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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Tremor Felt In Hand, Lightheadedness, Trouble In Focusing, Communicating. Brain Test Normal. No Relief With Xanax. Treatment?

I am curious if there is any medical testing I should be looking into. I recently took a trip to Florida in June and while I was down there had a tremor start in my right hand along with lightheadedness. I also had trouble focusing for about a week. I have seen my primary and also a MS neurologist. Yesterday, I started to have the lightheadedness and trouble trying to communicate. Like my brain is working fine, but my brain and mouth don't. When I go to talk its slurred and almost like I'm stuttering. My neurologist told me she had ran all the tests she could and recommended that I go back to my primary to see where to go from here. I would like to get back to my self. Any advice is greatly appreciated as I am at a loss and not sure what to do at this point. I did go to the ER yesterday with these symptoms and they tried Xanax however that is not working.
Thu, 22 Aug 2013
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General & Family Physician 's  Response
Hello.As you refer your doctors have requested the usual tests (CT-Scan. ...) to rule out neurological pathologies and the results were normal.
They thought that their symptoms may be secondary to anxiety-stress and prescribed Alprazolam.I agree with them but I think it's necessary to add an antidepressant with sedative effects.I treat my patients with Paroxetine 20 mg per day + Alprazolam 0.5 mg per day when Anxiety is the diagnosis.Please consult your local doctor for a prescription.I wish you good health.
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Tremor Felt In Hand, Lightheadedness, Trouble In Focusing, Communicating. Brain Test Normal. No Relief With Xanax. Treatment?

Hello.As you refer your doctors have requested the usual tests (CT-Scan. ...) to rule out neurological pathologies and the results were normal. They thought that their symptoms may be secondary to anxiety-stress and prescribed Alprazolam.I agree with them but I think it s necessary to add an antidepressant with sedative effects.I treat my patients with Paroxetine 20 mg per day + Alprazolam 0.5 mg per day when Anxiety is the diagnosis.Please consult your local doctor for a prescription.I wish you good health. (If the answer has helped you, please indicate this)