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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medicine That Can Be Taken With Fentanyl For Anxiety

I am on the Mylan 25 mgh Fentanyl patch for spinal mets pain. I have also been taking Tamoxifen for hormone treatment for breast cancer. I am very, very anxious from the Tamoxifen, so my onc prescribed 1 mg. Lorazepam for anxiety; however, I am afraid to take it since it also depresses respiration. Is there any other med for anxiety that I could take with Fentanyl? I am also anxious about the patch. It does take care of the pain, but I feel uncomfortable with it, knowing its potency.
Wed, 5 Nov 2014
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Psychiatrist,  's  Response
Hi

I had gone through your query.

I understand your concern about anxiety.

Lorazepam is the safest anxiolytic for anxiety.

It has very low dependance level.
It can be taken up to 2 to 4 mg and with 1mg there are no complication like respiratory depression.

So do not worry about it.

You can take 1 mg of lorazepam for anxiety but take your treating doctors advise.

Fentanyl is not used for anxiety and it wont help much in anxiety or psychological distress.

Mild dose of SSRI like escitalopram or peroxetine will help in anxiety.

Relaxation methods like yoga, deep breathing exercise, meditations and progressive muscle relaxation will help.

Stress free activities and identify stress trigger events, try to modify it.

Avoid smoking and alcohol.

Take proper sleep and diet.

I hope i have answered your query.

Wish you very good health.

Thank you.

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Suggest Medicine That Can Be Taken With Fentanyl For Anxiety

Hi I had gone through your query. I understand your concern about anxiety. Lorazepam is the safest anxiolytic for anxiety. It has very low dependance level. It can be taken up to 2 to 4 mg and with 1mg there are no complication like respiratory depression. So do not worry about it. You can take 1 mg of lorazepam for anxiety but take your treating doctors advise. Fentanyl is not used for anxiety and it wont help much in anxiety or psychological distress. Mild dose of SSRI like escitalopram or peroxetine will help in anxiety. Relaxation methods like yoga, deep breathing exercise, meditations and progressive muscle relaxation will help. Stress free activities and identify stress trigger events, try to modify it. Avoid smoking and alcohol. Take proper sleep and diet. I hope i have answered your query. Wish you very good health. Thank you.