Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
154 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Can menopause cause panic attacks?

Answered by
Dr.
Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

default
Posted on Mon, 5 Dec 2016 in Mental Health
Question: I am suffering from panic disorder. I get really bad ones and called 911 a few times. Went to hospital ,did blood test, EKG and everything came out ok. during panic i get shakey, can't move, my fingers get kinda numb and thingely, short of breath, feeling like i will faint. My doctor told me to take xanax 0.5mg 3 times a day, since i do not want to go on antidepresant. I used to take prozak for 3 years . had a hard time adjasting to that medicine and gain weight, but it did helped. Now I am in menopause andd the panics started again. I put a bio identical hormone replacement , pellet with estrogen, tostestorone and pill of progestoron 100mg at night. Since i got the pellet the panic got more often. And the thing is thosee pellets can not be removed from you. Its Biote pellet. I don't know what to do anymore . I had some good days, but very bad as well. Today i am in panic all day. How can i deal with the panic situation , the horible symptoms without antidepresant. And which one are good if i have to yake them at some point. My doctor suggested brintelix, but I am ttrying to avoid them. Thank you
doctor
Answered by Dr. Chintan Solanki 55 minutes later
Brief Answer:
cognitive behvaior therapy, meditation and clonazepam

Detailed Answer:
Hello,

Thanks for writing to us. I can understand your concern.

Menopause and hormone therapy both can worsen panic disorder. In your case If I were your treating doctor I would recommend medicines as first line therapy. However you do not want it so I would suggest other options.

Best treatment of panic disorder includes both medicines and psychotherapy. .

In psychotherapy I recommend cognitive behavior therapy (CBT). In mild cases only CBT is sufficient. In moderate to severe cases initially medicines and then CBT is added. And later on medicines stopped gradually.

In medicines SSRI group of drugs (fluoxetine, paroxetine, sertraline, escitalopram) are main stay of the treatment. I prefer paroxetine when anxiety is more. Benzodiazepines group of drugs (clonazepam, lorazepam, alprazolam or etizolam) are used initially for short duration for fast symptomatic relief.

I don't recommend xanax as it is more addictive. I prefer clonazepam (klonopin) in such cases. If you cannot find prozac is good for you, paxil (paroxetine) or remeron (mirtazapine) can help when you want to try for medicines.

CBT is a type of psychotherapy and very useful in most of the anxiety spectrum disorders. In CBT psychiatrist/psychologist helps person to identify his/her automatic thoughts and faulty behavior which would ultimately be modified by person with active efforts and help of therapist. It also includes time management, daily sleep, meals and exercise timing. Ask her psychiatrist for the same. Doctor can provide sessions of CBT or he will refer you to concerned therapist available there.

Adding meditation-yoga with relaxation techniques can also help to reduce panic attack severity and frequency.

Hope I have answered your query, I will be happy to help further.

Regards,
Dr. Chintan Solanki.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Chintan Solanki 41 minutes later
Thank you for your reply. I was told that the hormone therapy will ease up the panics, that is the reason i did it. I did not have hot flashes or things like that. So once the pellet run its course i will not put a new one. Any suggestions how to eliminate the symptoms when i get the panic? It feels horrible, like you diying. Sick to my stomack, shaking, chills, can't breath.
doctor
Answered by Dr. Chintan Solanki 4 hours later
Brief Answer:
deep slow breathing will help

Detailed Answer:
Hi,

Thanks for follow up.

Yes hormone therapy help in panic episodes but only when menopause is the only causing factor. In your case story is different.

During panic attack you can use mouth dissolving clonazepam if you want to use medicine for this.

Other approach is deep breathing exercise. Whenever you feel anxious take deep slow breathing. Inhale for 3 seconds, keep breath in for 3 seconds and exhale for 3 seconds. Do it for 10 minutes. You will feel relax.

Either alone or both above approaches together will ease your symptoms fast.

Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Chintan Solanki 34 minutes later
Thanks so much, you have been very nice and helpful.
doctor
Answered by Dr. Chintan Solanki 2 hours later
Brief Answer:
welcome

Detailed Answer:
Hi,

You are welcome and wish you speedy recovery and good health.

In future if you wish you can contact me directly with following link:

http://bit.ly/drchintansolanki

by clicking on 'Ask me a question' on same page with three follow up questions.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Chintan Solanki 7 hours later
Thank you , will do.
doctor
Answered by Dr. Chintan Solanki 9 hours later
Brief Answer:
Wish you early recovery

Detailed Answer:
OK dear.

Wish you early recovery.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication ,  
Treatment/Therapy ,   ,  
Lab Tests

Recent questions on  Blood test

doctor1 MD

I have allergy problem. I am getting and itchiness on my body. My lymphocytes is 19 (which should be 20-45) and my absolute eosinophil count is 522...

doctor1 MD

DEAR SIR/MADAM MY MARRIAGE IS OVER NEARLY TWELVE MONTHS OLD. I have done all check ups incl semen and serum analysis,hemoglobin thyroid and blood...

doctor1 MD

I have been experiencing headaches on a daily bases for the pass two days. In addition, I recently had blood work done with all normal values with...

doctor1 MD

I am 24 years old female.. I was suffering from fever but after a week i went for a widal test.. Salmonella Typhi Ó & H has come 1:40 positive &...

doctor1 MD

I am having sinus pressure and I recently had pneumonia . I do use salt water rinse. Today I kept falling asleep. I got up and ate dinner but...

doctor1 MD

My ESR Test Result: 30mm/hr in 1st hour and 2nd hour 60mm/hr why it’s come like can you please explain. Last 2 weeks on word i ma getting itching...

doctor1 MD

I have pain in my upper right hand side of my chest, feel sick after eating, and get really hungry, and thirsty. Could this indicate esophageal...