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

180 Doctors Online
Doctor Image
MD
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.

Suggest medication for anxiety and panic attacks apart from Rivotril

Answered by
Dr.
Dr. Munish Sood

Ayurveda Specialist

Practicing since :2003

Answered : 3496 Questions

default
Posted on Wed, 20 Dec 2017 in Mental Health
Question: Dear Doctor. This is further to our discussion.
1) For depression i am taking venlift od 150 mg one capsule a day.
2) For social phobia means unable to express facial feelings (facial freezing) i am taking indertal 160 mg per day.
3) Of course for general anxiety and panic attacks I am taking rivotril 2mg. But doctor there is no improvement in this. Means when there is a group of people, when the turn is mine, I am unable to explain because of panic attacks. Also when there is an argument situation the same thing palpitation occurs.
4) Dr. depression and unable to express facial feelings improved by 90%.
5) Kindly help me in the panic attack situations as I am a Exeutive in the Central Government and lot of interaction and group discusion with people, kindly help me which medicine exactly helps me to talk freely without palpitations. As I have good posture, knowledge and subject but I am unable to kindly help me in this.
6) Also in the process of argumentable situation ireespective of gender and age I cannot argue with the people. Kindly give me any exact medicine so that I can overcome this problem.

FINALLY DOCTOR PLEASE SUGGEST ME THE MEDICINES WHICH I AM USING AND THE MEDICINES WHICH YOU ARE PRESCRIBING HELPS ME OUT TO OVERCOME COMPLETELY. AS I HAVE A LOT OF RESPECT IN THE SOCIETY, NAME AND FAME EVERYTHING BUT MY PARENTS, SIBLINGS AND RELATIVES ARE DISCUSSING THAT HE HAS PSYCHOLOGICAL PROBLEM AND ABUSING MEDICINES AND WASTING MONEY. BECAUSE I AM TAKING THESE MEDICINES SINCE LAST 20 YEARS KINDLY PUT A FULL STOP TO THESE PROBLEMS AND MEDICINES. WAITING FOR YOUR REPLY.

APART FROM DOCTOR CAN YOU SUGGEST SHALL I TAKE HOMEOPATHY, AYURVEDIC, PATHANJALI, UNANI, SIDDHA AND NATUROPATHY AND HOME MADE MEDICINES TO OVERCOME THIS PROBLEMS.
doctor
Answered by Dr. Munish Sood 2 hours later
Brief Answer:
further line of management

Detailed Answer:
Dear
Thanks for contacting the Ayurveda section of [A]YUSH and after reviewing your case and medications, I'm of the following opinion:

1. Since you are already being supervised by other learned physicians on this portal you should consult with your healthcare professional for CBT [cognitive behavioral therapy] to identify and counteract negative thoughts.

PS. As they have given due consideration in letting you know about the modern parameters, I will limit myself to the Ayurveda physiology

2. Because panic attacks are repeatable [argument situations] which means you feel endangered and unable to escape which means there is ‘fear of fear’ i.e. vicious anxiety- panic attack- anxiety cycle, thus before taking panic attacks to be due to anxiety or depression make sure you have ruled out following medical conditions like overactive thyroid, low blood glucose, use of excess caffeine, cocaine, amphetamines or heart problem.
PS. practice relaxation techniques like yoga, meditation but also Pranayam which will strengthen the relaxation response of body as opposite to stress response during panic attacks, i.e. don’t try to flee away from the situation which will reinforce the perception that your panic attacks are unbearable [remember they are uncomfortable but not life threatening], allow the symptoms to pass and you will gain ability to cope with them

PS. Practice stretching Yoga poses [Dhanurasana, Matsyasana, Janu Shirsasana, Paschimottanasana, Hastapadasana], hot shower and massage are simple techniques to overcome muscle tension from anxiety.

