Hello doctor,
My brother who is 25 years old has been suffering from anxiety for the past four years. His doctor put him on Effexor and Elavil. Both the medicine has to be taken daily in addition to Xanax. Lately, the anxiety has developed into full blown panic attacks, two of which resulted in a seizure and passing out briefly. In addition, we just discovered through a DNA test that he has two MTHFR mutated genes. He seems to be rely more on the Xanax now as a safety net or crutch when he feels a spell coming on. I am very concerned that he has become too dependent on the Xanax and now that he is taking a prescribed vitamin supplement to counter the MTHFR. It is likely making all the drugs on board more potent than before. I have read that the cause of anxiety for some people is the MTHFR gene mutation. Therefore, I wonder if he even needs any of the drugs he is on, but I realize that he cannot just quit cold turkey. He needs opinion. He is in a real tough cycle right now where he can hardly function, which is not good as he is in final semester of law school. Please help.
Hello,
Welcome to icliniq.com.
I can understand your concerns.
From your description, it seems that your brother might have become dependent on Xanax (Alprazolam).
Xanax belongs to Benzodiazepine group of drugs and is quite notorious for causing dependence if used for a longer period.
Hence when not taken, it leads to anxiety like symptoms which can mimic a panic attack. These are actually the withdrawal symptoms of Xanax.
Hence, I would suggest you to stop your brother from taking Xanax as soon as possible. Substitute Xanax with some other drug with less abusive profile like Clonazepam and then gradually taper and stop it.
Besides this, Effexor (Venlafaxine) is an effective drug for anxiety disorder. But, we need to adjust the dosage to increase the efficacy.
You need not give him Elavil (Amitriptyline) with Effexor. However, he can continue with the supplements.
I would also suggest you to take a neurology opinion in view of seizure like episodes that happened previously.
For further clarification consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist
Was this answer helpful?
|Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Related Questions:
What can cause panic attacks?
.. attacks and persistent anxiety, there is a need to get a medical checkup done. Hyperthyroidism, cardiac issues like angina, etc., could cause increased risk of panic attacks. So, if the panic attacks are persistent, then get one ECG done to rule ... Read full
Do I need a drug other than Clonazepam to control non-stop panic attacks?.. understand your concern. Anxiety and panic disorders are serious disorders and tend to recur. Clonazepam is a benzodiazepine drug and have good efficacy in controlling the symptoms of anxiety. The drug can control panic symptoms effectively but is... Read full
Suffering from anxiety, and panic attacks for the last 3 years. Need second opinion on the prescription.For the past 4 &1/2 weeks I have suffered with a bad cough and chest, I feel at times like someone is sat on me as its hard to catch my breath, I suffer with my asthma, for the past two days iv got a numb tingle like feeling in my right hand and ... Read full
Comprehensive Medical Second Opinion.
