When constant anxiety affects one's health, anti-anxiety drugs help to control the symptoms so that the person can carry on with his day to day life normally. The medications used to treat anxiety are benzodiazepines (Alprazolam, Clonazepam, Diazepam), Buspirone, SSRIs (Fluoxetine, Sertraline, Escitalopram), Tricyclics (Clomipramine, Imipramine), MAOIs (Phenelzine, Selegiline, Isocarboxazid), and Beta-blockers (Propranolol).
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I have been experiencing confusion, headache, and dizziness for a month. Can tapering anxiety medications cause these symptoms?
Query: Hello doctor, I have been experiencing confusion, headache, dizziness, and an unwell feeling in the morning for a month. I have also been checking my glucose long-term and fasting blood sugar levels two times already and the doctor says it looks perfect. Also been testing hormonal levels and everyth... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. Yes, cutting down on anxiety medication can cause similar symptoms. Low blood pressure can also cause similar symptoms. So kindly let me know the following: 1. For how long have you been taking four tablets? And from when you tapered d... Read Full »
Why do I feel anxious over the past month?
Query: Hi doctor, I am a 34 year old female. I have been having terrible anxiety the past month. I wake up feeling very uneasy and nervous. Almost shaky. I also feel like I literally cannot breathe. I have to take deep breaths constantly. I went to an urgent care and they tested for a blood clot in the lun... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern, but stopping the anxiety medicines abruptly and not taking the drugs regularly is an adverse event that aggravates the situation. Anxiety symptoms get worse if we suddenly stop taking the medications especially Lexapro (Escitalopram). Lex... Read Full »
Am I not getting a sound sleep due to my anxiety medications?
Query: Hi doctor, I am currently on Escitalopram 10 mg and Flupentixol 5 mg for anxiety. I have been ruminating about past negative situations involving friction or arguments. I have a low tolerance for negative situations in day-to-day life. Flupentixol is interfering with my sleep. I can sleep continuous... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Flupentixol is known to cause sleep issues in some individuals. Some people see normal to increased sleep with this drug because the drug helps in controlling anxiety, resulting in improved sleep. If you cannot sleep properly, taking medicine... Read Full »
Why am I anxious and wake up with a racing heart?
Query: Hello doctor, A few months back, I felt a shock in my heart. There was chest discomfort; I was sweating and my pulse was going down. I almost felt like a heart attack, but, after a few minutes everything was normal. The next day I went to my GP to check and in ECG he found that I had irregular heart... Read Full »
Answer: Hi, Welcome to icliniq.com. I have seen all your details. Firstly, you have not mentioned your smoking and alcohol habits. Do you ever have gastritis, GERD (gastroesophageal reflux disease) or heartburn as they can also mimic the same symptoms? Your palpitations are related to sinus tachycardia. Y... Read Full »
Does Wellbutrin affect testosterone levels?
Query: Hello doctor, I am a 36 year old male. I suddenly developed sexual dysfunction, I have reduced interest, arousal, plateau, and orgasm. The triggering event seems to be the discontinuation of 150 mg Bupropion because of adverse effects. I switched to 20 mg Citalopram, and over the course of six month... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query and from the history you gave and the levels of testosterone you mentioned, it is very high level of serum testosterone. There are usually some males who normally have high testosterone levels without any major underlying disease. I will discus... Read Full »
I have been taking tablet Paxil for some time, but it makes me feel tired. Is there any other alternative for this?
Query: Hello doctor,I just started taking tablet Paxil, and thinking if I should consider tablet Wellbutrin as Paxil makes me tired, which is the opposite of what I want. Kindly help. Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Tablet Paroxetine may cause sedation and tiredness during the early part of the treatment. If you cannot tolerate it, try another drug from the SSRIs (selective serotonin reuptake inhibitors), such as Fluoxetine. You can try the tablet Wellbu... Read Full »
I am a 27-year-old, and on medications for anxiety since 17 years and experiencing tremors after abruptly stopping my medication. What should I do?
Query: Hello doctor, I am 27 years old and I have not been feeling for the past two months. I have been on anti-anxiety medications such as Xanax and Paxil for the past 17 years. I had an anxiety attack for the first time in 10 years. I fell I may have compressed a nerve. I was taking the medication Xanax... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read your query and understand your concern. I know this has been quite a difficult time for you. Kindly give me more information regarding the medications you are currently taking. How much Paxil (Paroxetine) are you taking now? I suggest you to start taking... Read Full »
I am developing withdrawal symptoms of Paroxetine. Please help.
Query: Hi doctor, I am a 26 year old male, and I am a doctor. From the past year, I have been suffering from delayed onset sleep disorder, I sleep at 4 AM and wake up after noon. I saw a psychiatrist, and he put me on Melatonin, Modafinil, and Zolfresh. But I am still unable to sleep at the desired time, a... Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks for this query. I can understand your concern regarding your delayed onset insomnia. Sleep is very important for a good mental health. Sleep disturbances can cause depression and vice versa I have read your history carefully. You are suffering from insomnia,... Read Full »
Taking 5mg lorazapam for anxiety disorder gives poor response. Is it safe to take one more tablet?
Query: Dear Doctor, I have panic/anxiety disorder and was prescribed with 5mg lorazepam. I took one tablet at 8 PM but still l would wake up anxious in the morning. Is it safe to take one more tablet? Read Full »
Answer: Hi, Thanks for posting your query at icliniq.com. At this moment you can take another 0.5mg but do not repeat it after that. Tomorrow you can discuss your poor response to the 0.5mg lorazepam either with your physician or you can discuss with me online, if online therapy for a psychiatry consultat... Read Full »
Can I take Pramipexole in the long-term to relieve my anxiety and improve sexual problems caused by Effexor?
Query: Hello doctor, I have been taking medication for chronic anxiety and GAD to control my anxiety and prevent relapse for the past few years. I now take Effexor XR 150 milligrams daily in the morning and Crestor 10 milligrams daily in the morning (for controlling the lipid profile), and recently the doc... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. 1) If we consider mood symptoms, then you are doing good. You have reported improved anxiety symptoms and depression with Effexor (serotonin and norepinephrine reuptake inhibitors). The addition of Buspirone (an... Read Full »