I am suffering from anxiety, restlessness and taking Clonazepam 0.75mg & Mirtazapine 30mg daily. I had depression and panic attacks for the last 7 years relieved by Ativan 1mg and with open angle glaucoma.
Need a second opinion.
Welcome to icliniq.com.
Depression, anxiety, restlessness and panic attacks are best respond to a combination of a Selective Serotonin Reuptake Inhibitors (SSRIs) and Benzodiazepines.
Mirtazapine is not the most efficient ant depressant and it is not a true SSRI as fluoxetine, paroxetine, citalopram and sertraline are.
I recommend 20 to 40mg of Paroxetine (slowly titrated up from 10mg) and 1mg of either clonazepam or ativan (lorazepam) every 8 hours as needed for anxiety.
Glaucoma precludes use of any anticholinergics such as hydroxyzine or benadryl (diphenhydramine).
SSRIs are also at times likely to make glaucoma worse but a preliminary trial is always worth it.
Revert back to a psychiatrist online for further help --> 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!
that worsens with life stressors with the occurrence of negative life events ... stress of GAD ... Read fullDepression - Awareness, Self-Diagnosis, and Treatment Modalities
According to statistics provided by WHO, depressive disorders are predicted to be the major cause of mortality and morbidity in the world in the next three years ... Read fullMy son has severe constipation after taking Paxil. Please help.
.. understand your concern regarding your son's gastric problem after taking Paxil (Paroxetine), as it is a drug of SSRI (selective serotonin reuptake inhibitors) group which is known to cause constipation in children. I suggest to prevent constipat... Read full
Ask your health query to a doctor online?Ask a Psychiatrist Now