Q. Why do I have anxiety attacks soon after I wake up?

Answered by
Dr. Ramchandra Lamba
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Oct 25, 2017 and last reviewed on: Oct 09, 2018

Hello doctor,

I am 24 years old, and I weigh 80 kg. My height is 5 feet 7 inches. I have anxiety and depression from many days. Anxiety starts as soon as I wake up and it lasts for a few minutes. I calm down for a while and then again it starts. It occurs every day like a cycle without any reason. The anxiety and depression last for the entire day. I have migraines too. When these three occur together, it feels like hell. I lose concentration. I feel like freaking out, and my mind does not work. Whenever I sleep for too long or if I have lack of sleep these symptoms tend to increase. I have insomnia also. I am comfortable staying awake the entire night and sleep during the daytime. I am losing my social life because of these problems. The only thing I can do is just study for a while and prepare my food. That is it. Please suggest medications for these symptoms.



Welcome to

You are having multiple problems. So, along with the medicines, you need to do regular exercise and maintain a good sleep hygiene. Also, try identifying the triggers for your headaches and try avoiding them.

Secondly, in such situations, SSRIs (selective serotonin reuptake inhibitors) such as Fluoxetine or Paroxetine can be helpful. Psychotherapy is also recommended.

For migraine prophylaxis, I suggest Propranolol as it helps to lower the anxiety.

Initially, for a few days, I suggest you try Benzodiazepine such as Clonazepam first to take care of your anxiety and insomnia and then the SSRIs.

I suggest pain-relieving medication such as Naproxen to be used on an as-needed basis. These are prescription drugs. Consult your specialist doctor, discuss with him/her and take the above medications with their consent.

Thanks and regards.

For more information consult a psychiatrist online -->

Hello doctor,

I have got Betacap TR (Propranolol), Fludac (Fluoxetine) and Clonazepam dispersible tablets. Please tell me how to use them and their dosages. Thanks.



Welcome back to

I suggest you take tablet Betacap TR 40 mg and Fludac 20 mg in the morning after breakfast and tablet Clonazepam 1 mg at night for first seven days and then SOS (as and when required) basis.

You can use Clonazepam if you have severe anxiety. These drugs may take 2 to 3 weeks to show their effect. Meanwhile, continue exercise, sleep hygiene and avoid trigger of a headache. I wish you a fast recovery.

For further information consult a psychiatrist online -->

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Can anxiety and stress cause frequent urination?

I use to get those episodes every few months when I had stress but since I got the fear it might never go away I get it almost daily now ... Can anxiety cause polyuria like this clear urine when I am stressed ...   Read full

Can I take Practin and Decdan to gain weight?

The right combination of healthy food, exercise, correct breathing, rest and sleep go a long way in healthy and happy life ...   Read full

Postpartum Depression

History of bipolar disorder ... Family history of depression or other psychological disorders ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Coronavirus Variant Arcturus: | Omicron XBB.1.16 Variant
Arcturus is an emerging variant of the Omicron virus that causes various symptoms and spreads rapidly across the world. ...  Read more»
Adrenaline Rush - Symptoms, Causes, Effects, and How to Control
Adrenaline is a hormone responsible for fight or flight response. It is also a neurotransmitter and medicine. It is also...  Read more»
Fatty Liver - Types, Symptoms, Stages, and Treatment
The liver is the largest gland in the body. Its primary function is to process the food and drinks we consume. and filte...  Read more»

Ask your health query to a doctor online?

Ask a Psychiatrist Now

* guaranteed answer within 4 hours.

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.