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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Stress, Stomach Churning Episodes, Anxiety, Hypertension. Taking Clonazepam And Escitalopram. Suggest?

Hello Dr Bienfield I am a male 54 years old from India. I have been taking escitalopram 5 mg and clonazepam 0.5 mg combination in the night since June 2010 as advised by my Psychiatrist since I was under severe stress and had symptoms which included stomach churning (mainly in the night while sleeping), and some anxiety . All my anxiety symptoms gradually subsided over the next few months. I am also on some hypertension drugs for more than 15 years (My BP is normal) and take a statin (10mg) I asked my Psychiatrist whether I could discontinue the antidepressants. She said it was preferable that I continued them since they were in fact supporting me to avoid recurrence of my earlier symptoms which could recur and lead me to take other medication unnecessarily which my GP may prescribe. When I tried stopping the antidepressants even for 1 - 2 nights I had difficulty in getting normal sleep and felt half awake the whole night. Please advise Regards Vikram
Fri, 12 Apr 2013
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Cardiologist 's  Response
Hi friend,
Welcome to Health Care Magic

Generally two years of symptom free period are advised before attempting to withdraw the anti-depressants. Frequent assessment is necessary to consider the option..
Even then, it has to be gradual tapering. Sudden stopping can end in rebound or withdrawal symptoms...
Pressure and cholesterol medicines should be taken indefinitely - because untreated disease causes no symptoms, until a catastrophe strikes

Nobody has answered so far - because it is specifically asked by name...

Take care
Wishing speedy recovery
God bless
Good luck
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Severe Stress, Stomach Churning Episodes, Anxiety, Hypertension. Taking Clonazepam And Escitalopram. Suggest?

Hi friend, Welcome to Health Care Magic Generally two years of symptom free period are advised before attempting to withdraw the anti-depressants. Frequent assessment is necessary to consider the option.. Even then, it has to be gradual tapering. Sudden stopping can end in rebound or withdrawal symptoms... Pressure and cholesterol medicines should be taken indefinitely - because untreated disease causes no symptoms, until a catastrophe strikes Nobody has answered so far - because it is specifically asked by name... Take care Wishing speedy recovery God bless Good luck