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Can anxiety symptoms recur despite taking medications?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi,

I have been taking 10 milligrams of Lexapro daily for a month for anxiety. Approximately a week and a half or so after starting it (started with 5 mg for the first week and then my doctor increased the dose) shortness of breath which I battled for years and intrusive thoughts completely went away. However, after another week and a half, said symptoms returned. They do not feel quite as intense, but they are indeed there disrupting my daily life once more.

  1. Is this normal?
  2. Should my dose of Lexapro be increased?
  3. Why did my symptoms go away and then come back?

Please help.

Thank you.

Answered by Dr. Vishal Anilkumar Gandhi

Education:

MBBS

Professional Bio:

Dr. Vishal Anilkumar Gandhi is a Psychiatrist with expertise in diagnosing and treating mental health disorders such as depression, anxiety, bipolar disorder, and schizophrenia. He is skilled in psychotherapy, pharmacological management, crisis intervention, and counseling. Dr. Gandhi focuses on holistic patient care, mental wellness, and improving the quality of life through tailored treatment approaches.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

Sometimes your symptoms get worsen due to stress or trigger in your life even though you are on a good dose of medication. You should wait for four weeks before increasing your dose of Lexapro (Escitalopram). This is normal to have fluctuation in the symptoms of your illness. It is like mood swings. If it is in the severe form then you need to adjust the dose of your medication.

You must do the following blood reports.

CBC (complete blood count), thyroid profile, vitamin B12, and vitamin D3.

Thank you.

Medically reviewed by iCliniq medical review team
Published At May 24, 2023
Reviewed At July 25, 2023

Education:

MBBS

Professional Bio:

Dr. Vishal Anilkumar Gandhi is a Psychiatrist with expertise in diagnosing and treating mental health disorders such as depression, anxiety, bipolar disorder, and schizophrenia. He is skilled in psychotherapy, pharmacological management, crisis intervention, and counseling. Dr. Gandhi focuses on holistic patient care, mental wellness, and improving the quality of life through tailored treatment approaches.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Vishal Anilkumar Gandhi is a Psychiatrist with expertise in diagnosing and treating mental health disorders such as depression, anxiety, bipolar disorder, and schizophrenia. He is skilled in psychotherapy, pharmacological management, crisis intervention, and counseling. Dr. Gandhi focuses on holistic patient care, mental wellness, and improving the quality of life through tailored treatment approaches.

This doctor is not available for online consultations on the platform anymore.

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