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Dear Doctor, My Age Is 47 Yrs And Weight 82
Question: Dear Doctor, My age is 47 yrs and weight 82 kg and height 175 cm. Since childhood, I have been suffering from unknown depression and panic attacks. I am taking medicines since 2000. Presently I am working in the Central Government in XXXXXXX and hails from XXXXXXX
One interesting thing is I have been suffering is Depression or sad what ever it may be. As per the Doctor suggestion, I have been taking Venlift OD 150 mg f. When I woke up in the morning, I feel sad till 10 to 11’0 till I take one more Venlift.
Another thing is when I going to sleep in the afternoon, after waking up I face the same problem again I will take the capsule then situation becomes normal.
This is about unknown depression or sadness.
Known things I know and I preparing journal and according to that I am solving the problems.
Second thing since 1996 one peculiar thing I have been suffering i.e., because of anxiety disorder or social anxiety when I talk to other person, I can’t laugh more like others. Normally during the talking my face and jaws become freeze because of anxiety. It worsens in social situations. Really it is creating lot of problem to me. Because of this I am avoiding functions, picnics etc. For this as suggested by the Doctor I have been taking Inderal 40 mg SR.
One more important thing Doctor as I got married 20 years ago and 2 children. One is 12 years and second one is 7 years old. Hither to I did not face any problem during the intercourse. For couple of months Erectile dysfunction is occurring Doctor. Libido is good. This creating embarrassing to me. What to do. Kindly suggest any medicines. I know because of anxiety and depression it occurs. But it did not happen since last 20 years. Recently one Doctor told me that becoz of Inderal it is happening. If it is so, kindly suggest any suitable medicine so that I can also laugh like others in normal and social situations.
Also since 2000 I have been taking Rivotril 2 mg (clonazepam). Sir, some times I take all these medicines overdose. Kindly solve above mentioned problems please like stiffness in the face and jaw and Erectile Dysfunction.
One interesting thing is I have been suffering is Depression or sad what ever it may be. As per the Doctor suggestion, I have been taking Venlift OD 150 mg f. When I woke up in the morning, I feel sad till 10 to 11’0 till I take one more Venlift.
Another thing is when I going to sleep in the afternoon, after waking up I face the same problem again I will take the capsule then situation becomes normal.
This is about unknown depression or sadness.
Known things I know and I preparing journal and according to that I am solving the problems.
Second thing since 1996 one peculiar thing I have been suffering i.e., because of anxiety disorder or social anxiety when I talk to other person, I can’t laugh more like others. Normally during the talking my face and jaws become freeze because of anxiety. It worsens in social situations. Really it is creating lot of problem to me. Because of this I am avoiding functions, picnics etc. For this as suggested by the Doctor I have been taking Inderal 40 mg SR.
One more important thing Doctor as I got married 20 years ago and 2 children. One is 12 years and second one is 7 years old. Hither to I did not face any problem during the intercourse. For couple of months Erectile dysfunction is occurring Doctor. Libido is good. This creating embarrassing to me. What to do. Kindly suggest any medicines. I know because of anxiety and depression it occurs. But it did not happen since last 20 years. Recently one Doctor told me that becoz of Inderal it is happening. If it is so, kindly suggest any suitable medicine so that I can also laugh like others in normal and social situations.
Also since 2000 I have been taking Rivotril 2 mg (clonazepam). Sir, some times I take all these medicines overdose. Kindly solve above mentioned problems please like stiffness in the face and jaw and Erectile Dysfunction.
Brief Answer:
Hello dear. You will require behavioral therapy
Detailed Answer:
Hello dear.
I understand your concern. So, you are suffering from chronic depression which is affecting your life. I will advise you to switch over to another anti-depressant drug or increase the dose of venlift as per your psychiatrist's advice.
Moreover, cognitive behavior therapy is a modality of treatment which helps people to modify their day to day practices to lead a normal life.
Please talk to your treating doctor for this therapy.
It will certainly help you.
Also, do yoga and exercise daily. It helps in fighting depression.
Thanks and regards
Feel free to ask further
Hello dear. You will require behavioral therapy
Detailed Answer:
Hello dear.
I understand your concern. So, you are suffering from chronic depression which is affecting your life. I will advise you to switch over to another anti-depressant drug or increase the dose of venlift as per your psychiatrist's advice.
Moreover, cognitive behavior therapy is a modality of treatment which helps people to modify their day to day practices to lead a normal life.
Please talk to your treating doctor for this therapy.
It will certainly help you.
Also, do yoga and exercise daily. It helps in fighting depression.
Thanks and regards
Feel free to ask further
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Dear Doctor. Further to state that my main problems are not addressed. Please don't mind.
1) When I wake up in the morning I get unknown depression or sadness till 10 or 11'o clock in the morning and after taking medicine the problem subsides.
2) I am a Central Government employee. We have 5 day week. When I sleep in the afternoon and wake after after 2 or 3 hours then again same problem of depression or sadness occurs.
These 2 things really hampering my life. MY HUMBLE REQUEST IS KINDLY SUGGEST ANY SUITABLE SUBSTITUTE INSTEAD OF VENLIFT.
