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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Anxiety And Depression?

Hi I havent been able too use or feel my legs in 2 months now. The docs and neurologist say there is nothing wrong with me but i still can't use or feel them. I have had a long term anxiety disorder wich my doctor changed my meds a month ago from xanax to clonazepam 1mg/day. Which hasnt helped my anxiety attacks. And I have gotten very depressed from being stuck i a wheel chair so the E.R. doc put me on prozac 20mg/day. I have been on these new meds for 3 to 4 weeks now. And its as if i'm getting worse. I hurt very bad conctantly and my depression is worse. What should I do?
Wed, 24 Sep 2014
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Psychiatrist 's  Response
Hello,

Look like fluoxetine (prozac) is not helping you but actually increasing anxiety. Prozac is notorious for increasing anxiety in many patients and in such cases it should be stopped and you should be put on either venelafaxine or paroxetine.

they are proper SNRI and very useful in cases like yours.

so, talk to your doctor regarding the change in medicines and im sure you will feel lot better in few days of starting them.

prozac can simply be stopped. There is no need to taper this medicine. Already you are on lowest dose of it.

as your anxiety and depression will improve-so will your motivation and strength to move around.

get your B12 level and TSH levels done and correct them if they are disturbed.

wish you good health.
Dr. Manisha Gopal
MD Neuropsychiatry
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What Is The Treatment For Anxiety And Depression?

Hello, Look like fluoxetine (prozac) is not helping you but actually increasing anxiety. Prozac is notorious for increasing anxiety in many patients and in such cases it should be stopped and you should be put on either venelafaxine or paroxetine. they are proper SNRI and very useful in cases like yours. so, talk to your doctor regarding the change in medicines and im sure you will feel lot better in few days of starting them. prozac can simply be stopped. There is no need to taper this medicine. Already you are on lowest dose of it. as your anxiety and depression will improve-so will your motivation and strength to move around. get your B12 level and TSH levels done and correct them if they are disturbed. wish you good health. Dr. Manisha Gopal MD Neuropsychiatry