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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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25 Year Old Having Generalized Anxiety And Panic Disorder. Hospitalized For SVT In The Past. Taking Atenolol And Lorazepam

I am a 25-year-old otherwise healthy female with moderate generalized anxiety disorder and panic. I have also been hospitalized twice with SVT (both times treated with adenosine ). This was 6 years ago. Today I have the occasional racing heart, skipped beat and flutter but have not had a full blown episode of SVT that needed to be treated. I am supposed to fly (2 flights each 2.5 hours in duration) and am absolutely terrified due to my history of SVT and palpitations in general. I currently take 25mg atenolol and lorazepam (1-2mg a day as needed) Any advice?
Thu, 29 Nov 2012
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Psychiatrist,  's  Response
CAN YOU TELL IF YOUR PANIC SYMPTOMS HAVE BEEN DIAGNOSED AS SECONDARY TO SVT OR DO YOU HAVE AN INDEPENDENT HISTORY OF PANIC ATTACKS. CONSIDERING THAT YOUR SYMPTOMS HAVE LASTED FOR MORE THAN 2+ YEARS , A TRIAL OF ANXIETY " CURING" MEDICATIONS IS SUGGESTED ;RATHER THAN CONTINUING WITH SOS MEDICATIONS. CAN YOU ALSO TELL ME IF YOUR "PANIC' SYMPTOMS HAVE MORE OF HEARTBEAT,SWEATING,DRY MOUTH ETC ; OR MORE OF A FEELING OF KEYED -UP OR ON THE EDGE .
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Psychiatrist,  Dr. Srikanth Reddy's  Response
Dear Andrea,
Hi! Considering that you have significant features of Generalized anxiety disorder, taking only lorazepam will not be a good choice. you should always try some SSRI's like Paroxetine or Venlafaxine. Other than the drugs , some therapies like cognitive behavioral therapy and behavioural modification will surely benefit you. Atenolol is a good drug for SVT and can be continued.
Hope your always fly in good spirits!
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25 Year Old Having Generalized Anxiety And Panic Disorder. Hospitalized For SVT In The Past. Taking Atenolol And Lorazepam

CAN YOU TELL IF YOUR PANIC SYMPTOMS HAVE BEEN DIAGNOSED AS SECONDARY TO SVT OR DO YOU HAVE AN INDEPENDENT HISTORY OF PANIC ATTACKS. CONSIDERING THAT YOUR SYMPTOMS HAVE LASTED FOR MORE THAN 2+ YEARS , A TRIAL OF ANXIETY CURING MEDICATIONS IS SUGGESTED ;RATHER THAN CONTINUING WITH SOS MEDICATIONS. CAN YOU ALSO TELL ME IF YOUR PANIC SYMPTOMS HAVE MORE OF HEARTBEAT,SWEATING,DRY MOUTH ETC ; OR MORE OF A FEELING OF KEYED -UP OR ON THE EDGE .