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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Is Pregabalin the right medicine for social and performance anxiety?
Query: Hi doctor, I am a 30-year-old male. Medications: Started Lyrica (Pregabalin) yesterday 25 mg (moving to 50 mg tomorrow). Issues: Generalized anxiety (Social and Performance anxiety). Query: Did my general physician prescribe the right medicines? I mainly suffer from social and performance anxiet... Read Full »
Psychiatrist
Answer: Hello, Welcome to icliniq.com. Yes, Pregabalin is a SNRIs (serotonin and norepinephrine reuptake inhibitors) class of medicine. You have tried SSRI and TCAs (tricyclic antidepressants). SNRIs do help with anxiety disorders. Pregabalin is not the best SSRIs (selective serotonin reuptake inhibitors)... 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 hea... Read Full »
Cardiologist
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 or heartburn as they can also mimic the same symptoms? Your palpitations are related to sinus tachycardia. Sinus tachycardia is a cond... Read Full »
Which specialist should I consult for my depression and anxiety?
Query: Hello doctor,I am going through a lot of mental health problems. My symptoms are depression, slow thinking, processing speed, hopelessness, avoiding people, dullness, problems coping with new situations, loss of spontaneity, fear of new things and marriage, difficulty thinking and understanding, men... Read Full »
Family Physician, General Medicine Physician, General Practitioner, Pulmonologist, Internal Medicine Physician
Answer: Hi, Welcome to icliniq.com. According to your statement, you have been suffering from psychological problems like depression, slow thinking, avoiding people, dullness, difficulty in self-care, lack of restraint, etc. According to your description, you may suffer from anxiety disorders or depre... Read Full »
Kindly help with gradual tapering of Etizolam dosage.
Query: Hello doctor, I was suffering from iron deficiency for the last two months. I was getting a headache, dizziness, and muscle pains, so I asked my doctor to give me sleeping pills. He gave Etizolam 0.25 mg once at night for 20 days. But I started buying it on my own from the chemist, and now I have b... Read Full »
Psychiatrist
Answer: Hello, Welcome to icliniq.com. Yes, you are right. You become dependent on these tablets when you take it regularly. Since you have no anxiety symptoms you can slowly taper and stop it. Take half of the tablet for two days and then stop it. See if you have any sleep disturbances. It is unlikely... Read Full »
How to prevent serotonin syndrome while taking antidepressants?
Query: Hi doctor, I am under treatment for OCD and anxiety symptoms. I have had very hard months with extreme anxiety, panic attacks and depersonalization. Now, I am on Duloxetine 60 mg (will stop in the next 7 weeks), Paroxetine 20 mg (will be reduced in the following weeks), Clomipramine hydrochloride... Read Full »
Dr. Kumarshri Shriniwas Saraswat
Psychiatrist, Psychologist Counsellor, Psychotherapist, Sexologist, Sleep Medicine Physician
Answer: Hi, Welcome to icliniq.com. There is always a possibility of serotonin syndrome when two or more serotonergic antidepressants are being used. However, Clomipramine and an SSRI (selective serotonin reuptake inhibitor) like Paroxetine are frequently used together in resistant OCD (obsessive-compulsive... Read Full »
Why do I feel fear and anxious all the time?
Query: Hello doctor, I am 26 years old. I remain very fearful and anxious 24 hours a day and always feel that something very bad is going on. I have a habit of try listening to even very faint sounds and when outside the house. On-road, I always fear every approaching vehicle, no matter how far it is. Fo... Read Full »
Psychologist Counsellor
Answer: Hi, Welcome to icliniq.com. How is your mood, concentration on studies, daily activities, biological function, and appetite? Is there any family history? Do you have any thyroid disorder? How is your interaction with others? Do you have any suspicious? Are you interested in staying aloof? How ma... Read Full »
How long does it take to become normal after a panic attack?
Query: Hi doctor,Last night, I had a bad panic attack with shortness of breath, shaking, heart racing and chest pains. Today, I have chest soreness and discomfort. Is this normal? When will it stop? I have anxiety and I am prone to anxiety attacks, but none with chest pain. I am on regular Zoloft 75 mg. Read Full »
Cardiologist
Answer: Hi, Welcome to icliniq.com. Fast heart rate (palpitations), chest pain or heaviness and breathing difficulty are all observed during a panic attack. These are classical symptoms of panic disorder. Sertraline is a selective serotonin reuptake inhibitor given in panic attacks. A panic attack may take ... Read Full »
Please suggest medicines for anxiety, depression, and anger, without any sexual side effects.
Query: Hello doctor, I am taking medicine for anxiety, depression, and anger from the last 8 to 10 years, but not continuously. Right now, I m taking Panazep 25, Bupron 150, and Dicorate 500 all at night. I had sexual problems from the past 40 days, so the doctor advised to take Sildenafil 50. Now I feel 5... Read Full »
Geriatrician, Psychiatrist, Sexologist, Sleep Medicine Physician
Answer: Hello, Welcome to icliniq.com. It seems that you are taking too many antidepressants, like Panazep 25 (Paroxetine) and Bupron 150 (Buproprion). Panazep has the side effect of reduced libido and erectile dysfunction when taken over a longer period. Hence, the same is happening with you. Currently, t... Read Full »
I overdosed on Benadryl and I feel lightheaded.When will I feel normal?
Query: Hello doctor, I am a healthy 15 year old male. It has been two weeks since I overdosed on Benadryl and I still feel lightheaded and everything is like a dream. The dose I had taken was 500mg. I also get random confusion spells. When will I feel normal? Read Full »
Psychiatrist, Sexologist, Psychotherapist
Answer: Hello, Welcome to icliniq.com.Benadryl consists of Diphenhydramine and the drug is an antihistaminic drug. In high doses it causes side effects like blurred vision, dry mouth, confusion, delirium, severe sedation etc. In very high doses this may result in death also. So, I would advise you to please... Read Full »
Suffering from Heart palpitations, Hypertension, Depression and Anxiety. Need advice
Query: Hi doctor, I am a 26 year old male. I am having hypertension, palpitation, depression and anxiety. ECG, 2D echo, renal Doppler, VMA culture, cortisol and lipid profile are normal. I need advice. Read Full »
Cardiologist, Criticalcare Physician, Diabetologist, Endocrinologist, Family Physician, General Medicine Physician, Internal Medicine Physician, Pulmonologist, Sexologist
Answer: Hi, Welcome to icliniq.com. The tests you have mentioned are used to find a cause for significant hypertension. You have not mentioned anything about your BP levels and whether they are really significantly high. We have no details of your weight, your lifestyle and your family history. ... Read Full »
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