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Anxiety, depression, social phobia. Taking cipralex, insomnia, GERD, numbness after stopping medication. Continue it?

Dear dr i am using cipralex 10 mg /day for almost one yr for controlling anxiety ;reactive depression and social phobia ; i feel ok but once i stop it , starting to have insomnia ; hyperacidity and GERDs also i feel generalised numbness for few days but my concerns is insomnia and acidity ;shall i continue on it ? and if not what is the alternative ? Regards
Asked On : Tue, 1 Jan 2013
Answers:  2 Views:  115
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Psychiatrist 's  Response
Cipralex (Escitalopram) is a good drug for depressive and anxiety disorder. Medications for these disorders are generally continued for 1-2 years to control the symptoms. Even after complete recovery, the drugs have to be gradually withdrawn other wise they lead to rebound insomnia or physical complains. At present it would be preferable to continue on the same drugs and discuss the issue with a psychiatrist before discontinuing drugs after 2-3 months.
Hope I am able to solve your concerns.
Answered: Wed, 2 Jan 2013
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Psychiatrist Dr. Sundar Gnanavel's  Response

Thanks for your query. Cipralex (Escitalopram) is a standard treatment for both depression and anxiety disorders. It is encouraging to note that you have been maintaining well with above medication.It is possible that abrupt discontinuation of the medication can result in insomnia and anxiety symptoms. Hence if you have been maintaining well and wish to discontinue medication, you should consult your psychiatrist to gradually taper off the medication. This would help to avoid withdrawal symptoms. Wish you early recovery.


Dr Sundar Gnanavel


Answered: Wed, 2 Jan 2013
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