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What Causes Frequent Urination, Severe Anxiety And Panic Disorder?
Question: From few days i have been observing my finger tips ( not on the nail side )are getting swollen bit . I thought initially it might be due to the ring which i wear so i removed the ring but it appears once in day i . I feel same thing on my feet also (only fingers) what may be the reason.
My BP is normal (130/80) Normal lipid profile , Sugar is normal (98 on fasting and 106 pp)
iam on medication for bit high heart rate ( Claptin 40 mg (1-0-1) , Rozavil f5 (1/2 tab) for cholesterol)
paxidep 1-0-1 ,duloxtien (1-0-1) for panic anxiety disorder from last 5 months
After taking paxidep i have frequent urination problem which i have informed the doctor.
My thread mill is negative over several times ,echo is normal with mild materl valve pro-ledge no cardiac problem as told by doctor
abdomen scanning was normal which i took before six month
please answer my query
My BP is normal (130/80) Normal lipid profile , Sugar is normal (98 on fasting and 106 pp)
iam on medication for bit high heart rate ( Claptin 40 mg (1-0-1) , Rozavil f5 (1/2 tab) for cholesterol)
paxidep 1-0-1 ,duloxtien (1-0-1) for panic anxiety disorder from last 5 months
After taking paxidep i have frequent urination problem which i have informed the doctor.
My thread mill is negative over several times ,echo is normal with mild materl valve pro-ledge no cardiac problem as told by doctor
abdomen scanning was normal which i took before six month
please answer my query
Brief Answer:
Please provide more details in follow up
Detailed Answer:
Hello thanks for asking from HCM for your health related doubts
I can understand your concern. Paxidep is Paroxetine and the drug is known to result in urinary retention but sometimes results in increased frequency of urination.
Sometime in high doses both Paroxetine and Duloxetine result in peripheral edema. Please provide me details about doses of the drugs you are taking
What is the drug dose of Paroxetine and Duloxetine you are taking?
Thanks.
Please provide more details in follow up
Detailed Answer:
Hello thanks for asking from HCM for your health related doubts
I can understand your concern. Paxidep is Paroxetine and the drug is known to result in urinary retention but sometimes results in increased frequency of urination.
Sometime in high doses both Paroxetine and Duloxetine result in peripheral edema. Please provide me details about doses of the drugs you are taking
What is the drug dose of Paroxetine and Duloxetine you are taking?
Thanks.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Sir the dosage of drugs as follows paxidep cr 12.5 (1-0-1) duloxetine 40 (1-0-1) and dothitab 25mg (1-0-1) Sir is the symtoms related to keydney disease pls ans
Brief Answer:
Taking all these drugs together might lead to slight edema
Detailed Answer:
Hello again
The dose of Paroxetine you are taking is 25 mg and this is not a high dose. Duloxetine 40 is also not a high dose. Dothiapine is also in low dose. But taking all these drugs together might lead to slight oedema in extremities. This is a normal thing and avoid getting worried for that.
These are not symptoms of kidney diseases. Peripheral oedema sometimes denotes postural hypotension.
If you have any doubts then you can get renal function tests (Blood urea, serum creatine and random blood sugar) and urine analysis done. This will rule out any renal issue.
Thanks. Take care
Taking all these drugs together might lead to slight edema
Detailed Answer:
Hello again
The dose of Paroxetine you are taking is 25 mg and this is not a high dose. Duloxetine 40 is also not a high dose. Dothiapine is also in low dose. But taking all these drugs together might lead to slight oedema in extremities. This is a normal thing and avoid getting worried for that.
These are not symptoms of kidney diseases. Peripheral oedema sometimes denotes postural hypotension.
If you have any doubts then you can get renal function tests (Blood urea, serum creatine and random blood sugar) and urine analysis done. This will rule out any renal issue.
Thanks. Take care
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Sir thank you for your advice on above query.
Before i wind up this query i have one more question to you please answer.
As i have been taking the above said medicine from last 5 months , i really wanted to come out from this. because i have started yoga and meditation which is giving more confidence in me. So if i go for cold stop this will give more problem
when i had consulted doctor he has reduce the dosage as follows
paxidep 12.5 (1-0-0) duloxetine 30mg (1-0-1) and dothitab 25mg( 0-0-1)
and he asked me to continue this dosage for next one month . Along with this he told me that it will take another 5 month's to completely come out from this medicine
So i just want to know from you is there any way so that i can come out from this medicine with in 2 months of time please advice
Before i wind up this query i have one more question to you please answer.
As i have been taking the above said medicine from last 5 months , i really wanted to come out from this. because i have started yoga and meditation which is giving more confidence in me. So if i go for cold stop this will give more problem
when i had consulted doctor he has reduce the dosage as follows
paxidep 12.5 (1-0-0) duloxetine 30mg (1-0-1) and dothitab 25mg( 0-0-1)
and he asked me to continue this dosage for next one month . Along with this he told me that it will take another 5 month's to completely come out from this medicine
So i just want to know from you is there any way so that i can come out from this medicine with in 2 months of time please advice
Brief Answer:
Doses can be reduced over 3 months.
Detailed Answer:
Hello again
In my opinion you can taper the drug doses in 3 months without worries. You have been advised to take 12.5 mg Paroxetine in morning but I'd advise you to take this dose in evening instead of morning. After a month the dose of Duloxetine can be reduced to 30 mg per day followed by complete stoppage after next 15 days. Dothiapine can be stopped easily without worries. After about 2 months take 12.5 mg Paroxetine only and you can stop it after one more month.
Dose reduction in this manner would not cause much withdrawal symptoms.
Thanks.
Doses can be reduced over 3 months.
Detailed Answer:
Hello again
In my opinion you can taper the drug doses in 3 months without worries. You have been advised to take 12.5 mg Paroxetine in morning but I'd advise you to take this dose in evening instead of morning. After a month the dose of Duloxetine can be reduced to 30 mg per day followed by complete stoppage after next 15 days. Dothiapine can be stopped easily without worries. After about 2 months take 12.5 mg Paroxetine only and you can stop it after one more month.
Dose reduction in this manner would not cause much withdrawal symptoms.
Thanks.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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