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Suggest Treatment For Anxiety

Posted on Wed, 7 May 2014

Question: i feel im going craxiy been docters how many times they dont find anything i suffer with bad aniexty i feel always maybe they missing somthing coud that be tru

Answered by Dr. Manisha Gopal (52 minutes later)

Brief Answer: get ECHO & if normal- change drug Detailed Answer: Hello Your symptoms appear to be.more of anxiety disorder rather than depressive disorder. The other drugs apart from loxaine ( please mention the name of the.chemical in loxaine as i think this spelling is wrong) are for stomach/ bowel problems. Bowel complaints are frequently seen in patients of anxiety disoder when it is not tretated sufficiently. Do you have panic attacks as well? In.severe anxiety patients we sometimes need to rule out cardic causes ( even in youngsters; as certain cardiac conditions can also have similar presentation). An ECHO would help in this. Loxaine is not much useful for you as the effect of correct drug usually comes in 3-4days. Please try to go for walks or do jogging, these things help greatly in any case of anxeity/ derpession- by increasing endorphins. So, if its been long you are taking these drugs, and still you have no relief then you should change the.drug. Get ECHO to clarify doubts about other possibilities behind anxiety. hope the reply is useful for you. Please feel free to aask more questions for clarification Dr. Manisha Gopal MD Psychiatry

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

Follow up: Dr. Manisha Gopal (46 hours later)

bowel emotions yes i am problem with that and yes it aient helping panic attacks yes pancking about every little thing if i watch tv or hear some1s in critical condition always think XXXXXXX happend to me

Answered by Dr. Manisha Gopal (56 minutes later)

Brief Answer: try venalafaxine along with bowel meds Detailed Answer: Hello You should discuss the change of medicines with your doctor. Had i been treating you I would have put you on venalafaxine 37.5mg and gradually increase it as needed. This is a very effective drug in controling anxiety and after about a week or less of taking the panc attacks stop. You should also take toficalm 25mg twice a day (morning and afternoon); and some thing like clonazepam 0.25 mg for any increase anxiety. Fot your bowel complaints-- I have seen people have good response to: Rifagut 550mg taken twice a day. ##Milk is better avoided for some days . Take a good probitic supplement and rabeprazole 20mg empty stomach. --With this regimen, you will see gradual improvement in your motions. You can discuss them with your treating team. Do ask me if there is any more query. Wish you good health! Dr. Manisha Gopal MD Psychiatry

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