Brief Answer:
Prozac would be a better option
Detailed Answer:
Hello,
Thanks for choosing health care magic for posting your query.
I have gone through your question in detail and I can understand what you are going through.
Its good that you had a good control over
depression for these many years witha same combination. I do see plenty of patients in my clinic who come up with a similar dilema.
Nortriptyline is a
TCA class of drug and was used when other options were not readily available. They have a higher degree of side effects especially cardiac.
If you have an option you should go for the prozac. Moreover your main concern is the
anxiety and for anxiety prozac will be anytime better than nortriptyline. Taking
deanxit with prozac is safe. You may go ahead with the option of prozac, your
psychiatrist is right.
Dont be so anxious about the change in medicines. Change in medicines is very common in the treatment of depression and anxiety and you can be comfortable about that.
Regarding your BP machine showing you irregular beats, the household machines may not be so specific. If you have a suspicion you should get a ECG done to identify the extra beats. Some extra beats need not be treated and hence dont worry about them. ECG will tell you their place of origin and that will guide the further treatment.
Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
bit.ly/dr-srikanth-reddy
Wish you good health,
Kind regards
Dr. Srikanth Reddy M.D.