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Suggest remedy for drowsiness after taking Nexito

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Posted on Wed, 13 May 2015
Question: hi doc

my husband is suffering from anxiety attacks. he is unable to feel relaxed. he is constantly worrying about incidents that happened in the past, happening now and can happen in the future. we are in a transition period right now. relocating to another state in XXXXXXX he has a new job. a good one.
we went to a doc who prescribed him nexito 10. now he is feeling drowsy, and weak and no apetite for food on work days. please advice, if there are any alternative method other than medicine to deal with this.

Thanks XXXXXXX
doctor
Answered by Dr. Chintan Solanki (2 hours later)
Brief Answer:
psychotherapy, meditation and exercise

Detailed Answer:
Hello XXXXXXX

Thanks for writing to us.I can understand your concern for your husband.

He is likely suffering from depression and/or anxiety disorder.

Nexito is good medicine for the same. However he is suffering from side effects, so we should chage it. First of all I would like to suggest medicine which does not cause sedation as well as improves appetite. It is fluoxetine. It is SSRI like nexito but with different profile.If I were his treating doctor I would like to add etizolam as an anti anxiety agent for immediate relief and he can be relaxed for alternative approach of psychotherapy.


Alternative methods should be applied simultaneously with medicines at this stage.

Cognitive Behaviour therapy (CBT) is the best psychotherapy in such condition.It removes automatic thoughts of worries with practical helpful thoughts as well as behavior which can help him to control and fight with anxiety attacks.

With this regular scheduled sleep and meals are important factors. Fruit and vegetables and egg/milk are important source of vitamins and minerals.As sometime in these type of psychiatric problems nutritional deficiency are common.

He should try meditations/yoga/muscle relaxations daily. It can help in anxiety attacks. He can learn the same from professional or with help of internet. You should motivate him to do so.
Regular walking,running or swimming are good exercises and it can help in improving physical as well as mental health.These measures at least can help to prevent worsening of his problem.

Considering history I request you that do not stop medicines at all. There are many other alternative medicines available which he can tolerate and improvement will be there.
For psychotherapy you need to consult psychiatrist/ qualified psychologist.

Please provide me your new location. I may suggest some one to consult.

Hope I have answered your query, I will be happy to help further.

Regards,
Dr.Chintan Solanki.




Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

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Suggest remedy for drowsiness after taking Nexito

Brief Answer: psychotherapy, meditation and exercise Detailed Answer: Hello XXXXXXX Thanks for writing to us.I can understand your concern for your husband. He is likely suffering from depression and/or anxiety disorder. Nexito is good medicine for the same. However he is suffering from side effects, so we should chage it. First of all I would like to suggest medicine which does not cause sedation as well as improves appetite. It is fluoxetine. It is SSRI like nexito but with different profile.If I were his treating doctor I would like to add etizolam as an anti anxiety agent for immediate relief and he can be relaxed for alternative approach of psychotherapy. Alternative methods should be applied simultaneously with medicines at this stage. Cognitive Behaviour therapy (CBT) is the best psychotherapy in such condition.It removes automatic thoughts of worries with practical helpful thoughts as well as behavior which can help him to control and fight with anxiety attacks. With this regular scheduled sleep and meals are important factors. Fruit and vegetables and egg/milk are important source of vitamins and minerals.As sometime in these type of psychiatric problems nutritional deficiency are common. He should try meditations/yoga/muscle relaxations daily. It can help in anxiety attacks. He can learn the same from professional or with help of internet. You should motivate him to do so. Regular walking,running or swimming are good exercises and it can help in improving physical as well as mental health.These measures at least can help to prevent worsening of his problem. Considering history I request you that do not stop medicines at all. There are many other alternative medicines available which he can tolerate and improvement will be there. For psychotherapy you need to consult psychiatrist/ qualified psychologist. Please provide me your new location. I may suggest some one to consult. Hope I have answered your query, I will be happy to help further. Regards, Dr.Chintan Solanki.