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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chronic Diarrhea. Advised Due To Anxiety. Prescribed Rexipra And Prothiaden. Safe Medications?

yes sir.i m 21 yrs old.my height is 5.1 and weight 42 kg.i hav been suffering for chronic diahrea for last 3 yrs.i was advised that it was due to anxiety by asian institute of gastrology.they refused to give any anti depressnt initially and advised to stay relaxed.i m btr now but still get the lose motion at sometimes.so i consulted a pschychiatrist and she prescribed me rexipra 10 mg and prothiaden 25 mg.is it ok to take these just for anxiety?
Fri, 19 Jul 2013
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  User's Response
From the history you give, I understand that you have been having diarrhoea (frequent stools). Gastroenterologists would have investigated you in detail and then come to the diagnosis of Irritable Bowel Syndrome.

This is considered a 'functional' gastrointestinal disorder. That means there is no inflammation or other abnormality with your intestines but they are a little overactive. Such a condition is likely to be seen if you are anxious or having stress.

This is the reason, you were first asked to relax by yourself. You may try yoga or psychotherapy to help you relax and tolerate the stresses in life.

An alternative way is to take medications like escitalopram (rexipra) and dothiepin (prothiaden). You may consult your psychiatrist for further dosing adjustments and see if one of these medications work.
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General & Family Physician Dr. Het Ram Bishnoi 's  Response
Hello,
Thanks for the query to H.C.M. Forum.
Yes these two drugs are most potent antidepressant and as you stated that working very well, so keep it up.
2 point in my opinion after consultation with your psychiatrist increase the dose of prothinamide 75 mg ( if possible ) .
Good luck.
Dr. HET
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Chronic Diarrhea. Advised Due To Anxiety. Prescribed Rexipra And Prothiaden. Safe Medications?

From the history you give, I understand that you have been having diarrhoea (frequent stools). Gastroenterologists would have investigated you in detail and then come to the diagnosis of Irritable Bowel Syndrome. This is considered a functional gastrointestinal disorder. That means there is no inflammation or other abnormality with your intestines but they are a little overactive. Such a condition is likely to be seen if you are anxious or having stress. This is the reason, you were first asked to relax by yourself. You may try yoga or psychotherapy to help you relax and tolerate the stresses in life. An alternative way is to take medications like escitalopram (rexipra) and dothiepin (prothiaden). You may consult your psychiatrist for further dosing adjustments and see if one of these medications work.