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Suggest Treatment Fro Severe Anxiety
Question: Hi, i got Anxiety problem ine year ago. Then Doctor suggested XXXXXXX 25mg which I used for 9 months and then 3 months 20mg and then 2 months 10mg and from 2 months 5 mg. but from last 2 weeks im getting anxiety symptoms again. Like im getting very frustration like to hit somebody and anxiety feelings happened 4-5 times in last 2 weeks.
Do i need to increase the dose? Pls explain me this.
Do i need to increase the dose? Pls explain me this.
Brief Answer:
Increase the dose of paroxetine.
Detailed Answer:
Hello
Welcome to HCM.
I can understand your concerns.
You are experiencing anxiety again after reducing the dose of paroxetine.
There are two possibilities:
1. Paroxetine discontinuation symptoms due to dose reduction.
2. Relapse of anxiety issues.
In both cases, I would suggest you to increase the dose of paroxetine in either case. In my opinion, shift back to 12.5 mg paroxetine-CR formulation. This will take care of your problems.
Kindly discuss this with your doctor.
Feel free to ask further.
Thanks.
Increase the dose of paroxetine.
Detailed Answer:
Hello
Welcome to HCM.
I can understand your concerns.
You are experiencing anxiety again after reducing the dose of paroxetine.
There are two possibilities:
1. Paroxetine discontinuation symptoms due to dose reduction.
2. Relapse of anxiety issues.
In both cases, I would suggest you to increase the dose of paroxetine in either case. In my opinion, shift back to 12.5 mg paroxetine-CR formulation. This will take care of your problems.
Kindly discuss this with your doctor.
Feel free to ask further.
Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
If itnis woth drawl im taking 5 mg from past 2 months. Why it appeared only now?
If this is relapse of anxiety, what would have been the reason. I mean probable reason.
If this is relapse of anxiety, what would have been the reason. I mean probable reason.
Brief Answer:
Increase the dose.
Detailed Answer:
Hello again.
sorry for the late response.
Withdrawal symptoms can occur after dose reduction also. But the possibility of withdrawal symptoms is less.
The relapse of anxiety can be due to very minor stress in day to day life (especially for those who are predisposed to have anxiety) or sometimes, even without any obvious stress.
In my opinion, you need to increase the dose to curb these symptoms. Ideally, the treatment should be continued for at least one year after resolution of symptoms.
Hope this helps.
Thanks.
Increase the dose.
Detailed Answer:
Hello again.
sorry for the late response.
Withdrawal symptoms can occur after dose reduction also. But the possibility of withdrawal symptoms is less.
The relapse of anxiety can be due to very minor stress in day to day life (especially for those who are predisposed to have anxiety) or sometimes, even without any obvious stress.
In my opinion, you need to increase the dose to curb these symptoms. Ideally, the treatment should be continued for at least one year after resolution of symptoms.
Hope this helps.
Thanks.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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