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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Chronic Anxiety And Panic Attacks. Take Only Ibuprofen. Reason For This Problem?

I am a female, 42 years old, exercise every day, follow a low carb diet, fairly healthy other than suffering from chronic anxiety and panic attacks, not taking any medications other than ibuprofen for occasional headaches. This morning I woke up and noticed a vein in between my temple and my left eye to be a bit swollen. Dunno if its because I slept on my stomach or if it should be a concern. Due to my anxiety I am fricking out about it. There is no pain.
Sun, 31 Mar 2013
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Psychiatrist 's  Response
Hello alex71104
Welcome to HCM

Ibuprofen is a good medication for headache but it is not a medicine for Anxiety and Panic Attacks. There are various treatment options available for anxiety and panic attacks.
- SSRI (Fluoxetine, Paroxetine), SNRI (Venlafexine, Duloxetine) are very nice medicines for anxiety disorders.
- For episodic relief of anxiety Benzodiazepines can be taken.
- Behavioral management like Relaxation technique, breathing exercises, meditation, yoga etc. are very beneficial. You can take help of youtube to learn these.
kindly visit a good psychiatrist for expert opinion.

Regarding headache it may be due to a number of reasons, most likely headache with swollen vein on temporal region is due to Temporal Arteritis. To conform this get your blood pressure checked and ESR levels. ESR is high in temporal arteritis.
Thanks
Take Care
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Psychiatrist Dr. Sundar Gnanavel's  Response
Hello.......
Thanks for your query. Ibuprufen is an analgesic and not likely to address your anxiety symptoms or panic attacks. I would suggest a detailed psychiatric evaluation for anxiety disorders,\. The management would include:
1. Anti-anxiety medication like SSRIs
2. Psychotherapy techniques like CBT/ Cognitive behavioural therapy
I would also recommend breathing relaxation exercises, yoga and meditation that are likely to benefit you. You would require a neurological evaluation for headache and address the specific type of headache rather than just analgesic on ad hoc basis. Wish you good health.
Regards
Dr Sundar
Psychiatrist
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Suffering From Chronic Anxiety And Panic Attacks. Take Only Ibuprofen. Reason For This Problem?

Hello alex71104 Welcome to HCM Ibuprofen is a good medication for headache but it is not a medicine for Anxiety and Panic Attacks. There are various treatment options available for anxiety and panic attacks. - SSRI (Fluoxetine, Paroxetine), SNRI (Venlafexine, Duloxetine) are very nice medicines for anxiety disorders. - For episodic relief of anxiety Benzodiazepines can be taken. - Behavioral management like Relaxation technique, breathing exercises, meditation, yoga etc. are very beneficial. You can take help of youtube to learn these. kindly visit a good psychiatrist for expert opinion. Regarding headache it may be due to a number of reasons, most likely headache with swollen vein on temporal region is due to Temporal Arteritis. To conform this get your blood pressure checked and ESR levels. ESR is high in temporal arteritis. Thanks Take Care