3. Since the said problems can be grouped under GAD [generalized Anxiety disorder], Dietary Regime and Lifestyle management along with Medicine is initiated from my side according to “manovaha srotas vyadhi”

4. DIETARY REGIME

i. Avoid alcohol, pepper, garam masala, mustard oil, pickles, rye, spicy food, anger, grief, fear, late night waking, garlic, ginger, onion.

ii. Take: mint, coriander, tomato, and cumin, plenty of water, vitamins and mineral supplements, apple, banana, grapes, dates

5. HOME & NATURAL REMEDIES

- Lemon juice mixed with sugar in a glass of water helps release stress removing hormones from the body and bring mind at peace/rest OR eat 2 spoons coriander [Dhaniya] seeds with 2 spoons of sugar candy [mishri]

6. Apple, almond, banana, broccoli, cantaloupe, melon, carrot, cashew nut, corn, cauliflower, grapes, guava, lemon, XXXXXXX orange, pineapple, soybean, spinach have antioxidant and detoxifying properties so take them in plenty.
8.     If you are interested in taking Ayurveda medicines, I do prepare myself result oriented medicine which can help you overcome your problem and gain your lost self-confidence, do let me know so that I can courier you the same.

PS.
Since nervousness, anxiety, agitation, and emotional disturbances are ADR [adverse drug reaction] and gets aggravated/increased in Depression [present in history] thus if thinking of stopping the drug avoid abrupt withdrawal i.e. gradual tapering of the dose is to be done.


Dr. Munish Sood
Consultant Physician
Naimittika

direct online link: bit.ly/drmunishsood
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
default
Follow up: Dr. Munish Sood 16 hours later
Dear Doctor.

Kindly tell me exactly whether the medicines which I am using the allopathic is correct in order. I shall be grateful, kindly give the medicines exactly which work for the panic attacks.
doctor
Answered by Dr. Munish Sood 1 hour later
Brief Answer:
necessary information and clarification

Detailed Answer:
Dear
Thanks for reverting back

1. Venlift [venlafaxine] is used in the treatment of depression and symptoms associated with major depressive disorder, and anxiety, aggressive behavior are noticeable ADR [adverse drug reaction] of the drug and even if your doctor asks you to stop the drug, you should not discontinue it abruptly, rather a gradual tapering of dose is recommended

PS. check with cholesterol level and liver function tests [LFT]

2. Inderal [propanolol]: because of its beneficial effects on the heart it is helpful for people with ‘Social Anxiety Disorder’/Situational Anxiety: where public speaking or performance is involved

PS. It helps mainly with relieving physical symptoms [performance/situational anxiety] and not mental anxiety.

3. Rivotril [clonazepam] is mainly advocated in panic disorder and since coordination disturbances, problem with thinking and memory is the commonest ADR of the drug thus could explain the same in you

PS. you may ask for combination of clonazepam and propranolol [if they are to be continued]

4. In all the three situation(s), your attending physician/doctor is in the best position to help you make a decision on what to do.

5. Medicine for panic attacks in Ayurveda are tailor made and not given according to the market, so I can only help you with the medicine which I prepare myself.

Dr. Munish
Naimittika

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
default
Follow up: Dr. Munish Sood 2 hours later
Dear Doctor, kindly send the medicine which is useful for panic attack. I will pay for the same.
doctor
Answered by Dr. Munish Sood 16 hours later
Brief Answer:
further plan of action

Detailed Answer:
Dear
Thanks for reverting back
1.     After going through your symptoms and the main Dosha [aggravated Prana vayu] which weakness the nervous system and triggers mental imbalance associated with it, I’ve come up with the following formulation which will increase the 'sattva guna':

i. Oil for de-stressing helps reduce muscle tension and stiffness and thereby toning and rejuvenating [360/- for 200 ml]

ii. Medicine to improve metabolism, reduce toxins and help eliminate toxins, thereby building body’s resistance. [685/- for 60 capsules]

iii. Medicine to improve stress tolerance, yet maintain good health, by calming your mind, promoting better sleep. [740/- for 60 capsules]

iv. medicine to increase immunity and vitality: [760/- for 60 capsules]

PS. Since liquid medicine are not allowed in courier I’ll let you know so that you can buy them near your locality
PS. dose: 1 capsule twice daily from each medicine [1-month therapy]
Total cost of 1 month= 2545/- [plus 200/- courier charges] = 2745/-]

v. do let me know about your progress by contacting me directly on my link: bit.ly/drmunishsood

vii.If you are comfortable, I can share my bank details.

