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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 was taking Zoloft(panic disorder -Xanax on & off) for 20 years with percocet 10 mg. During the last year, I started feeling anxious and having some panic attacks. I haven’t been taking Xanax for along time. My pcp put me on Lexapro 20 mg & .50 Xanax -1 per day. After about 6 weeks, I’ve been feeling drowsy, fatigued & lethargic. I’ve been cutting Xanax in 1/2 to =.25 mg 2 x day. Since I’ve been experiencing these symptoms, I tried cutting lexapro in 1/2 & taking just 10mg Lexapro. I seemed better for 2 days until the symptoms returned. Is there an antidepressant for panic disorder that you would recommend to to take with percocet? Paxil was once suggested to me in place of Zoloft.
Wed, 6 Jun 2018
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Psychologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Anxiety is body's defense mechanism and anxiety is essential for body's fight or flight response. Panic attacks are usually due to underlying anxiety disorder. Treatment of anxiety and panic attacks are with a combination of counseling, psychotherapy and medicines.

Hope I have answered your query. Let me know if I can assist you further.

Regards.
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