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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Trichotillomania Related Severe Anxiety Disorder While On Gabergoline And Diabetic Medication?

I have had anxiety disorder since childhood in specific trichotillomania related and recently was prescribed gabergoline to raise testosterone by lowering prolactin . The anxiety level has really gone up similar to panic disorder as if hyperventilating and many times connected with masturbation . It makes me angry and sometimes psychologically sick to my stomach . The only other prescription I take is for border-line diabetes . I don't know what to do .
Fri, 31 Jan 2014
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Psychiatrist 's  Response
Greetings.

The below mentioned drug regime shall be tried for at least 6 months for managing trichotillomania associated with anxiety disorder.

1) Escitalopram at dose of 10-20 mg/ day. It is an anti depressant which will form the mainstay of this treatment.

2) Clonazepam at dose of 0.5 mg twice a day. It is a benzodiazepine anti anxiety agent which shall augment the action of escitalopram.

3) Quetiapine at dose of 25-50 mg / day, is an anti psychotic drug which will work against trichotillomania.

This regime should be taken for at least 6 months for effective recovery.

I hope this helps.

Regards
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How To Treat Trichotillomania Related Severe Anxiety Disorder While On Gabergoline And Diabetic Medication?

Greetings. The below mentioned drug regime shall be tried for at least 6 months for managing trichotillomania associated with anxiety disorder. 1) Escitalopram at dose of 10-20 mg/ day. It is an anti depressant which will form the mainstay of this treatment. 2) Clonazepam at dose of 0.5 mg twice a day. It is a benzodiazepine anti anxiety agent which shall augment the action of escitalopram. 3) Quetiapine at dose of 25-50 mg / day, is an anti psychotic drug which will work against trichotillomania. This regime should be taken for at least 6 months for effective recovery. I hope this helps. Regards