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Suggest Treatment For Heaviness, Headache And Depressed Feeling
Question: Hi Doctor ,since then I'm on daxid 50 mg morning and 50 mg night . One tablet elcafort and one tablet lifodef 7.5 mg once in a day . Before 7 days I was feeling unusual heart beat so doctor prescribed me ciplar 40 mg . It's like more than two years that I'm on prescription ( daxid 50 mg morning and 50 mg at night ) . Again last one week I'm not feeling well . Feeling tired , not able to concentrate in any job task . These drugs are life long for me or it has some time bound limitation . I'm feeling very low . What should I do ? I'm about to go to Morocco for a business trip after 6 days . I'm feeling that I should not continue to my trip as I don't have confidence to go alone . Feeling Little bit heavy XXXXXXX and headache .
Brief Answer:
get ECG & BP. hike daxid
Detailed Answer:
Hello,
Your medicine daxid is fine and also safe for hypertensive patients.
The new problem needs cardiac evaluation (espically when there is complain of heaviness and headache.) Get blood pressure checked.
You have mentioned several meds but I was not able to find any for high BP?? If you are given propanolol for controlling BP then this can be the reason for your new sets of problem. Propanolol is quite notorious to cause anxiety, light headedness.
ask you GP to give you a proper anti hypertensive like amlodipine 5/10mg.
There are symptoms of low confidence and lack of energy: reflective of need to increase daxid by 25mg. Please donot worry about the duration of treatment as once you stabilize for 6months or more: we may plan to reduce it. Further dose managment depends on the response of patient after initial attempts of dosage reduction.
You must try to cut down on tea/ coffee or any alcohol: this will help you a lot in recovery.
Get social- this will make you better fast. Donot skip meeting to Morrocco if BP is fine . You may also get an ECG ( and if that too is ok- then just relax and increase daxid: this will take care of all symptoms).
Eat lot of salad and take enough water. Add sprouts and nuts in your diet (except cashew). They have natural ingredients which help in recovering from depression.
So, get BP checked, get ECG, ask for proper antihypertensive instead of propanolol & raise daixd by 25mg.
Try to Make lifestyle changes as advised .
Hope the reply is useful. Please feel free to ask more questions for clarification.
Wish you speedy recovery!
Dr. Manisha Gopal
MD Neuropsychiatry
get ECG & BP. hike daxid
Detailed Answer:
Hello,
Your medicine daxid is fine and also safe for hypertensive patients.
The new problem needs cardiac evaluation (espically when there is complain of heaviness and headache.) Get blood pressure checked.
You have mentioned several meds but I was not able to find any for high BP?? If you are given propanolol for controlling BP then this can be the reason for your new sets of problem. Propanolol is quite notorious to cause anxiety, light headedness.
ask you GP to give you a proper anti hypertensive like amlodipine 5/10mg.
There are symptoms of low confidence and lack of energy: reflective of need to increase daxid by 25mg. Please donot worry about the duration of treatment as once you stabilize for 6months or more: we may plan to reduce it. Further dose managment depends on the response of patient after initial attempts of dosage reduction.
You must try to cut down on tea/ coffee or any alcohol: this will help you a lot in recovery.
Get social- this will make you better fast. Donot skip meeting to Morrocco if BP is fine . You may also get an ECG ( and if that too is ok- then just relax and increase daxid: this will take care of all symptoms).
Eat lot of salad and take enough water. Add sprouts and nuts in your diet (except cashew). They have natural ingredients which help in recovering from depression.
So, get BP checked, get ECG, ask for proper antihypertensive instead of propanolol & raise daixd by 25mg.
Try to Make lifestyle changes as advised .
Hope the reply is useful. Please feel free to ask more questions for clarification.
Wish you speedy recovery!
Dr. Manisha Gopal
MD Neuropsychiatry
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks Doctor , Last 4 years i used to take concor 5 AM for high blood pressure . ECG , Trade mill test , Eco cardio test are normal . I have consulted with cardio , he said im over weight and i have to reduced weight then only BP will normal till then i have to continue with Concor 5 AM . Doctor has given Ciplar 40 mg to control headache and heaviness ( as per the doctor ) . Yesterday i did not have ciplar and today im feeling much better , no headache nothing but my doctor is insisting me to continue with ciplar . What should i do ?
Brief Answer:
can reduce ciplar to 5mg morning & afternoon
Detailed Answer:
Hello,
So, you are taking concor for BP and it is under control with this medicine. This is fine, please do continue.
Ciplar is propanolol- and this appears to be the culprit behind your some set of problems. But as your doctor is not agreeing to stop it altogether one may try to cut the dosage and see. I prefer giving this medicine 5mg in morning and 5 mg in afternoon. In any case the dosage should not be taken after 4pm. This reduced dose is usually sufficinet for controlling heaviness in head or mild headaches without side effects.
Propanolol has a property of lowering Blood pressure so- if your Blood pressure increases after reducing the dose of propanolol or decreases after taking 40mg-- both need attention. The symptoms of low and high BP can be similar(heaviness in head etc.).so,ideally get BP checked when you take 40mg ciplar and finally when you reduce it to 10mg.
According to my clinical experience reduction in propanolol should suffice your problems. And when it does- you please convey the information to your doctor too.
Once you feel better after this and confidence improves- we may wait and not increase the dose of daxid further. But if there is still some symptoms of sadness or lack of energy or lack of interest in work or daily activities y then best will be to hike it by 25mg.
Donot worry, try to reduce the dose of ciplar (propanolol) to 10mg - 5mg in morning and 5 mg in afternoon (you may discuss this option with your treating team). You will surely get better. Take lots of water and salad in diet.
wish you good luck!
Please ask more questions to clarify further doubts.
Dr. Manisha Gopal
MD Neuropsychiatry
can reduce ciplar to 5mg morning & afternoon
Detailed Answer:
Hello,
So, you are taking concor for BP and it is under control with this medicine. This is fine, please do continue.
Ciplar is propanolol- and this appears to be the culprit behind your some set of problems. But as your doctor is not agreeing to stop it altogether one may try to cut the dosage and see. I prefer giving this medicine 5mg in morning and 5 mg in afternoon. In any case the dosage should not be taken after 4pm. This reduced dose is usually sufficinet for controlling heaviness in head or mild headaches without side effects.
Propanolol has a property of lowering Blood pressure so- if your Blood pressure increases after reducing the dose of propanolol or decreases after taking 40mg-- both need attention. The symptoms of low and high BP can be similar(heaviness in head etc.).so,ideally get BP checked when you take 40mg ciplar and finally when you reduce it to 10mg.
According to my clinical experience reduction in propanolol should suffice your problems. And when it does- you please convey the information to your doctor too.
Once you feel better after this and confidence improves- we may wait and not increase the dose of daxid further. But if there is still some symptoms of sadness or lack of energy or lack of interest in work or daily activities y then best will be to hike it by 25mg.
Donot worry, try to reduce the dose of ciplar (propanolol) to 10mg - 5mg in morning and 5 mg in afternoon (you may discuss this option with your treating team). You will surely get better. Take lots of water and salad in diet.
wish you good luck!
Please ask more questions to clarify further doubts.
Dr. Manisha Gopal
MD Neuropsychiatry
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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