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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is There Any Medication That Will Allow Me To Work Without The Anxiety?

I have generalised anxiety disorder,and want to return to work am on cipromil 20mg,have been on it for about 4 weeks now and seem to be getting more anxious any other medications that will allow me to work without the anxiety and without feeling sleepy at work .please your help would be appreciated louise
Mon, 7 Apr 2014
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Psychiatrist,  's  Response
Hi,
I can understand the phase that you are going through. Cipramil (Citalopram) is just one of the options for treating generalised anxiety disorder. However, if there is no response to 20 mg dose, there are two options: increase in dose or switch to some other agent. If I would had been your psychiatrist, I would have hiked the dose initially and see its effect. If still there was no response, i would have switched to some other agents, may be some other Selective Serotonin Reuptake Inhibitors like Sertraline or paroxetine. Other agents will include venlafaxine. The choice of the new agent will depend on your symptoms, age and any other medical illness. You can discuss these options with your psychiatrist.
best wishes.
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Is There Any Medication That Will Allow Me To Work Without The Anxiety?

Hi, I can understand the phase that you are going through. Cipramil (Citalopram) is just one of the options for treating generalised anxiety disorder. However, if there is no response to 20 mg dose, there are two options: increase in dose or switch to some other agent. If I would had been your psychiatrist, I would have hiked the dose initially and see its effect. If still there was no response, i would have switched to some other agents, may be some other Selective Serotonin Reuptake Inhibitors like Sertraline or paroxetine. Other agents will include venlafaxine. The choice of the new agent will depend on your symptoms, age and any other medical illness. You can discuss these options with your psychiatrist. best wishes.