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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffered Panic Attacks. Prescribed Lorazepam. Anxiety Feeling Reduced. Can I Start Withdrawing Medicine?

Good day, I had panic attack at the beginning of January, out of no where, no sign, no symptoms. Finally doctor gave me Alprazolma 0.25mg to take - I was on this for 3 days 1 table a day. Then I started to have headache and went into another attack after 3 weeks. This time doctor gave me Lorazepam 1mg 1/2-1 tablet a day. I have been on Lorazepam for the 2 weeks, the anxiety feeling reduce. Should I start withdraw from Lorazepam or its too soon?
Wed, 13 Feb 2013
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Psychiatrist 's  Response
Hello,
welcome to Healthcare Magic.

Panic attacks can occur several psychological and medical conditions, which need to rule out in your case after examination and investigation.

It is important to see a doctor to rule out the following possibilties:
-Panic disorder and depression
-Hyperthyroidism
-Hypoglycemia
-Stimulant use (amphetamines, cocaine, caffeine), so stop use if present.
-Some Medication withdrawal
-Mitral valve prolapse, a minor cardiac problem that occurs when one of the heart’s valves doesn't close correctly.

Medicine like alprazolam and lorazepam are good medicine for panic attack but these are used for short duration only, due to risk of addiction on them. Long term treatment depend on the cause of panic attacks.

Wish you all the best.

Regards,
Dr Ashish Kumar Mittal
www.99doctor.com
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Suffered Panic Attacks. Prescribed Lorazepam. Anxiety Feeling Reduced. Can I Start Withdrawing Medicine?

Hello, welcome to Healthcare Magic. Panic attacks can occur several psychological and medical conditions, which need to rule out in your case after examination and investigation. It is important to see a doctor to rule out the following possibilties: -Panic disorder and depression -Hyperthyroidism -Hypoglycemia -Stimulant use (amphetamines, cocaine, caffeine), so stop use if present. -Some Medication withdrawal -Mitral valve prolapse, a minor cardiac problem that occurs when one of the heart’s valves doesn t close correctly. Medicine like alprazolam and lorazepam are good medicine for panic attack but these are used for short duration only, due to risk of addiction on them. Long term treatment depend on the cause of panic attacks. Wish you all the best. Regards, Dr Ashish Kumar Mittal www.99doctor.com