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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Sleeplessness, Depression, Anxiety, Mucinex D Taken Previously For Sinus Cold. Zanax Not Effective. Advise?

My wife age 56 took Mucinex D for her severe sinus cold about 6 weeks ago. Followed the dosage recommended, which I thought was high, a total of 1200 mg a day.. On the second day I noticed that she was speaking very fast. She stopped taking it and fell into a depression and has had some anxiety as well.. This is not typically her mindset, as she is a very upbeat person and has not had any issues in her history of this type of behavior. She also never had any sleep disorders.. Now she cannot sleep and is getting progressively worse with out sleep. She contacted a doctor and they prescribed .5 zanax which does nothting to help her mind shut down and allow her to rest.

Question. We think her problem is neureological, and that the Mucinex D somehow triggered or caused some issue in her brain.. Please suggest a course of action. I think that att the top if the list is for her to get sleep.. I am told that your bdy can build a resistance to Zanax and perhaps thats why she cannot seem to sleep after taking it.
Fri, 3 May 2013
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Psychiatrist 's  Response
Hello
Welcome to health care magic
I can understand your situation. I appreciate your effort to seek online support.

As per your description, there are few possibilities in this case-
1) Bipolar disease (current episode mania/hypomania)
2) Agitated depression

Mucinex D is not known to cause such kind of behaviour.
Xanax contains alprazolam which is a sedative for insomnia. However your wife needs detailed evaluation and she might need some more drugs like antidepressants/ mood stabilizers etc. Once primary disease is treated, her sleep problem will also be gone.
Don't worry and consult a qualified psychiatrist.

Hope it helps
Good luck
Regards
Dr. Gourav Monga
Consultant Psychiatrist
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Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

D denotes pseudo ephedrine / and could have been responsible for some of the symptoms...
But they are milder and temporary - should have disappeared by now, on stopping...
It appears that she has a basic underlying psychiatric problem - which has been simply unmasked by the disease or drug...
She needs Psychiatric assessment and assistance...

Take care
Wishing speedy recovery
God bless
Good luck
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Sleeplessness, Depression, Anxiety, Mucinex D Taken Previously For Sinus Cold. Zanax Not Effective. Advise?

Hello Welcome to health care magic I can understand your situation. I appreciate your effort to seek online support. As per your description, there are few possibilities in this case- 1) Bipolar disease (current episode mania/hypomania) 2) Agitated depression Mucinex D is not known to cause such kind of behaviour. Xanax contains alprazolam which is a sedative for insomnia. However your wife needs detailed evaluation and she might need some more drugs like antidepressants/ mood stabilizers etc. Once primary disease is treated, her sleep problem will also be gone. Don t worry and consult a qualified psychiatrist. Hope it helps Good luck Regards Dr. Gourav Monga Consultant Psychiatrist