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Good Evening Doctor - On Your Advise I Reduced Amitryn

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Posted on Mon, 4 Nov 2019
Question: Good evening doctor - On your advise i reduced amitryn to 125 about 20 days back(i have been gradually tapering it from 300 to bring it 125 over 6 months), anxiety is better with a very little second thoughts coming about meetings and meeting people. For the last one week, i have been 125/120 on alternate days to make it 122.5 and i feel finally 120 should help me totally (i am saying this as i felt good with every 5mg reduction). I thought i would be able to stabilise at 125 but being on it for 20 days, still slight second thoughts were crossing my mind, i hope finally 120 works for me. My other medications are as under:
mirtaz 15 and quitipin 100sr+25regular. I was on quitipin 100sr+50 sr. Since i was waking up every two hours in the night, on the basis of your advise, i made it 100sr+25 since friday (11th october), i think my sleep is slightly better. i have following issues:
i find it difficult to remember the names of the people, i have known over many years. at times, at times, my mind just becomes blank as far as names are concerned and it is very embarrassing especially with my boss, what can the reason for this, is it that i am reducing amitryn and that is causing it and it will become normal over a period of time when i stabilise the dose or it is the side effect of other medicines. pls let me know.
hope my sleep improves with the change in quitipin, if not what other tweaking will help me, will keep you posted about my sleep pattern. Look forward to hearing from you. Thank you.
doctor
Answered by Dr. Seikhoo Bishnoi (19 hours later)
Brief Answer:
This will go by own

Detailed Answer:
Hello again

No reduction of dose is not the reason for this forgetfulness. No need to get worried for that. The reason of forgetfulness is probably lack of focus and distraction. This will go by own in few days.

In the mean time I’d advise you to start Vitamin B12 supplements in order to reduce the distraction and improve focus. You can take vitamin E supplement too in 400-600 mg dose for about 4 weeks. This should help you.

Thanks


Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Seikhoo Bishnoi (6 hours later)
Thank you, doctor. Would you please help me with good brands for b12 and vitamin e? I take nutrilin b morning/evening, wondering if that is good enough for b 12, if not, can I continue taking it along with b12 and vitamin e. Regards
doctor
Answered by Dr. Seikhoo Bishnoi (19 hours later)
Brief Answer:
Evion is a good brand

Detailed Answer:
Hello again

Vitamin E brand is EVION 400 or 600 MG. One of commonly used brands that is easily available.

For B12 you can think of Neurokind 1500 mcg which contains Methylcobalamine. Nutriline B is also good. But for some time take Neurokind 1500.

Thanks
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Seikhoo Bishnoi

Psychiatrist

Practicing since :2007

Answered : 5193 Questions

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Good Evening Doctor - On Your Advise I Reduced Amitryn

Brief Answer: This will go by own Detailed Answer: Hello again No reduction of dose is not the reason for this forgetfulness. No need to get worried for that. The reason of forgetfulness is probably lack of focus and distraction. This will go by own in few days. In the mean time I’d advise you to start Vitamin B12 supplements in order to reduce the distraction and improve focus. You can take vitamin E supplement too in 400-600 mg dose for about 4 weeks. This should help you. Thanks