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Panic attacks with dizziness - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Anxiety and Stress
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   Hi
User :   Hello Doctor
Doctor :   I am Dr AAAAAAA
User :   Recentlyi amin a lotof problem
Doctor :   How can I help you ?
User :   i am a sufferer of Panic Attack
Doctor :   Ok
Doctor :   Please proceed
User :   i am prescribed sertraline 25 mg
User :   is that the right drug?i see no improvement ....infact increased anxiety and i feel dizy all the time
User :   i had abdominal pain
User :   and stool tests also detected giardia and mucus
Doctor :   Ok
User :   i amalso prescribed ornidazole 500 mg
User :   i see no improvement
User :   please help i am confused
Doctor :   1. That is the right drug that you are using
User :   my tongue is burning and have pain even i am taking vitamin supplements beplex forte
User :   I have a host ofprblems
User :   :)
Doctor :   2.Stool examination and giardiasis and abdominal pain is totally different.
User :   ok
User :   after taking ornidazole for 7 days i see noimprovement
Doctor :   Well get a second stool examination done for Widal Test also .
User :   ok
User :   how long does sertraline take...i have been tking sertraline for 7 days now
User :   no improvement
Doctor :   It takes at least 4 weeks to start working and show up some omprovement.
User :   ok great so that means i am on the right way for my PA
User :   Regarding Giardia - is that a self limiting disease
Doctor :   Yes, antibiotics will surely cure it.
User :   is ornidazole the right choice
Doctor :   You are on the right track, please someone very close to you always to stay with you and you will surely come out of it.
User :   i did
User :   but i was somewhat addicted to clonazepamfor somtimelets say 3 months without sertraline as i was a shortcut
User :   will sertraline helpme get out of clonazepamaddiction?
User :   i used to take .5 mg a day
User :   as .25mg intwo doses
Doctor :   Yes, very much it is not much of an addiction substance and you will not need it any longer.
User :   now i take it SOS
User :   but i feel extremely dizzy tired and fatigued
User :   is it because of sertraline or giardiasis?
Doctor :   It is not because of sertraline, might be due to diarrhea/giardiasis. have lots of fluids, fruits, juices and you will feel better.
User :   do u thinki need a different antibiotic as because my stoolis still not good
Doctor :   You can try NTZ , but i cannot prescribe you as it is against medical ethics to prescribe without seeing a [patient.
Doctor :   But i would recommend you to see a general physician.
User :   NTZ
User : it liver toxic?
Doctor :   Not hepatotoxic.
User :   Can i take it while tzking sertraline?
User :   I thinkmetronidazoleis hepatotoxic
User :   I sometimes feel hungry
User :   hello
Doctor :   Hi , I think the network was down here.
User :   sorry
User :   Can i take NTZ while on sertraline?
Doctor :   Yes metronidazoles are hepatotoxic, but in chronic usage for more than a fortnight.
Doctor :   Yes you can very much take.
Doctor :   For one week - two it is fine.
User :   My liver is very sensetive
Doctor :   Did you have any previous liver disease.
User :   yes i had NAFLD
User :   I take lecithin and it resolves
User :   Is NTZ a long term drug regimen treatment?
User :   I had Giardia amd Mucus as +
Doctor :   Are you having jaundice now ?
User :   nope
User :   fortuantely sertraline didnot create any problem for me
Doctor :   Are your liver function tests showing abnormal levels of S.BILIRUBIN/S.Creatinine.
User :   yes
Doctor :   How recently were these tests done ?
User :   once my SGPT rose to 54
User :   20 days ago
Doctor :   Ok.
Doctor :   How about other parameters.
User :   i was on satranidazole for the same purpose
User :   satranidazole and metronidazole created a lot of problemforme
Doctor :   Ok.
User :   i gave up
Doctor :   Ok
User :   then ornidazole didnot create any problem
User :   i was given chloroquine as doctor doubted protozoal infection in liver
Doctor :   Comapritively NTZ is less hepatotoxic.
User :   but it was not
Doctor :   But everything depends and changes form person to person.
User :   after taking chlororquine for 7 days my platelets count camedown
Doctor :   Some patients tend to be hypersensitive to NTZ also.
User :   Ohh no
User :   Shall i continue with Ornidzole then
Doctor :   So we have to treat them after using the drug for 2 days and see the levels.
User :   Will ornidazole work?
Doctor :   I feel you should do that.
User :   How long shall be the regimen
Doctor :   It will take some more time ,, may be acouple of days.
User :   Orni
User :   Ok
Doctor :   Lets see in 2=-3 days.
User :   I will have a stooltest done again
User :   nice talking to you
Doctor :   And hence you can come back for a reassessment.
Doctor :   That is what i advised you initially.
User :   yes thanks a lot
Doctor :   Please do get it done, much help for you.
Doctor :   Thank you for consulting me.
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