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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Taking Prestiq 100, Increased Panic Attack, Anxiety. Cause And Cure?

Hi I m currently taking prestiq 100 and for the first month it worked and helped me but now and in the last month I have experienced a lot of panic attacks and anxiety and I don t understand why. I have an appt with my dr in a weeks time. What do you think is the problem and how does prestiq compare to Zoloft . Thanks Heidi
Fri, 22 Mar 2013
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Psychiatrist 's  Response
Hello
Welcome to HCM

Prestiq is venlafexine and belongs to SNRI group. Zoloft is sertaline and it belongs to SSRI group. Both are nice drugs for anxiety disorder and depression. Over all venlafexine is mainly used in depressive disorders but its effects in panic is also good.
But as per my clinical experience sertaline is better in controlling the symptoms of panic disorder and is also safer drug. Rest visit a psychiatrist for expert opinion.

Thanks
Dr. Seikhoo Bishnoi
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Psychiatrist Dr. Sundar Gnanavel's  Response
Hello........
Thanks for your query. Prestiq is venlafaxine which is classified under SNRI group of drugs whereas Zoloft is sertraline which is classified under SSRI group of drugs. Both the drugs are equally efficacious anti-anxiety as well as antidepressant agents.
If there is complete non-response to one drug even after a month, it is worth considering a different class of anxiolytic agent. The other treatment options include psychotherapy techniques like cognitive behavioural therapy.
I would also suggest yoga, meditation and breathing relaxation exercises to supplement your treatment. I would also advise thyroid function tests to rule out thyroid disorders presenting as anxiety symptoms.
Hope you found the information useful.
Regards
Dr Sundar
Psychiatrist
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Taking Prestiq 100, Increased Panic Attack, Anxiety. Cause And Cure?

Hello Welcome to HCM Prestiq is venlafexine and belongs to SNRI group. Zoloft is sertaline and it belongs to SSRI group. Both are nice drugs for anxiety disorder and depression. Over all venlafexine is mainly used in depressive disorders but its effects in panic is also good. But as per my clinical experience sertaline is better in controlling the symptoms of panic disorder and is also safer drug. Rest visit a psychiatrist for expert opinion. Thanks Dr. Seikhoo Bishnoi