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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Ideal Dosage Of Zapiz And Nexito?

I have been diagnosed with Depression / General Anxiety Disorder. Was prescribed Zapiz 0.75 mg per day that was tapered down and stopped after 3 months. Also was prescribed Nexito 10 MG for about 8 months, which was also tapered down and stopped. I have not been taking any medicines for 3 months now. I have started having symptoms of anxiety and nervousness time and again. What is the suggested course of action? Will CBT help and is that better than medication? Also, what is the usual course of taking Zapiz (Clonazepam) and Nexito (Escitalopram)? Are there any serious side effects? Thanks.
Mon, 15 Feb 2016
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Psychiatrist,  's  Response
Hi dear , welcome to healthcare magic
After going through your query i can suggest that you consult your psychiatrist once again to start your treatment.for depression treatment guidelines say that for first episode medicines can be prescribed for 6 month to 1 year.for second episode you have to take medicines for longer periods.CBT can be given along with medicines for better treatment but only CBT is not effective than medicines in case of depression.in case of only generalized anxiety disorder CBT is more effective.generally clonazepam is started initially along with escitalopram and stopped after 4 weeks but can be continued without no serious side effects if anxiety is severe.no serious side effects with escitalopram and clonazepam at therapeutic doses seen if any they are mild.
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What Is The Ideal Dosage Of Zapiz And Nexito?

Hi dear , welcome to healthcare magic After going through your query i can suggest that you consult your psychiatrist once again to start your treatment.for depression treatment guidelines say that for first episode medicines can be prescribed for 6 month to 1 year.for second episode you have to take medicines for longer periods.CBT can be given along with medicines for better treatment but only CBT is not effective than medicines in case of depression.in case of only generalized anxiety disorder CBT is more effective.generally clonazepam is started initially along with escitalopram and stopped after 4 weeks but can be continued without no serious side effects if anxiety is severe.no serious side effects with escitalopram and clonazepam at therapeutic doses seen if any they are mild.