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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatments For Anxiety And Panic Attacks

Hi, firstly I have anxiety with panic attacks, I have two small children and am in the go all day. Every time I sit down Ifeel sick and my chest/stomach area feels tight and uncomfortable.I get quite a few ectopic heartbeats and get panick from them. I have had 24 hour ecgs, lots of ecgs and blood tests and am currently on omeprazole and sertraline. Can tiredness cause a lot of these symptoms I am getting? I feel exhausted a lot of the time too.
Tue, 4 Feb 2014
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Psychiatrist 's  Response
Welcome to HCM!

Your symptoms- anxeity, tiredness, exhaustion are all indicative of anxiety disorder may be with depressive symptoms too. You hav been taking sertraline but I do to think it is helping much ( dosage is not mentioned). when anxeity is a prominent feature then it is better to use something like- paroxetine or Venlafaxinem; these are very good and give excellent response in such patients.

There is not need to feel hopeless, it is one of the commonest illness and completely manageable. please talk to your doctor about them or may be he hikes the dose of sertraline if he can. You will feel like normal once you are given correct medication.

## one -4 ectopic beats per minute are normal finding. So donot worry..

Hope the reply is useful
Feel free to ask more questions for clarification

Dr. Manisha Gopal
MD Psychiatry
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Suggest Treatments For Anxiety And Panic Attacks

Welcome to HCM! Your symptoms- anxeity, tiredness, exhaustion are all indicative of anxiety disorder may be with depressive symptoms too. You hav been taking sertraline but I do to think it is helping much ( dosage is not mentioned). when anxeity is a prominent feature then it is better to use something like- paroxetine or Venlafaxinem; these are very good and give excellent response in such patients. There is not need to feel hopeless, it is one of the commonest illness and completely manageable. please talk to your doctor about them or may be he hikes the dose of sertraline if he can. You will feel like normal once you are given correct medication. ## one -4 ectopic beats per minute are normal finding. So donot worry.. Hope the reply is useful Feel free to ask more questions for clarification Dr. Manisha Gopal MD Psychiatry