Recently Answered Questions
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I am developing withdrawal symptoms of Paroxetine. Please help.
Query: Hi doctor, I am a 26 year old male, and I am a doctor. From the past year, I have been suffering from delayed onset sleep disorder, I sleep at 4 AM and wake up after noon. I saw a psychiatrist, and he put me on Melatonin, Modafinil, and Zolfresh. But I am still unable to sleep at the desired time, a... Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks for this query. I can understand your concern regarding your delayed onset insomnia. Sleep is very important for a good mental health. Sleep disturbances can cause depression and vice versa I have read your history carefully. You are suffering from insomnia,... Read Full »
Query: Hi doctor, I am suffering from insomnia for the past one year. I do get sleep, but around 1 or 2 AM, I used wake up and unable to sleep again. I am 30 years old. I am a married female and have a kid aged 3 years. I am a dentist and now, I am in stem cell research. I do not have any other health prob... Read Full »
Answer: Hi, Welcome to icliniq.com. You have late insomnia. If there is any associated anxiety or depression, then that should be evaluated properly. Kindly visit a psychiatrist in person.For insomnia, drugs like Amitriptyline or Mirtazapine or Trazodone can be used. These are antidepressant drugs, but hav... Read Full »
Is there any alternative for Benzodiazepines in treating anxiety and PTSD?
Query: Hello doctor, I am 26 years old and suffer from severe anxiety and PTSD. For about five years, I have been on a variety of Benzodiazepines. Right now, I am on 2 mg Xanax four times a day. It is better than nothing, but I have built up such tolerance benzodiazepines hardly work for me. I know the on... Read Full »
Answer: Hello, Welcome to icliniq.com. As you rightly commented, Xanax and other Benzodiazepines are not helpful in the long term management of anxiety as they cause dependence. You become tolerant, and they do not work. At best, Benzos can be used sparingly for the short term only. Barbiturates are no lo... Read Full »
What is the reason for having negative thoughts and vivid dreams?
Query: Hi doctor, My father is 56 years old. He is having negative thoughts and talks about deaths, has a vivid dream with severe sleepiness. He is not enjoying anything which he enjoyed before. He has short-term memory loss. He has fatigue with increased appetite. He has little issue in breathing during ... Read Full »
Answer: Hi, Welcome to icliniq.com. Your father may have PTSD (post-traumatic stress disorder). It is less likely to be due to glioma. The symptoms of a vision problem and memory loss are due to gliomas. You can give him a small dose of antidepressants and Benzodiazepine for the sleep disturbances. You can ... Read Full »
To stop continuous panic attacks, which drug can be taken other than Clonazepam?
Query: Hi doctor, I have been on Klonopin that is Clonazepam prescribed before 14 years for panic attacks and anxiety. I am currently on the 2 mg dosage and taking it four times a day. This is monitored every few months by my family doctor. For the past one week, I have noticed that I have been experienc... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your concern. Anxiety and panic disorders are serious disorders and tend to recur.Clonazepam is a benzodiazepine drug and have good efficacy in controlling the symptoms of anxiety. The drug can control panic symptoms effectively but is not the treatment o... Read Full »
Is long-term use of Etizolam harmful?
Query: Hi doctor, I was prescribed Etizolam 0.5 mg and Escitalopram for a month, as I had insomnia, stress, and anxiety. However, during the last week, it did not seem to work. I was struggling with sleep. Is it possible that I become addicted to the drug? Will I need a higher dose to get the same effect... Read Full »
Answer: Hello, Welcome to icliniq.com. Etizolam is not a sleep medicine but an anxiolytic. Long-term use of benzodiazepines like Etizolam is not advisable because of tolerance and addiction potential. They are used for a short-term to support the main medications like Escitalopram, which need to be taken... Read Full »
Is it safe to continue Benzodiazepine for a longer period?
Query: Hello doctor, I am 29 years old male, with height 5' 10" and weight 75 kgCurrently, I am on 1. Clonazepam 2 mg one tablet during the night. 2. Trazine-S half tablet during night. I have been suffering from a borderline personality disorder (BPD) along with symptoms of anxiety, panic disorder, extrem... Read Full »
Answer: Hello, Welcome to icliniq.com. If it is the requirement of Benzodiazepines than you need to take for long periods. There is nothing wrong to take medication for a long time if you are stable on it. Theoretically and ideally, Benzodiazepine should be tapered off within four weeks, but in clinical p... Read Full »
How long can Benzodiazepines be detected in the urine?
Query: Hi doctor, How long will a Benzodiazepine that is Valium and Nitrazepam remain detectable through urinalysis? The drug has not been used so long, may be of seven to eight days. What is the best method of detoxification? Read Full »
Answer: Hi, Welcome to icliniq.com. The duration for the urine toxicology screen being positive depends upon the type of Benzodiazepines being used. In light of the two drugs you mentioned, it may stay positive until a week or so. Regarding detox, there are two different ways of doing it and it d... Read Full »
How to come out of the frequent intrusive thoughts and anxiety?
Query: Hello doctor, I have been suffering from anxiety, panic disorder, and perhaps OCD as well (but I have not been diagnosed with that yet) since I was 11. However, I had been completely anxiety-free for about four or five years until three months back, when I got a horrible panic attack that started it... Read Full »
Answer: Hi, Welcome to icliniq.com. From your description, it appears to be ruminations. Following differentials are likely: Health anxiety disorder. Hypochondriasis. OCD (obsessive compulsive disorder). It is unlikely to be psychosis, as you are well aware of the absurdity of these thoughts. Bu... Read Full »
How long does Lexapro take to start working?
Query: Hi doctor, I had recently had several hospital stays for spikes in blood pressure due to years of stress with a sick child. Nothing organically was found. Anxiety might be the key. I was put on 5 mg of Lexapro at night, which made me anxious and gave me insomnia. Then, another doctor gave me Buspa... Read Full »
Answer: Hello, Welcome to icliniq.com. If Lexapro (Escitalopram) caused insomnia, then it is better to take the drug in the morning after breakfast. This drug is an SSRI drug (selective serotonin reuptake inhibitor) and helps to reduce depressive symptoms when taken regularly. Buspirone is an anti-an... Read Full »