HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest Treatment For Anxiety And Tension

Dear Doctor,

I am very anxiety prone and sometimes it becomes hard for me to think positively. i feel pukish, not stable and tensed all the time. Is this a disease that cannot be cured? because i have been taking zapiz 0.25 and zosert 0.5 for almost a year now and nothing seems to help me much.please advise.Im a 26 year old girl, 5'3 and weigh 44kgs.
Tue, 5 Aug 2014
Report Abuse
Psychiatrist,  's  Response
Hi,

I went through your query and can understand the distress that you must be in. The symptoms that you have mentioned seems to be due to underlying anxiety and depression. Your symptoms can be taken care of with adequate treatment.

You have mentioned that you are taking zapiz (clonazepam) 0.25 mg and zosert (sertraline). The dose of sertraline should be checked again as it comes in 50 mg and 100 mg tablets and not as 0.5 mg as mentioned by you. assuming thta you are taking it at 50 mg/day, it should be increased further. 50 mg is the starting dose and can be increased to maximum 200 mg/day/ Continuing it at 50 mg for a year without any benefit makes no sense.

I would suggest that you consult a psychiatrist. Initially, the dose of sertraline can be increased to 100 mg/day and further if required. The dose of clonazepam can be also increased in the initial period to subside anxiety. In case, even after the symptoms don't respond to increase in dose, change to another drug like venlafaxine can be thought of. You can discuss these option with your psychiatrist.

I do hope that I was able to answer your query. Best wishes for a speedy recovery.

I find this answer helpful
Note: For further guidance on mental health, Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
Suggest Treatment For Anxiety And Tension

Hi, I went through your query and can understand the distress that you must be in. The symptoms that you have mentioned seems to be due to underlying anxiety and depression. Your symptoms can be taken care of with adequate treatment. You have mentioned that you are taking zapiz (clonazepam) 0.25 mg and zosert (sertraline). The dose of sertraline should be checked again as it comes in 50 mg and 100 mg tablets and not as 0.5 mg as mentioned by you. assuming thta you are taking it at 50 mg/day, it should be increased further. 50 mg is the starting dose and can be increased to maximum 200 mg/day/ Continuing it at 50 mg for a year without any benefit makes no sense. I would suggest that you consult a psychiatrist. Initially, the dose of sertraline can be increased to 100 mg/day and further if required. The dose of clonazepam can be also increased in the initial period to subside anxiety. In case, even after the symptoms don t respond to increase in dose, change to another drug like venlafaxine can be thought of. You can discuss these option with your psychiatrist. I do hope that I was able to answer your query. Best wishes for a speedy recovery.