Anxiolytics are implicated in treating anxiety; hence these are also known as anti-anxiety drugs. Their use extends in the treatment of other anxiety disorders, phobia, and insomnia. They are prescribed only for short periods as they have the potential to develop drug dependency. They work by acting on the chemical messengers of the brain. Benzodiazepines like Diazepam, Clonazepam, Alprazolam, etc., are used more frequently.
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I have anxiety, and my heart rate is reduced. Why?
Query: Hello doctor, I am a 49-year-old male with a weight of 220 pounds and height of 5' 9". I exercise Cardio regularly however carry a little extra weight. I suffer from anxiety and are presently on inderal lyrica and Prozac. Over the past two weeks I have noticed my resting heart rate on my smart watch... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concerns, do not worry you will be fine. The Inderal you are taking is what is reducing your heart rate. A 48 bpm to 58 bpm is not bad so long you are not experiencing symptoms like fainting or shortness you are fine. I advise you to continue to mon... Read Full »
I would like to safely quit taking Esnax Plus. Kindly help.
Query: Hi doctor,I am taking ES Nax Plus (Escitalopram 10 mg, Clonazepam 0.5 mg) since last one year for anxiety. Now, I want to cut this medicine but after stopping this for some days, now I am feeling anxious, lightheadedness, increased pulse, etc. Previously, I also tried to cut the medicine and felt th... Read Full »
Answer: Hello, Welcome to icliniq.com. Sudden stopping of the above drug may cause withdrawal symptoms. So you can start with slow withdrawal like take above tablet half every day or full tablet alternate day for three months. Then dose may be reduced to weekly 2 to 3 times for two months, then weekly 1 t... Read Full »
After using antidepressants and anxiolytics, I feel drowsy and sleepy. What should I do?
Query: Hello doctor, Recently, I have started using antidepressants and anxiolytics again. I have been using them for a month since I was not informed on how long I should take them. I am taking 5 mg of Diazepam twice a day (when I wake up and when I go to sleep) and 15 mg of Mirtazapine once a day (before... Read Full »
Answer: Hello, Welcome to icliniq.com. Both these drugs are sedative, so you can stop or reduce or reschedule the morning dose of Diazepam so that you would probably not feel drowsy during the day. Likewise, you can reduce the morning dose by half or stop it and take it at bedtime along with Mirtazapine. ... Read Full »
Query: Hi doctor, My father is 75 years old. He will be undergoing cataract surgery in both eyes. There will be about two weeks gap between the procedure for each eye. He will be given an anesthesia injection instead of topical anesthesia. He is anxious about the needle prick. Will he be benefitted if topi... Read Full »
Answer: Hi, I appreciate that you have chosen icliniq.com for your medical needs. I am here to give you the best care possible. Cataract surgery requires a peribulbar local anesthetic block which is a painful procedure. Applying topical anesthetic cream two hours before the surgery will not help as the e... Read Full »
My mother is under stress, and she is making some noise repeatedly. Kindly help.
Query: Hi doctor, My mom is under stress, and she is crying a lot. Suddenly, she started making some noise repeatedly, she was not able to open her eyes, and she had trouble breathing. Read Full »
Answer: Hi, Welcome to icliniq.com. Any one having extreme stress will try to escape it. This is called conversion disorder, which means the brain tries to escape from extreme stress. In most of the cases, from grief. It can be prevented by anxiolytics like benzodiazepines. Regards. For mor... Read Full »
Is labyrinthitis the reason for my dizziness?
Query: Hi doctor, It started with dizziness over two weeks ago. Doctors thought that it is labyrinthitis but now I am getting inward head and body tremors that make me feel like a nervous wreck. I was prescribed the tablet Betahistine hydrochloride 16 mg for the Labrynthitis and I am wondering if these tre... Read Full »
Answer: Hi,Welcome to icliniq.com.1. What I gather is that you had an onset of symptoms two weeks ago with dizziness. Now dizziness actually encompasses a multitude of symptoms and is not a very specific symptom. If it has an associated illusion of spinning/rotating with sound and fullness in the ear, the c... Read Full »
How necessary is neuromuscular block during surgery?
Query: Hi doctor, I am going to have laparoscopic surgery to remove an ovarian dermoid cyst. I am afraid of being under general anesthesia in the presence of neuromuscular blocks. Is there a way to ensure that I am unconscious before administering the neuromuscular block? I have read a horrible story abo... Read Full »
Answer: Hi, Welcome to icliniq.com. Normally, all anesthesia, you can see are just a prick of a needle. So, if you do not fear the prick of a needle then you need not worry. Once the needle is pricked and the medicine goes in your body, you will not realize any pain neither remember anything. You would be ... Read Full »
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