Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

128 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Will ciplar help in curing anxiety?

Answered by
Dr.
Dr. Rakesh Karanwal

Internal Medicine Specialist

Practicing since :1980

Answered : 1357 Questions

default
Posted on Wed, 11 Dec 2013 in General Health
Question: Can ciplar 20 mg la long lasting proponolol help with my crippling anxiety/stage fright. How much should I take before my very important speech. Thanks XXXX
doctor
Answered by Dr. Rakesh Karanwal 1 hour later
Brief Answer: Anti-anxiety + anti-depressant + Ciplar will help Detailed Answer: Hi there, Thanks for your query. Ciplar is a beta-blocker, which reduces the heart rate more than normal, in situations of acute panic reactions/acute anxiety. Thus, ONLY the palpitations are reduced with Ciplar. Severe anxiety/stage fright are typical manifestations of acute panic attacks. Therefore, what you really need is a regular course of a combination of:- * Anti-depressant drugs belonging to SSRI class (such as, citalopram, escitalopram, duolexitin, serteraline in effective doses) * Anti-anxiety drugs (which are the drugs OF CHOICE in acute panic attacks), such as alprazolam or clonazepam, the dose of which is gradually increased till the desired effect is achieved. * Ciplar 20 LA to be taken TWICE daily. A combination of these THREE groups of drugs, is the IDEAL TREATMENT of your problem and SHOULD BE TAKEN DAILY FOR AT LEAST 6-12 MONTHS, before the desired effect is achieved. CIPLAR 20 LA alone, WILL HAVE NO or MINIMAL EFFECT. Consult your doctor and apprise him of my opinion. I am certain that he agree with me and will prescribe the advised drugs in effective/appropriate doses. If you find my response helpful and informative, do not forget an “excellent” rating to my answer, to encourage all doctors- engaged in social service- to render sound advice to the FREE queries. Fond regards and have a nice day Dr. Rakesh Karanwal
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Rakesh Karanwal 9 hours later
Ok thanks, I was hoping to avoid taking medication on a regular basis or a combination of medicationa. I get performance snxiety only befor public speaking and kind of a "flight" response or kind pf clam up during the speech. From my last job the old practice, practice and more practice doesnt help with me. Looking for something to take the edge of the panic attacks. Is there anything available to assist like that? Thanks XXXX
doctor
Answered by Dr. Rakesh Karanwal 6 hours later
Brief Answer: Psychotherapy and community forums will also help Detailed Answer: Hi Mr. XXXX, Nice to hear back from you. What you actually require is a great boost to your self confidence and, removal of phobia of facing the crowds. Please remember that you are one amongst equals and NOT less. The best way of achieving these objectives is to consult a Psychologist, who- through several sessions- will be able to motivate you to the extent that you will never ever have anxiety just prior to public speaking. Further, there must be several community forums of similar phobias in your city. Active participation in one of these forums will extremely helpful. However, I will recommend that you take the advised medicines ONLY AS A STOPGAP ARRANGEMENT. They can be tapered off once your psychological phobias are removed through Psychotherapy as well as the boost you get as part of the community forums. I will be happy to answer further queries, if any. Take care
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Drug/Medication ,   ,   ,  
Treatment/Therapy

Recent questions on  Phobia

doctor1 MD

i AM IN GOOD HEALTH AND GOOD DESIRES WITH HARD ERRECTION, BUT RECENTLY DEVELOPED PERFORMANCE ANXIETY DUE TO FAILURE IN PENETRATION DUE TO EXCESS DRINKING COUPLE OF TIMES. PLEASE ADVISE TO OVER COME THIS ANXIETY AND TO MAINTAIN ERRECTION FOR LONGER TIME. THANKS

doctor1 MD

I have been feeling very jittery for two days now. No caffeine, no meds. Didn't sleep at all last night because of it. Feel like my heart is racing. I am prone to anxiety and have shortness of breath as well as sharp stomach pains that come and go. Also have had dizzy spells for a few months that happen a couple of times each week. Went to ER two years ago for dizziness and shortness of breath and they found nothing.

doctor1 MD

hi, i am a 22 year old male, for the past month or so i have been experiencing pain in the left side of my chest, this radiates more around the back where my shoulder blade is. It can be described as a nipping/dull ache.
I am an occasional smoker, only when i have had alcohol, however i used to smoke quite regularly from 12 year old until around 16/17 year old so this may be a factor.
i work in an office which means i sit at a desk for around 8 hours a day, this could also be a factor i assume.
i have quite a lot of mucus in my throat on a morning, however it is usually clear in colour and i'm assuming it is more to do with the dry air in my workplace as an air conditioning unit is on next to me all day.
The pain doesn't worsen when i take a deep breath either, it is quite sporadic and comes and goes when it feels like.
i have also been diagnosed with social anxiety, and I have heard that chest pains can be caused due to anxiety.
i look forward to your response as i am getting myself quite worried.

doctor1 MD

Hello, I saw my General Practitioner about a week ago and he said I have a very nasty, Chest infection , Ear infection , laryngitis he gave me three weeks of Antibiotics, Ethromycin Liquid 250/10mls 10mls to be taken 4 times a day for three weeks,...

doctor1 MD

Greetings. This question may require input from both a urologist and a psychologist . I am interested in knowing the physiology of the link between anxiety and frequent urination . I suffer from what I call mild claustrophobia , and sometimes when...

doctor1 MD

hi doctor i had a pet scan and everything was fine but im still having trouble with my tounge sometimes it goes numb and when i chew food my neck gets very tight ive had mri of the brain cervical spine blood tests ct of the inner ear and now a pet...