Dr. Vishal Anilkumar Gandhi
Psychiatry
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hello doctor,
I have depression, anxiety, lack of confidence, lack of energy, palpitation, and excess sweating for the past 18 years. I have consulted so many psychiatrists. My current doctor prescribes me Nexito Forte, Prothiaden 25 mg, and Toficalm 100 in morning and evening. But I feel some sleep issue and sweating. I have also consulted one of a top psychiatrist, and he prescribed me Nexito 10 and Clonazepam 0.5 mg in morning and evening and Mirtazapine 15 mg in night. But it causes me some stomach problem as I have IBS, diarrhea too. Unable to understand that which combination of medicine is better for long term use. Please suggest.
Hello,
Welcome to icliniq.com.
You should go with Escitalopram (Escitalopram Oxalate), Clonazepam and Mirtaz (Mirtazapine). These combinations have a minimal side effect. You take antacid with it. Please do not take the above medications in an empty stomach. You must lose your weight. Do the daily exercise for 30 to 45 minutes and practice meditation for 10 to 20 minutes daily. Avoid junk foods, eat healthy home-cooked meal. Stop alcohol, smoking tobacco or stay away from any type of substance abuse. Spend quality time with friends and family. Spend time for your creative hobbies like read good books, write journals, do paintings, learn new skills or music, etc. Take enough seven to eight hours of sleep. Take a cold shower. Drink three liters of water daily. Live your life, do not just spend. Go for a vacation, spend time with nature. Stay away from social media as much as you can. Prothiaden (Dosulepin) will cause constipation. And low energy can be due to depression or anemia or thyroid abnormalities. It is less likely due to medication. Toficalm (Tofisopam) and Prothiaden will cause you oversedation or make you drowsy the next day.
Patient's Query
Thank you doctor,
Can medicine combination which I am taking Nexito Forte, Prothidene 25 and Toficalm create problem when used for long term? Because I feel sweating and low energy.
Hello,
Welcome back to icliniq.com.
Almost all antidepressants may cause sweating, but it is less with Escitalopram. Anxiety and depression also cause sweating. If you are so much concern about sweating then use antiperspirant deo or powder etc. There is some medication which also helps to reduce sweating like Glycopyrrolate (Glycopyrronium Bromide) and Benzhexol (Trihexyphenidyl).
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Psychiatry
Related Questions
I am experiencing heavy shoulders and getting anxious that it could be a heart attack. Please help.
Why are palpitations occurring even after pacemaker implantation?
Depression - Awareness, Self-Diagnosis, and Treatment Modalities
Why am I not happy no matter what the situation is?
Postpartum Depression
Severe heart palpitations in a 20-year-old man. What can be done?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
