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Suggest Treatment For Depression And Anxiety

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Posted on Sat, 22 Nov 2014
Question: HI,, i have always had major bouts of anxiety... recently, in the last seven months, I've gone from 1mg a day to 4.5mg, 3x's a day. I've seen the dark side of K-Pins, which is what i have been taking. They don't seem to work anymore unless i periodically up my dosage. I fight through the fatigue and constant dragging. I've lost a lot of weight, and most important, they just don't work for me anymore. I WANT OFF AND NEED HELP. I used them as a transition at first,, to get out of my head, to get from point A to point B, and to not have to worry about social interactions.. Now, I am trapped. Please help. Thanks.
doctor
Answered by Dr. Awadhesh P Singh Solanki (53 minutes later)
Brief Answer:
depression and anxiety

Detailed Answer:
Thanks for asking in HCM.
I can understand your problem.
First of all keep in mind that your illness is curable.
Do not depend on drugs.
You need cognitive behavior therapy, relaxation therapies and counselling.
As you are having anxiety bouts right now so you need drug this time but only for two weeks.
Take tab mitrazepam and tab escitalopram 10 mg..
These drugs are having less side effects and will help you a lot to overcome Your problem. Go for counselling sessions side by side.
Discontinue kpins.
As these drugs you will get on prescription basis only...contact a doctor.
Visit a psychologist for counselling purpose.
You will fine in just one week.
Hope my answer helped you.

Take care.

REGARDS
DR AWADHESH P XXXXXXX SOLANKI
MD NEUROPSYCHIATRIST
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Awadhesh P Singh Solanki (53 minutes later)
ok, thank you first of all.... i have only been on the K-Pins for seven months. With this other medication, is there a weening process with the K-Pins i am on, while taking the meds u had recommended?
doctor
Answered by Dr. Awadhesh P Singh Solanki (18 minutes later)
Brief Answer:
depression and anxiety treatment

Detailed Answer:
you are taking these medicine for long period. it causes dependency and tolerabiltity.
So better to wean it fast with above drugs and after a week stop k- pins.
Continue mitrazepam and escitalopram as i suggested.
do not worry you will fine. do not forget about counselling sessions.
Take care.
hope my answer helps you.
Give me updates after a week.
I wish you good health and happy life.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Awadhesh P Singh Solanki (59 minutes later)
the medication you recommended,,,the mitrazepam, i cannot find this med. Did you mean a similar spelled word but starting with an N?
If so, i looked at these drugs and side effects. It sounds identical with what my old doctor tried to put me on... and even though i followed her directions, they really messed my head up. No offense, I just want to be totally clean. I would rather fight the anxiety without anything rather than to fight side effects, loss of sexual desire, and whatever else is in store,,,, in the future that is. And, with the help of some counseling....
I have had much time through the years to learn how to overcome depression among other addictions such as a seven year bout with Heroin, which i have 4 years and 2 months clean. It's just the anxiety i struggle with mostly.. when i am clean and sober, i find that my life is easier. Sorry to say so much. My original and last question was from above and the possible misspelling of the medical term suggested. Thank you sir.
doctor
Answered by Dr. Awadhesh P Singh Solanki (18 minutes later)
Brief Answer:
Depression and anxiety management

Detailed Answer:
Yeah that drug is nitrazepam...
If you have taken already it than you should take SSRI AND SNRI group drugs like tab fluoxetine and desvenlafaxine...
It is true that psychiatric drugs having lots of side effects...
So dose is important. These drugs should be used in smallest possible dose.
Visit your doctor for these drugs.
Take care.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Awadhesh P Singh Solanki

Psychiatrist

Practicing since :2012

Answered : 737 Questions

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Suggest Treatment For Depression And Anxiety

Brief Answer: depression and anxiety Detailed Answer: Thanks for asking in HCM. I can understand your problem. First of all keep in mind that your illness is curable. Do not depend on drugs. You need cognitive behavior therapy, relaxation therapies and counselling. As you are having anxiety bouts right now so you need drug this time but only for two weeks. Take tab mitrazepam and tab escitalopram 10 mg.. These drugs are having less side effects and will help you a lot to overcome Your problem. Go for counselling sessions side by side. Discontinue kpins. As these drugs you will get on prescription basis only...contact a doctor. Visit a psychologist for counselling purpose. You will fine in just one week. Hope my answer helped you. Take care. REGARDS DR AWADHESH P XXXXXXX SOLANKI MD NEUROPSYCHIATRIST