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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Panic Attack

I took alot of cocaine starting early Saturday, till early hours of Sunday. My heart feels like it s going so fast. Then something stresses me out on the Sunday, and I had a panic attack, my worst one ever because I was so scared, I couldn t breath, and felt like I was going to die from the panic attack. I m still not calm yet I ve been taking valium as I m prescribed them, but they don t really help. My whole body aches, my head hurts, my heart is going really fast, I never want to leave my bedroom again. I havn t eaten since friday. I can t concentrate. I just really feel quite strange, and fearful, I ve felt fearful since the stress that brought on the panic attack, I was so freightened that I had a panic and broke out a sweat, to the point where my clothes were damp. I need advice as I don t wat to speak to anyone, I feel I can t.
Wed, 17 Sep 2014
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Psychiatrist 's  Response
Hello and thanks for your query.

I understand that you are going through a very distressing time. From the description of your symptoms, it appears that you have had a severe panic attack. It is likely that the excess of Cocaine you had taken had triggered the episode.

Now, you have mentioned that you are still going through very distressing symptoms and that despite taking Valium your symptoms have not subsided. In this case, the best option is to see a doctor for further treatment. You need to go to the ER and report your persisting symptoms. In such severe cases of panic, a parenteral (injectable) medication may be required. You also need to be checked to see if your symptoms are not due to any other serious medical condition because it is unusual for a panic attack to last this long. If you can't go alone, please ask a friend or a relative to take you to the ER.

In the meantime, you can try practicing relaxation techniques like deep breathing, progressive muscle relaxation, yoga, etc. to try and calm yourself down.

Regards,
Dr. Jonas Sundarakumar
Consultant Psychiatrist
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Psychologist Dr. K. V. Anand's  Response
Dear
Welcome to HCM
We understand your concerns

I went through your details. I suggest you not to worry much. This situation should pass within some hours. I think this is due to cocaine over dose. Or you already have this panic attack situation which you conveniently forgot for cocaine. Panic attack has its roots on anxiety disorder. Therefore, you need to treat anxiety disorder first. Yoga, meditation and psychotherapy should give good relief.

If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.

Hope this answers your query. Available for further clarifications.
Good luck.
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Suggest Treatment For Panic Attack

Hello and thanks for your query. I understand that you are going through a very distressing time. From the description of your symptoms, it appears that you have had a severe panic attack. It is likely that the excess of Cocaine you had taken had triggered the episode. Now, you have mentioned that you are still going through very distressing symptoms and that despite taking Valium your symptoms have not subsided. In this case, the best option is to see a doctor for further treatment. You need to go to the ER and report your persisting symptoms. In such severe cases of panic, a parenteral (injectable) medication may be required. You also need to be checked to see if your symptoms are not due to any other serious medical condition because it is unusual for a panic attack to last this long. If you can t go alone, please ask a friend or a relative to take you to the ER. In the meantime, you can try practicing relaxation techniques like deep breathing, progressive muscle relaxation, yoga, etc. to try and calm yourself down. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist