It’s now around 2 Months but still I feel the same situation. Only improvement I can feel is – No Panic attacks, No fear, No unknown voices, well sleep.
Please let me know that should I still wait or I should go for some other consultation as I am totally down with this and not able to do work in office properly.
Regards XXXXXXX
Brief Answer:
Need to give some time
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.
Well, you seem to be suffering a resistant depressive disorder as even a dose of 225mg venlafaxine is still not helping you. But it does happen many times. The treatment that your doctor is giving is proper as per the guidelines and I guess you need to give him some time. Ideally depression gets treated in 3-4 weeks time if the medicines properly suit the illness, but in many cases like in yours, medicines may not help in first instance and hence other medicines have to be tried and their dose gradually escalated.
Coming to your questions proper:
1. Will this really go away within 2-3 weeks?
Unlilekely. It may take some time and also if required some additional medicines like divalproex sodium or lithium etc.
2. My current problems are side effects of medicines? My temporal area both side is little bit swelled (In my view) and I feel pain there but even Physician denied that it’s swelling.
These medicines will never cause any such swelling.
3. I tried my best to work on system but within half an hour I feel irritation and headache starts.
Its part of the symptoms of depression.
4. Can I discontinue Anti-depressant as I heard that taking this for a long time and after that its withdrawal could be more severe?
Its more harmful to discontinue it as depression per se causes brain damage if left untreated.
5. Ear ringing is very irritating. Should I go for brain and Audio checkup?
Yes, you should visit an ENT doctor for ear ringing.
6. Can this headache related to Migraine?
Yes, it can be. But that will require a detailed clinical interviewing to confirm.
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.
Need to give some time
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.
Well, you seem to be suffering a resistant depressive disorder as even a dose of 225mg venlafaxine is still not helping you. But it does happen many times. The treatment that your doctor is giving is proper as per the guidelines and I guess you need to give him some time. Ideally depression gets treated in 3-4 weeks time if the medicines properly suit the illness, but in many cases like in yours, medicines may not help in first instance and hence other medicines have to be tried and their dose gradually escalated.
Coming to your questions proper:
1. Will this really go away within 2-3 weeks?
Unlilekely. It may take some time and also if required some additional medicines like divalproex sodium or lithium etc.
2. My current problems are side effects of medicines? My temporal area both side is little bit swelled (In my view) and I feel pain there but even Physician denied that it’s swelling.
These medicines will never cause any such swelling.
3. I tried my best to work on system but within half an hour I feel irritation and headache starts.
Its part of the symptoms of depression.
4. Can I discontinue Anti-depressant as I heard that taking this for a long time and after that its withdrawal could be more severe?
Its more harmful to discontinue it as depression per se causes brain damage if left untreated.
5. Ear ringing is very irritating. Should I go for brain and Audio checkup?
Yes, you should visit an ENT doctor for ear ringing.
6. Can this headache related to Migraine?
Yes, it can be. But that will require a detailed clinical interviewing to confirm.
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.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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