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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Much Escitalopram Can Be Taken For Treatment Of Anxiety?

my dr. just put me on Escitalopram 10 mg. 3 days ago for anxiousness. it hasn t seemed to make me less anxious. As soon as I wake up in the morning, I am anxious and it lasts almost all day each of the three days I have been on it. she is trying me on this because I just got off Sertralane after many years. Then I was put on prozac for 3 weeks and I got vertigo and had a panic attack and was given lorazapam and it worked after the 1st hr for anxiousness, but made me tired. my question is, should I increase the Escitalopram to more milligrams? She also gave me Alprazolam 0.25 mg. (only to take if absolutely necessaray, along with the Escitalopram) which I haven t taken.
Wed, 2 Nov 2016
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General & Family Physician,  's  Response
Escitalopram is an anti-depressant. It won’t relieve symptoms of anxiety. It is a substitute for sertraline which you have been taking. Alprazolam is an anti-anxiety drug. It will relieve symptoms of anxiety. It will take few days to start showing its effect. There is no need to increase dose of escitalopram.
Duration of treatment depends upon your symptoms. If you are responding then it’s good. But there should be a sustained response.
Alprazolam is not always necessary along with escitalopram but it is needed to control anxiety symptoms. It will cause sedation.
Advice
1.     Continue escitalopram in the morning
2.     Continue alprazolam at bed time
3.     Avoid driving, operating machinery and swimming
4.     Start workout in gym at least half an hour in a day for 5 days in a week
5.     Do meditation
6.     Stop smoking and alcohol if you are consuming
7.     Keep in touch with your psychiatrist
I hope this information will help you. I will be happy if you ask another question
Thanks
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How Much Escitalopram Can Be Taken For Treatment Of Anxiety?

Escitalopram is an anti-depressant. It won’t relieve symptoms of anxiety. It is a substitute for sertraline which you have been taking. Alprazolam is an anti-anxiety drug. It will relieve symptoms of anxiety. It will take few days to start showing its effect. There is no need to increase dose of escitalopram. Duration of treatment depends upon your symptoms. If you are responding then it’s good. But there should be a sustained response. Alprazolam is not always necessary along with escitalopram but it is needed to control anxiety symptoms. It will cause sedation. Advice 1. Continue escitalopram in the morning 2. Continue alprazolam at bed time 3. Avoid driving, operating machinery and swimming 4. Start workout in gym at least half an hour in a day for 5 days in a week 5. Do meditation 6. Stop smoking and alcohol if you are consuming 7. Keep in touch with your psychiatrist I hope this information will help you. I will be happy if you ask another question Thanks