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Suggest Treatment For Severe Twitching In The Body While Having Anxiety

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Posted on Sat, 5 Nov 2016
Question: Hi, I'm a 57 yr old female with terrible anxiety, depression, bipolar and insomnia. I take Doxepin at night, but I do not sleep more than a few hours. My anxiety is so bad over not sleeping that I've developed a twitch/jerking body movement that is uncontrollable. I am at my wits end. I've tried everything, even prescription sleep meds, nothing works. I try to do relaxation breathing but the twitching does not allow it. Help, I'm desperate!
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (2 hours later)
Brief Answer:
Xanax can be used for time being

Detailed Answer:
Hello,
Thanks for using Healthcaremagic.

I read your query and understand your concerns.

Presence of twitching, jerks and few hours of sleep despite sleep medications indicate toward incomplete treatment.

In my view following can be done.
1.The dose of doxepin should be increased within permissible limits.I often use upto 200 mg when there is incomplete control on lower dose range.

2. Xanax can be used for time being till the increased dose of doxepin becomes effective. I must acknowledge that it is controlled medication and should be used after discussing with your treating doctor.

3. In case xanax becomes ineffective I will recommend a trial of trazodone 50 mg as a sleeping pill. I often found ggod results even in resistant cases.

I hope this helps you.
If you need to know more feel free to contact me.
not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3355 Questions

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Suggest Treatment For Severe Twitching In The Body While Having Anxiety

Brief Answer: Xanax can be used for time being Detailed Answer: Hello, Thanks for using Healthcaremagic. I read your query and understand your concerns. Presence of twitching, jerks and few hours of sleep despite sleep medications indicate toward incomplete treatment. In my view following can be done. 1.The dose of doxepin should be increased within permissible limits.I often use upto 200 mg when there is incomplete control on lower dose range. 2. Xanax can be used for time being till the increased dose of doxepin becomes effective. I must acknowledge that it is controlled medication and should be used after discussing with your treating doctor. 3. In case xanax becomes ineffective I will recommend a trial of trazodone 50 mg as a sleeping pill. I often found ggod results even in resistant cases. I hope this helps you. If you need to know more feel free to contact me. not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback. In future if you wish to contact me directly, you can use the below mentioned link: http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386 Thanks and regards