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Getting anxiety attacks, taking concern and melzap. Having side effects. Suggest?

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Practicing since : 2007
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my brother was getting anxiety attacks in XXXXXXX 2013 , we consulted psychiatrist for his stress and anxiety issues . Right now he is taking 2 medicines concern 10 and melzap md 0.25mg. He is doing good but he is getting some side effects Please suggest if these medicines are ok to continue
Posted Wed, 19 Jun 2013 in Anxiety and Stress
Answered by Dr. Srikanth Reddy 46 minutes later
Thanks for using health care magic for posting your query.
I would appreciate if you can mention what kind of side-effects he is having with the said medications.
Hoping to hear from you soon,
Dr. Srikanth Reddy
Above answer was peer-reviewed by
Follow-up: Getting anxiety attacks, taking concern and melzap. Having side effects. Suggest? 24 minutes later
He is taking concern 10 and melzap md 0.25mg in night before sleeping and then Melzap again in the morning.
2 side effects are clearly visible. weight is increasing abnormally specially around belly and he is feeling sleepy all the time.
He feels hungry often.
Answered by Dr. Srikanth Reddy 13 minutes later
Thanks for choosing health care magic for posting your query.
Your Brother, as you have mentioned, is suffering from anxiety disorderand concern (escitalopram) and melzap (clonazepam) are good drugs for this illness. However weight gain and sedation are frequently reported side-effects of both these medications. Some may develop them , some may not. In case your brother is having problem with sedation, you should consult your psychiatrist, who would like to withhold the morning dose of melzap for you.
Also consider augmenting your medication treatment with some cognitive behavioural sessions. Such way, you can reduce the medication doses and the resultant side-effects as well. Both medications and CBT are equally effective in dealing with the anxiety disorders.
Another thing would be relieved to know will be that both these side-effects are self limiting and will reduce ones the medications are withdrawn.
If problems are more, then the medication may be switched as there are other plenty of good medications available which will not cause sleep and appetite problems like bupropion etc.

Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
In future if you wish to contact me directly, you can use the below mentioned link:

Wish you good health,
Dr. Srikanth Reddy M.D.
Above answer was peer-reviewed by
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