3) Third thing I mentioned I have been facing problem of jaw stiffness and feeling nervous which clearly appears on my face and unable to laugh normally. This leads to complete cut of my social life. WHAT TO DO IN THIS PROBLEM PLEASE. IS THERE ANY MEDICINE TO OVERCOME THIS.
4) Also I told that madam, since couple of months Erectyle Disfunction is occurring. One Doctor told me that because of Anti depression medicines ur libido is low and ED is occurring. Kindly address my problem please.
MADAM SINCE LIKE YESTERDAY DON'T TAKE TOO MUCH TIME. KINDLY ADDRESS THE PROBLEM IMMEDIATELY.
1) When I wake up in the morning I get unknown depression or sadness till 10 or 11'o clock in the morning and after taking medicine the problem subsides.
2) I am a Central Government employee. We have 5 day week. When I sleep in the afternoon and wake after after 2 or 3 hours then again same problem of depression or sadness occurs.
These 2 things really hampering my life. MY HUMBLE REQUEST IS KINDLY SUGGEST ANY SUITABLE SUBSTITUTE INSTEAD OF VENLIFT.
3) Third thing I mentioned I have been facing problem of jaw stiffness and feeling nervous which clearly appears on my face and unable to laugh normally. This leads to complete cut of my social life. WHAT TO DO IN THIS PROBLEM PLEASE. IS THERE ANY MEDICINE TO OVERCOME THIS.
4) Also I told that madam, since couple of months Erectyle Disfunction is occurring. One Doctor told me that because of Anti depression medicines ur libido is low and ED is occurring. Kindly address my problem please.
MADAM SINCE LIKE YESTERDAY DON'T TAKE TOO MUCH TIME. KINDLY ADDRESS THE PROBLEM IMMEDIATELY.
Brief Answer:
Hello. There are many options for substitute
Detailed Answer:
Hello again. So points no 1 , 2 and 3 are related to decrease dose level of venlift and inadequate round the clock cover by venlift.
It can be overcome by either increasing the dose of venlift and using a sustained release preparation which will release the drug for 24 hours in your body.
Another option is to use other drugs like fluoxetine, sertraline or escitalopram but only after a written prescription from your treating doctor.
In my opinion your erectile dysfunction issue is also related to depression. When depression is adequately controlled, erectile dysfunction will also disappear.
Hope you understand.
Thanks and regards
Hello. There are many options for substitute
Detailed Answer:
Hello again. So points no 1 , 2 and 3 are related to decrease dose level of venlift and inadequate round the clock cover by venlift.
It can be overcome by either increasing the dose of venlift and using a sustained release preparation which will release the drug for 24 hours in your body.
Another option is to use other drugs like fluoxetine, sertraline or escitalopram but only after a written prescription from your treating doctor.
In my opinion your erectile dysfunction issue is also related to depression. When depression is adequately controlled, erectile dysfunction will also disappear.
Hope you understand.
Thanks and regards
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
1) When I wake up in the morning I get unknown depression or sadness till 10 or 11'o clock in the morning and after taking medicine the problem subsides.
2) 3) Third thing I mentioned I have been facing problem of jaw stiffness and feeling nervous which clearly appears on my face and unable to laugh normally. This leads to complete cut of my social life. WHAT TO DO IN THIS PROBLEM PLEASE. IS THERE ANY MEDICINE TO OVERCOME THIS.
Madam, I request you to kindly address separately for the above 2 points.
2) 3) Third thing I mentioned I have been facing problem of jaw stiffness and feeling nervous which clearly appears on my face and unable to laugh normally. This leads to complete cut of my social life. WHAT TO DO IN THIS PROBLEM PLEASE. IS THERE ANY MEDICINE TO OVERCOME THIS.
Madam, I request you to kindly address separately for the above 2 points.
Brief Answer:
Hello dear. There is nothing to worry
Detailed Answer:
Welcome again.
My reply to your queries is as follows
Point no 1. As I mentioned inadequate dosing leads to depression after waking up in the morning. So you need to increase the dose or switch over to a sustained release preparation of venlift so that it releases drug for 24 hours and covers morning hours. Alternatively , you can switch over to other drugs as i mentioned.
Point no 2. Jaw stiffness and nervousness are part of same problem and should go away with increased dose of venlift. However, a small amount of anxiolytic drug can also be added. Please discuss this with your doctor for a prescription.
I will also advise you to do yoga and exercises regularly. This also helps to overcome depression.
Thanks and regards
Hello dear. There is nothing to worry
Detailed Answer:
Welcome again.
My reply to your queries is as follows
Point no 1. As I mentioned inadequate dosing leads to depression after waking up in the morning. So you need to increase the dose or switch over to a sustained release preparation of venlift so that it releases drug for 24 hours and covers morning hours. Alternatively , you can switch over to other drugs as i mentioned.
Point no 2. Jaw stiffness and nervousness are part of same problem and should go away with increased dose of venlift. However, a small amount of anxiolytic drug can also be added. Please discuss this with your doctor for a prescription.
I will also advise you to do yoga and exercises regularly. This also helps to overcome depression.
Thanks and regards
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Yogesh D
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