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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Anxiety And Panic Attacks Be Treated?

I've been having axiety/ panic attacks for a few years now. I take prozac 40mg., buspar 15mg., and ativan 1 mg., . for the last 3 weeks they have been severe and daily. I've had to go to the e.r. for fear of not being able to breath like I'm having a heart attack. Feelings of hostility and paranoia. Please help me understand?
Wed, 11 Oct 2017
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Psychiatrist,  's  Response
Hello thanks for asking from HCM

I can understand your concern. You have anxiety and panic disorder. The symptoms like fear of not be able to breath or having a heart attack could be occurring due to persisting panic episodes.

You are on Prozac 40, Buspirone 15 mg and Ativan 1 mg and these symptoms are persisting. In such case for control of panic attacks you can think of taking increased doses of Ativan or Lorazepam. You can take the drug on SOS basis too apart from your regular prescribed doses. The drug will help you to calm and your anxiety will reduce in events of severe exacerbations.

You can discuss with your doctor for that.

Thanks and Take care
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How Can Anxiety And Panic Attacks Be Treated?

Hello thanks for asking from HCM I can understand your concern. You have anxiety and panic disorder. The symptoms like fear of not be able to breath or having a heart attack could be occurring due to persisting panic episodes. You are on Prozac 40, Buspirone 15 mg and Ativan 1 mg and these symptoms are persisting. In such case for control of panic attacks you can think of taking increased doses of Ativan or Lorazepam. You can take the drug on SOS basis too apart from your regular prescribed doses. The drug will help you to calm and your anxiety will reduce in events of severe exacerbations. You can discuss with your doctor for that. Thanks and Take care