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

140 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Headache and neck pain. Prescribed medicine for panic attack. Treatment to be done?

Answered by
Dr. Jonas Sundarakumar


Practicing since :2003

Answered : 2190 Questions

Posted on Tue, 29 Jan 2013 in Headache and Migraines
Question: Hi,
This is XXXXXXX. My brother is having Neck pain and head ache from last one month and also he is having BP 130/90 ( He is using Metostartan 25 tablet from last 2 months once in a day) he consulted neuro physician few days back and he examined and he said that my brother is having Panic attack. And he gave two tablets 1. Etilite 0.5 daily 2 times 2. Petril Beta 20 daily one time at night. Shall i use Petril beta and Metro Prolol in same day? both tablets are same or different. Is Pani attack discese and wht is the treatment for that. How many date we need to use those tablets?
Can you please suggest a solution.
Content of Etilite 0.5 is Etizolam (daily 2 times)
Content of Petril Beta 20 is Clonazepam and Proplanolol Hydrochloride (Daily one time at Night)
Content of Metostarton 25 is Metoprolol (Daily one time Morning )
Answered by Dr. Jonas Sundarakumar 9 hours later
Hello and welcome to Healthcare Magic. Thanks for your query.

Panic disorder is a type of anxiety disorder where the person has sudden bouts of intense anxiey. This anxiety can be manifeste as psychological symptoms (like fearfulness, tension, fear of death, negative thoughts, etc.) or as physical symptoms (palpitations, chest tightness, sweating, breathing difficulty, dizziness, headache, churning sensation in the stomach, etc.)

The treatment for panic disorder is with medication or psychological therapies. First line treatment is with SSRI anti-anxiety agents. Other anti-anxiety medication - like benzodiazepines (e.g. Clonazepam) can be used on a short-term basis to quickly control the symptoms. Beta blocker medication (like propranolol, Metaprolol, etc.) are often prescribed to treat the physical symptoms of panic disorder.

Regarding your brother's current medication...
- Both Metoprolol and Propranolol (found in Petril Beta) are Beta blocker medication. They can be used both for the treatment of hypertension (high BP) as well as for panic attacks. Since both medication belong to the same category and can lower the BP, it is better to use them with caution. I would advise you to recheck with the doctor, specifically telling him that your brother is already on Metoprolol.
- Similarly, both Etizolam and Clonazepam are similar medication belonging to the benzodiazepine class, and I would not personally recommend two benzodiazepines at the same time.

Regarding the duration of medication, firstly, it has to be remembered that benzodiazepines should be used only on a short term basis, since there is a chance of developing habituation and withdrawal symptoms on stopping. If other non-addictive anti-anxiety agents like SSRIs are prescribed, they are recommended for a period of 3 to 6 months, after which the patient has to be re-evaluated, and if he is symptom-free, then the medication can be gradually reducaed and stopped.

My advise to you would be to see a psychiatrist, so that your brother can have a proper psychological assessment and if the diagnosis of panic disorder is confirmed, then appropriate medication can be started.

Wish you all the best.

Dr. Jonas Sundarakumar
Consultant Psychiatrist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,  
Drug/Medication ,   ,  

Recent questions on  Withdrawal symptoms?

doctor1 MD

Hello. I have been smoking about a pack a day for 5 years. I m 22 male. My bowel movements have been lightly colored, slightly flaky and become cloudy when flushed. I have researched chronic pancreatitis and share similar symptoms. Usually my stool is harder and darker in color when I do not smoke previously for up to an hour or so. I have tried to quit smoking and will continue to do so in time but unfortunately, I do not have very much time to sit through withdrawal symptoms with my busy lifestyle. Sometimes I show signs of undigested food, possibly mucus in stool but I m not sure. Is there anything I can do? I do not have health insurance unfortunately. Are their alternatives to help regulate my digestive system?

doctor1 MD

Can bupropion HCL xl be the cause of my having plantar fascitis or neuropathy? I have taken bupropion HCl xl 300 mg for app. 5 to 6 years. I am 58 yrs old. I have had plantar fascitis for 4 or more years and have had surgery on my right foot. I started taking bupropion because I had to force myself to go to work and I ask the Dr. to for an antidepressant the would not make me gain weight. I am now retired and my feet have gotten worse not better. What major withdrawal symptoms can I expect if i decide to quit taking buproprion? Once you have neuopathy can you reverse it if it is cause by a drug?

doctor1 MD

My Implanon expired in June of this year and now I'm experiencing pregnancy symptoms such as fatigue nausea sore breast acne headaches weight gain and made swings I am aware that birth-control withdrawal can mimic the symptoms I would only be for five weeks if I am in fact pregnant my periods resumed in August should I get a blood test or is this just withdrawal symptoms?

doctor1 MD

I have been taking 0.5 mg of Klonopin BID for 22yrs. Dr wants me to get off so decreased my PM med to 0.25 Had some trouble sleeping at first, some vague side effects, then after 2 months, was decreased to 0.25 AM also. Foggy head, lethargic, not able to think straight. Saw him today & he said withdrawal from small dose would not have these effects & advised blood work with Internist for thyroid or anemia. I feel crazy. Don t the Dr know the withdrawal symptoms?

doctor1 MD

Hi there. I have recently stopped using Citalopram . I was on it for 9 months and tapered off slowly over a period of 5 months. I am getting the usual withdrawal symptoms ....dizzy, brain zaps, low mood and low motivation. The most troubling is...

doctor1 MD

Hi. I am a bit concerned about the dose of lorazepam that i take. 1mg split in 0.5 morning and evening. It's been 1 month since i started this treatment, along with 10 mg of Cipralex . My psychiatrist said to stay another month on lorazepam due to...

doctor1 MD

Hi there. I have been on an SSRI( Citalopram ) for 9 months. My highest dose was 20mg per day. I have tapered off slowly over a period of 5 months. I quit entirely one week ago and my withdrawal side effects include some anxiety , tiredness(lack...