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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Nausea, Panic Attacks. In Menopause. Lab Report Normal. Normal Condition?

I am in menopAuse and having nausea and re-occurring panic attacks. I had them from 1996-1999 but was taking 40 mg of Celexa and .25 mg of Xanax as needed. The panic disorder went away after a few years and I was able to stop all meds. Now in October of this year my panic attacks are returning with severe nausea. I ve even gone to the ER thinking I was really ill due to the extreme nausea. But labs are normal. My doc has put me back on the meds for my symptoms. Is this normal for menopause? I have a wonderful life and job but this nausea is extremely bad and I m worried it s going to effect these things. I also take maximum estroven which seems to help with the night sweats. Is all of this normal? I will be 51 in a few weeks. Haven t had a period in several months now. Also feeling muscle weakness . I live in a small town a only family prac available. Thank you for your help. Terri
Mon, 3 Dec 2012
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Infertility Specialist 's  Response
Hi,
Your nausea might be due to estroven. If you are taking only estroven, make sure that you also take progesterone for at least 10-12 days a month to avoid bad effect of estrogen on uterus. For nausea, you can take some antiemetics for 4-5 days & see if it improves & then discontinue antiemetics. Also you mentioned you are taking maximum dose of estroven, please don't take it in excess of prescribed dose. Panic attacks may sometimes occur during menopausal transition, just continue prescribed medicines & continue to enjoy your life.
Wish you good health.
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Nausea, Panic Attacks. In Menopause. Lab Report Normal. Normal Condition?

Hi, Your nausea might be due to estroven. If you are taking only estroven, make sure that you also take progesterone for at least 10-12 days a month to avoid bad effect of estrogen on uterus. For nausea, you can take some antiemetics for 4-5 days & see if it improves & then discontinue antiemetics. Also you mentioned you are taking maximum dose of estroven, please don t take it in excess of prescribed dose. Panic attacks may sometimes occur during menopausal transition, just continue prescribed medicines & continue to enjoy your life. Wish you good health.