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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Severe Anxiety And Depression Be Treated?

I was taking 90 mg Prozac and 3 mg xanax, and 2400mg gabapentin for years.. Dr stopped prozac and started cymbalta to 60 mg, and changed xanax to 30 mg valium. I have also recently been finally diagnosed with neuromytonia after many years of twitching and spasms. Plus having to go through a bad breakup. Since starting the new meds I feel worse. More depressed and irritable. Just yesterday Dr stopped Valium, went back to xanax and raised cymbalta to 90mg.i feel one of them is the reason I m feeling more depressed. Valium did not help anxiety. Worried about cymbalta upped. Seems taking a few more gabapenti is the only thing that help my mood.
Thu, 25 Oct 2018
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Internal Medicine Specialist 's  Response
Hello,

Already your taking maximum dose of these medications.

You have to be re-evaluated to confirm the cause of these symptoms.

Avoid caffeinated drinks, alcohol consumption and smoking if you're taking.

Cognitive behavioral therapy may useful.

Get it done ECG, chest X-ray and MRI brain.

If symptoms not improved please consult your doctor he will examine and treat you accordingly.

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

Regards,
Dr. Penchila Prasad Kandikattu,
Internal Medicine Specialist
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How Can Severe Anxiety And Depression Be Treated?

Hello, Already your taking maximum dose of these medications. You have to be re-evaluated to confirm the cause of these symptoms. Avoid caffeinated drinks, alcohol consumption and smoking if you re taking. Cognitive behavioral therapy may useful. Get it done ECG, chest X-ray and MRI brain. If symptoms not improved please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist