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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Severe Anxiety Be Treated?

Hi, my daughter 14 years old had a severe anxiety attack on Friday due to the change of medicine. She was initially on cypralax and then moved to another medicine was given which created the attack. Now doctor told her to go back to cypralax 20mg+lorezpam 20mg+ Zoloft on the first day that was Friday and then take everything on need basis except cypralax on regular basis. yesterday she took cypralax only and now she is feeling very shaky and her body is feeling vey heavy. Please suggest what should I do? The first day she slept for 24 hours.
Fri, 29 Jun 2018
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Psychiatrist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Your daughter is taking of Lorazepam which is too much toxic dose, general Lorazepam should be taken at dose. Taking such high dose of Lorazepam might cause excess sedation.i It is preferable to take Cipralex twice daily once in the morning and once in the night so that dose adjustment might also make her feel free from side effects. Using both cipralex and zoloft simultaneously is not generally preferable.
For panic attacks generally Zoloft is more preferable than Cipralex. Consult a psychiatrist discuss this with him and take decision.

Hope I answered your query and feel free to ask any further details thank you.
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How Can Severe Anxiety Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your daughter is taking of Lorazepam which is too much toxic dose, general Lorazepam should be taken at dose. Taking such high dose of Lorazepam might cause excess sedation.i It is preferable to take Cipralex twice daily once in the morning and once in the night so that dose adjustment might also make her feel free from side effects. Using both cipralex and zoloft simultaneously is not generally preferable. For panic attacks generally Zoloft is more preferable than Cipralex. Consult a psychiatrist discuss this with him and take decision. Hope I answered your query and feel free to ask any further details thank you.