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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Palpitations, Anxiety, Loss Of Confidence, Excessive Sleep, Gastric Problems. On Rabeprazole Sodium. Worry About Side Effects?

I am a 42 year old female. I used to be very courageous and confident but unfortunately this past two months i am getting palpitations and anxiety. Also I fall asleep as soon as I go bed but only for 3 to 4 hours than I wake up at about 2am than thats all I cant go back to sleep no matter what I do .This is affecting my health and interrupting my daily routine . I consuted my family Doctor he prescribed me Clonotril 0.5 mg 1/2 - 1/2 - 1 per day. He also prescribed some sleeping dose but I didnt take it due to fear of addictionj to it and also the side effects. But i took the clonotril as prescribed . I still have sleep problems and some palpitations in the morning.
I am also having severe gastric problems . Can you help me and advise me on what medication to follow. I am now taking Rabeprazole sodium for gastric morning and night and clonotril night dose. Kindly advise me I am very worried about side effects. I also want to become my normal self and regain my courage.
Mon, 30 Sep 2013
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Psychiatrist 's  Response
Hello

Clonotril being a benzodiazepine is a very effective medicine for controlling anxiety symptoms and can be taken for 4-12 weeks but not more than that to avoid developing dependence on it.

SSRI antidepressant like Sertraline or Escitalopram are currently the first line medicines for controlling anxiety symptoms however they can cause gastric side effects like nausea, constipation, diarrhea initially as a side effects therefore in your case, you can discuss with your doctor about trying Mirtazapine which is a sedating antidepressant and a good antianxiety medicine too. It can help in sleeping and you won't be needing any other sleeping pill once you start taking Mirtazapine.


It does not cause gastrointestinal side effects and can be a good option in your cases in my view. Clonotril can be taken on as and when needed basis if you are much worried about developing dependence on it.

Kind regards

Vikas
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Homeopath Dr. Mungara Raveendra's  Response
hi i had gone through your query and understand your concerns. i would come up with,the most possibilities to fit your condition .these include

1.first possibility is,HYPOTHYROIDISM;confirm with blood test for thyroid profile.

2.second possibility is,gas trouble (or APD ACID PEPSIC DYSPEPSIA ).irregular dietary habits,modern lifestyles (drinking,smoking,etc),EXCESSIVE USE OF PAIN KILLERS,ANTIBIOTICS,STEROIDS for even minor complaints, CURRY,HURRY,,NIGHT WATCHING,SUPPRESSED STRONG EMOTIONS are the main causative factors.

treatment option;
-without treating the underlying cause you cant be cure.the underlying cause may be the STRONG FEELINGS such as WORRY,ANGER etc.have caused the inflammations they will not get better until these feelings have come out into the open.

-i advise you taking Homeopathic medicines gives safe and permanent cure for your complaints along with management

consult your local homeopathic physician for correct diagnosis of the case and remedy to fit your complaints

I hope this is helpful for you, thank you     
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Palpitations, Anxiety, Loss Of Confidence, Excessive Sleep, Gastric Problems. On Rabeprazole Sodium. Worry About Side Effects?

Hello Clonotril being a benzodiazepine is a very effective medicine for controlling anxiety symptoms and can be taken for 4-12 weeks but not more than that to avoid developing dependence on it. SSRI antidepressant like Sertraline or Escitalopram are currently the first line medicines for controlling anxiety symptoms however they can cause gastric side effects like nausea, constipation, diarrhea initially as a side effects therefore in your case, you can discuss with your doctor about trying Mirtazapine which is a sedating antidepressant and a good antianxiety medicine too. It can help in sleeping and you won t be needing any other sleeping pill once you start taking Mirtazapine. It does not cause gastrointestinal side effects and can be a good option in your cases in my view. Clonotril can be taken on as and when needed basis if you are much worried about developing dependence on it. Kind regards Vikas