Dr. Munish Sood
Naimittika


Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
premium_optimized

The User accepted the expert's answer

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

Recent questions on  Social phobia

doctor1 MD

My 13 years daughter was vaccinated with Gardasil 3 times : 26/9/2012 28/11/2012 30/04/2013 After 3 weeks of this Gardasil, she started complaining of heavy headache and stomach pains. She has now developed depressions,anxieties, tiredness,restless, luck of appetite , irregular menstruation She has developed ADHD, sort of Autism, mental retardation, social visual impairments, social phobia, She suffers in noisy surroundings with a lot of people. She is now isolated herself from her friends and brothers. She lucks sustained attention and impulses and learning at school. Dr. Edward KIizza 36 Gillette Street, Preston, Lancashire, PR1 5HX , UK........ Please what are the side effects of Gardasil and what are the treatments?

doctor1 MD

HI I am experiencing cramps in my calves. It just started about a week ago and getting worse. I have been doing stretches and doesn't seem to work. My doctor switched me from lexapro to zoloft , could the zoloft be doing this or is this a vitamin...

doctor1 MD

Dear doctor presently I am using venlift od 150 mg ( 2 capsules ) to overcome depression . It is not unknown. It is the problems which I am facing int he life. Secondly I am facing the problem of Generalised Anxiety Disorder for which I am taking...

doctor1 MD

HOMEOPATHIC TREATMENT Dear Homeopathic Doctor, I am male aged 45 years vegetarian. Height 175 cm, weight 78 kg doing Government job. Since childhood, I have been suffering from Depression along with problem of unknown fear. I don't know what type...

doctor1 MD

Hello! I have a big troubles. Everything started 10 years ago, when I was diagnosed with cancer, but lucky or unlucky, it was just a hernia. A year later, I started having problems like waking up in the middle of the night, cant breathe etc. Just an easy problems. After time, the things went wrong. I was affraid to go to a doctor, because I don't want to hear, that I am sick of Cancer. That is still the good part. Few Years later, I started having more serious problems. Currently, almost everyday at anytime I am in a different moods. Once I am happy, everything is fine, next minute I am depressed, and nothing is valuable to me. It happens after I lost one girlfriend though. But the problems are:
1. Cant focus on almost nothing
2. Brain Fatigue
3. Sleeping more then 8 hours and wake up tired.
4. Always thinking of something in the past, cant concentrate
on the present.
5. Social Phobia - recently I found , that I am having it
6. Hard time to organize my day. When I sleep less, like 4 hours
I am feeling more organized and easy going. But on the next day,
I need to sleep more , like 10 hours and when I wake up, I am confused, stressed, tired, and the day is just passing by me.
7. Sometimes, I am feeling, like I am out of my body and my life is just passing near myself.
8. Avoiding reading documents and doing work, where brain is involved more then normal. That 's a big problem, because the
quality of my life is getting worse and worse. Currently, I am 30 years old, finished my law school, but don't want to tell you how
hard I took my exams, because, when I read something, I do forget it very fast
9. It is hard for me to remember many things from my day. Everyday, I am not having many memories. For Example,
not sure what I ate, not sure what movie I watched, not sure with whom and when I have a meeting. Cant organize myself, and the biggest problem ever is, that when I have all those symphoms,
I start stearing in the mirrow and I see, that somehow, my eye
is changed. The way my eyes looks is a bit scary even for me. When I dont feel this pressure in my eye, they seems well, but often they skin where my eyelash is located is purple to red colour. this is only on one of my eye.
10. Tired during the day. Need a sleep often in the early afternoon for at least 30 mins.
11. Cant focus on many things, even if I want to.
I would like to ask you, please, give me a clue, because when I go to doctor, everyone says, that I am ok, and this is just a depression. It is not, I am sure. I read forums, about Bipoliar Disorder, Concentration Disorder, and almost every desiase, I have the sympthoms. I need to know, what I am seek of, so I can take the propper treatment and have at least more normal life.
Thank you very much , and hope to read from you!!!

doctor1 MD

I have had bad symptoms of indigestion reflux and constipation ever since I quit smoking weed. I also suffer from borderline personality disorder, psychosis and social phobia. Abilify seems to help a little bit with regulating my moods and psychosis but it makes my digestive problems worse. Will smoking weed help with my digestive problems, it seemed to help with mood regulation and weight loss in the past but I am worried about the marijuana aggrivating my psychosis.

doctor1 MD

i am suffering from social phobia and i told my this problem to psychologist and he suggest me to take medicines. 1 at day time and 2nd at both day and night. so do u think it is wise to take it as i have mental problem and he is suggesting me medicine at body level ? or it is lack of my knowledge ?