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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Panic Attacks

Just dx with panic attacks and have been experiencing them nonstop for about 5 days...lost 7 lbs, can t eat, always nauseous, etc. My chiropractor recommended magnesium but I already take that. I had one acupuncture tx which was helpful [as long as the needles were in]. My MD started me on .25 mg xanax [1-2] TID PRN to help stop the cycling. Still hoping the attacks will stop. Have read about increasing levels of serotonin with certain foods [many of which I consume already] and 5HTP. I have exercised regularly for decades. Read Dr. Weil and he advises against counting on foods/5HTP to increase serotonin. ??? Suggestions? Thanks, Jeanne
Mon, 24 Nov 2014
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Psychiatrist,  's  Response
Hi.

I understand your concern .

Xanax contains clonazepam . It helps in anxiety and panic attacks .

Increase in serotonin level can prevent further panic attacks .

Medicines like SSRI can help.

In SSRI sertraline / escitalopram / peroxetine in mild doses are advisable to control it.

There are very minimal level of serotonin in foods like chocolate / banana etc. It can help to reduce stress but can not prevent panic attacks .

Discuss with your treating doctors for further options .

Psychotherapy and psychological councelling can help.

Maintain proper sleep and diet .

Exercise and meditation can be useful .

I hope I have answered your question .

Thank you .
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Suggest Treatment For Panic Attacks

Hi. I understand your concern . Xanax contains clonazepam . It helps in anxiety and panic attacks . Increase in serotonin level can prevent further panic attacks . Medicines like SSRI can help. In SSRI sertraline / escitalopram / peroxetine in mild doses are advisable to control it. There are very minimal level of serotonin in foods like chocolate / banana etc. It can help to reduce stress but can not prevent panic attacks . Discuss with your treating doctors for further options . Psychotherapy and psychological councelling can help. Maintain proper sleep and diet . Exercise and meditation can be useful . I hope I have answered your question . Thank you .