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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Indulged In Negative Thoughts, Sudden Panic Attacks, Feeling Of Pass Out, All Tests Normal, Withdrawn Clonazepam. Which Medicine Can Be Taken?

Dear sir I am suffering mental illness from 1years.my problem is that whenever i think i always thinking negative thing and sudden i feel panic attack then i feel short breath and i feel that i will die.I have been visiting many doctor they suggest me ECG, FREE T4 ,s. tsh everything and all reports are ok.AT last i visited a mental heath doctor he suggested nexito 10mg daily first 4days 5mg and increased to 10mg.But i after taking i am n0t feel good and i again visited him and he advised me repose 25mg drug daily but after 1 tablet took my hy head was dangerous feeling.I took clonazepam .25 daily from 1year and dr. advise withdraw it i am depending this medicine.Now i feeling always panic and i feel i will die.I am doing nothing from 1 year and totally frustrated.now i get job and join november.Please advise me which medicine i will take.please please help me.................................... thanks.pls email me any mental health professional help me please please.i also tell that i have sleeping problem and always feelin g fears too much when panic will occur. Md.hasanuzzaman Bangladesh mail: YYYY@YYYY
Thu, 25 Oct 2012
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Psychiatrist 's  Response
hi..well, escitalopram and sertraline have already been tried..also there is a drug called paroxetine from the same group that takes care of panic disorder quite well..but before that, you are not receiving the optimum dose of the drugs you were prescribed..just use a single drug and only switch if it fails in full dosage, for example sertraline upto 200mg per day, after a considerable period of time which I think you were not advised..anyway, visit your psychiatrist once again and discuss with these issues..also psychotherapy may well help..so never lose hope..its a curable disorder..wish you good health..
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Psychiatrist Dr. Gourav Monga's  Response
hello

welcome to health care magic

First of all relax and don't worry.

You are suffering from "Panic disorder". The drugs which can be used are SSRIs like paroxetine, sertraline etc. You can start with paroxetine 12.5 mg.These drugs don't have significant side effects.
If they have, those does not persist for long time. So, have faith in your doctor and continue treatment for adequate duration as advised. You can continue clonazepam along with that.

I advise you to consult a psychiatrist for adequate treatment.

Hope i clarified your query

Good luck

Thanks
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Indulged In Negative Thoughts, Sudden Panic Attacks, Feeling Of Pass Out, All Tests Normal, Withdrawn Clonazepam. Which Medicine Can Be Taken?

hi..well, escitalopram and sertraline have already been tried..also there is a drug called paroxetine from the same group that takes care of panic disorder quite well..but before that, you are not receiving the optimum dose of the drugs you were prescribed..just use a single drug and only switch if it fails in full dosage, for example sertraline upto 200mg per day, after a considerable period of time which I think you were not advised..anyway, visit your psychiatrist once again and discuss with these issues..also psychotherapy may well help..so never lose hope..its a curable disorder..wish you good health..