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Taking cipralix for panic disorder. Stopped medication by tapering. Panic attacks and sleeplessness recurring. Not recovered?

in 2011 i suffered from panic disorder and my doctor prescribed cipralix 10 mg daily.i took this medicine for a year and half.afterward dose was gradually reduced till i stop taking some times i feel panic and also i have sleeping problem.if i sleep i have lot of fearful dreams.may be i am not recovered doctor prescribed another medicine i have not taken yet please advise
Asked On : Tue, 2 Apr 2013
Answers:  3 Views:  45
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Psychiatrist 's  Response
Welcome to health care magic
I can understand your situation. I appreciate your effort to seek online support.

Cipralex contains escitalopram which is an SSRI. There are various other SSRIs available and they are quite effective in panic disorder. But you have to take the medication for long time (may be 2-5 years) as you are experiencing the symptoms again. You may start with Paroxetine CR 12.5 mg or sertraline 25 mg. For sleep problems, you can have sedatives like clonazepam, lorazepam, alprazolam etc. Consult a psychiatrist for detailed evaluation and treatment.

Hope it helps
Good luck
Dr. Gourav Monga
Consultant Psychiatrist
Answered: Wed, 3 Apr 2013
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General & Family Physician Dr. Masroor Mir Hussain's  Response
Panic disorders usually have a triggering factor to which susceptible people develop symptoms. You must discuss this with your psychiatrist who will be able to go into the details. Apart from medications which your doctor has given you and you should start taking, you can discuss other psychological therapies with your doctor.
Answered: Tue, 2 Apr 2013
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General & Family Physician Dr. Nirmala P's  Response
Hi, thanks for asking in Healthcare Magic.

Cipralex is Escitalopram. It is given in the treatment of panic disorder. Persons with panic disorder suffer from recurrent and unpredictable panic attacks. They usually fear having an attack or they avoid situations in which they might have an attack.
Though Benzodiazepines like Alprazolam can be given for this condition, they can result in drug dependence. So, drugs like Escitalopram are more effective in the long term treatment of panic disorder.
But since you still feel panic and have sleeping problem you can try Alprazolam after consulting your treating Doctor. you should also attend symptom control education programs which teaches breathing techniques and physiologic changes which occur in panic states. This programe also allows the persons to voluntarily expose themselves to panic situations.

I hope this is useful.
Answered: Tue, 2 Apr 2013
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