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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For Panic Attacks And Severe Nervousness

If have panic attacks and bad nerve problems !!!! So bad that it does effect and interferes with my everyday life. So much so that I am unable to leave my house most of the time. Because of this I have been unable to hold down a job which I really want to be able to do again. I ve been on xanax for several years in the past and it really helped me. However due to insurance issues I ve not been able to go to a doctor. I really need this medication so hopefully I will be able to live a better life, perhaps go back to work, and not be so nervous all the time anymore!! I d love to be able to join the world again. Can you please help me with medication? I m praying that you will be able to help me start living life again!!!!! Thank you for your time, Melissa Ledbetter .... YYYY@YYYY Thanks again
Fri, 22 Aug 2014
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Psychiatrist 's  Response
hi.. melissa,, i have understood your problem and u are suffering from a anxiety disorder mostly it is a panic disorder with agoraphobia...

u have been taking medication for long time but u are not improving completely.. u are taking xanax only which is a benzodiazepin medication which will help u for a short duration ,,it wont remove your anxiety from grass root level [ neurotransmitter level], so i ll suggest you to take antidepressant medication along with klonopin..stop xanax, it is a habit forming drug because of the short half life...
medications:
tab. paroxetine [25 mg paxil] once at night, can increase upto 50 mg gradually depending upon the response of the drug...
tab.klonopin [0.25 mg, clonazepam a long acting benzodiazepine medication] twice a day..

take these drugs for at least 6 to 8 months...u ll be back to your routine life...

u can also go for psychotherapy.. like systematic desensitization, flooding therapy, exposure and response prevention by visiting to a psychotherapist..it will help u to deal with your anxiety...

i hope this advice will be helpful to you.. best luck..
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Suggest Medication For Panic Attacks And Severe Nervousness

hi.. melissa,, i have understood your problem and u are suffering from a anxiety disorder mostly it is a panic disorder with agoraphobia... u have been taking medication for long time but u are not improving completely.. u are taking xanax only which is a benzodiazepin medication which will help u for a short duration ,,it wont remove your anxiety from grass root level [ neurotransmitter level], so i ll suggest you to take antidepressant medication along with klonopin..stop xanax, it is a habit forming drug because of the short half life... medications: tab. paroxetine [25 mg paxil] once at night, can increase upto 50 mg gradually depending upon the response of the drug... tab.klonopin [0.25 mg, clonazepam a long acting benzodiazepine medication] twice a day.. take these drugs for at least 6 to 8 months...u ll be back to your routine life... u can also go for psychotherapy.. like systematic desensitization, flooding therapy, exposure and response prevention by visiting to a psychotherapist..it will help u to deal with your anxiety... i hope this advice will be helpful to you.. best luck..