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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Anxiety?

I am taking PEXEP-10 mg ,1 tab in the morning and 1 tab at night. My doctor has advised to take ZAPIZ 0.25/0.5 mg along with it. I am taking these medicines from last 1 week or so. Want to know, if i stop ZAPIZ and only continue on PEXEP, would it do any harm.
Just to brief you about my medical history, i started suffering from Panic attacks and acute anxiety sometime back in year 2009. I was put on PEXEP and ZAPIZ initially for around 2 months and then only on PEXEP and ZAPIZ as SOS. After doing this PEXEP course for around 2 years, i started gradually decreasing my dose and finally stopped taking it in Oct-2011. But some how again the problem has relapsed some 10 days back. Please advice how to go about it.
Thu, 29 May 2014
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General & Family Physician,  's  Response
Dear it would be advisable to take zapiz for 2 weeks as pexep or paroxetine will take nearly 3 weeks to have its anti anxiety effect. So take zapiz for few more days or else acute attacks will be difficult to manage. Next thing you need to understand is that panic attacks always have some psychological basis behind them. You need to change your faulty cognitions that something will happen and try to control your anxiety. Relaxation exercises and yoga helps a lot.
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How To Treat Anxiety?

Dear it would be advisable to take zapiz for 2 weeks as pexep or paroxetine will take nearly 3 weeks to have its anti anxiety effect. So take zapiz for few more days or else acute attacks will be difficult to manage. Next thing you need to understand is that panic attacks always have some psychological basis behind them. You need to change your faulty cognitions that something will happen and try to control your anxiety. Relaxation exercises and yoga helps a lot.