Hi,I am Dr. Alexander H. Sheppe (Psychiatrist). I will be looking into your question and guiding you through the process. Please write your question below.
sir,I am a 53 year old man I am a panic attack patient and I advice remylin D tablet by DR.P K sethi neurologists another treatment is cap fludec 20mg, oleanz 5mg ,clnotril0.25mg,&ecosprin75 Is this treatment is suitable and there are side effects of these tablets
Panic disorder is a condition that manifests as frequent panic attacks where there is a sudden exacerbation of anxiety. The treatment for this condition usually requires a selective serotonin reuptake inhibitor (SSRI) and if requires a benzodiazepine.
Among your medications, fludec is fluoxetine which is a SSRI and clonotril (Clonazepam) is a benzodiazepine. I am not sure why your doctor decided to put you on oleanz (olanzapine) which is an anti-psychotic. Ecospirin would be required only if you have an underlyig cardiac condition. Remylin-D contains alpha lipoic acid 100 mg, pyridoxine hydrochloride 3 mg, methylcobalamin 1500 mcg, folic acid 1.5 mg, vitamin D3 1000 IU. It is just a nutritional supplement.
I would suggest that you seek a psychiatric consultation for your condition. Had I been your psychiatrist, considering the fact that you have only panic disorder and no other physical conditions, I would liked to keep you only on fluoxetine and gradually increase the dose (maximum 80 mg/day) till your symptoms improve. Clonazepam could be prescribed for few weeks if required, but should be tapered off as early as possible.
I do hope that I was able to answer your query. Best wishes.
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Suggest Proper Treatment For Panic Attacks
Hi, Panic disorder is a condition that manifests as frequent panic attacks where there is a sudden exacerbation of anxiety. The treatment for this condition usually requires a selective serotonin reuptake inhibitor (SSRI) and if requires a benzodiazepine. Among your medications, fludec is fluoxetine which is a SSRI and clonotril (Clonazepam) is a benzodiazepine. I am not sure why your doctor decided to put you on oleanz (olanzapine) which is an anti-psychotic. Ecospirin would be required only if you have an underlyig cardiac condition. Remylin-D contains alpha lipoic acid 100 mg, pyridoxine hydrochloride 3 mg, methylcobalamin 1500 mcg, folic acid 1.5 mg, vitamin D3 1000 IU. It is just a nutritional supplement. I would suggest that you seek a psychiatric consultation for your condition. Had I been your psychiatrist, considering the fact that you have only panic disorder and no other physical conditions, I would liked to keep you only on fluoxetine and gradually increase the dose (maximum 80 mg/day) till your symptoms improve. Clonazepam could be prescribed for few weeks if required, but should be tapered off as early as possible. I do hope that I was able to answer your query. Best wishes.