Q. Kindly suggest the best medicine for depression, anxiety, and lack of confidence.
Answered by Dr. Punya Mulky and medically reviewed by Dr. Divya Banu M
Hello doctor,
I have depression, anxiety, lack of confidence, lack of energy and sleep, excess sweating, fast heartbeat from last 18 years. I have tried several ayurvedic treatments, then went to psychiatric treatment but no benefit. Previously doctor prescribed me Nexito Forte and Pronol 10 in morning and evening and Prestiq 50 in the night. I had taken it for two years but feel some benefit only. It causes me excess sweating.
Then I consulted another doctor and he suggested me Paxep CR 12.5 in morning and Buspar 10 in morning and evening. But it creates a problem in sleeping and some weakness. Then I consulted another doctor, he prescribed me Nexito 10 and Clonazepam 0.5 in the morning and evening and Mirtazapine 15 in the night. But it created excess sleep and stomach upset. But I feel slightly better mentally. I am really confused that which treatment of medicine I should follow for a long term to get rid of my problem completely. Which will be a better option for me? Please help.
Related Questions:
• Depression - Awareness, Self-Diagnosis, and Treatment Modalities
• Will fasting and lack of sleep cause delirium?
• What can be the reason for lack of sleep and weight gain?
Dr. Punya Mulky
MBBS., MD., DNB
Psychiatry
Hi,
Welcome to icliniq.com.
I understand you are suffering a lot due to your depression and anxiety. Most medications given for depression as well as anxiety have similar efficacy. As per the history given by you, I think you have benefited from treatment suggested by the last doctor. I would advise you to continue tablet Nexito 10 mg in the morning and tablet Mirtaz at night around two hours before sleep. You can withhold tablet Clonazepam if you feel too sleepy.
Along with medicines, I would advise you to focus on your diet and sleep hygiene. You can choose a physical activity and continue it. It will help you. There are some relaxation exercises like Jacobson's muscular relaxation techniques. These will help reduce the physical symptoms of your anxiety. Please follow up regularly with your doctor and continue medicines started for atleast six months.
Hi doctor,
Thanks a lot for your suggestion madam. I have IBS diarrhea problem and Mirtazapine creates stomach upset. Should I continue or take some thing with Mirtazapine? Please suggest.
Dr. Punya Mulky
MBBS., MD., DNB
Psychiatry
Hi,
welcome back to icliniq.com.
Actually some studies have shown Mirtazapine to help with IBS. But I would like to ask you if the IBS has been diagnosed by a doctor? Or are you taking any other medications along with the above? I would advise you to take medicines after food.
Related Questions & Answers
Article Overview: A 35-year-old woman came to me with a chief complaint of muscle tension. She stated that she has experienced a considerable amount of muscle tension her entire life, but it has become increasingly worse over the last 12 months. Read Article »
Psychiatrist
The above mentioned patient is suffering from Generalized Anxiety Disorder (GAD). GAD can be defined as anxiety and worry about several events and activities for a majority of the day. The anxiety and worry of GAD differs from normal anxiety by its excessiveness, the difficu ... Read Article »
Article Overview: Postpartum depression (PPD) or postnatal depression is a kind of depression that affects a new mother. 80 % of all new moms experience baby blues, but if the symptoms are severe and it starts affecting your ability to care for your baby, then it is a sign of postpartum depression. Read Article »
Psychiatrist
Postpartum Depression Postpartum depression (PPD) or postnatal depression is a kind of depression that affects a new mother. 80 % of all new moms experience baby blues, but if the symptoms are severe and it starts affecting your ability to care for your baby, then it is a sign of postpartum depress ... Read Article »
Query: Hello doctor, I am a 34 year old male. I had anxiety issues since childhood. I have been jumping from one idea to another for a long time but it has been three years I have an issue with frequent urination. It started in a bad time for me when I was obsessing that I have HIV. No burning, just sligh... Read Full »
Geriatrician
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concerns. First of all, I like to state that the stress and anxiety can affect almost every organ of the body and polyuria is not an exception. In other words, yes the stress can cause almost all the symptoms narrated in your qu... Read Full »
Most Viewed
What is the best treatment for oily scalp and hair?
Hello doctor,I completed my acne treatment one year ago and my skin is clear after some period of time. My scalp and fac ...Read more »
How Is H.Pylori Infection Diagnosed and Treated?
Helicobacter pylori (H.pylori) is a bacteria that infects your stomach. Approximately 50% of the world's population has ...Read more »
Is it normal to have foamy urine?
Hello doctor, My urine is foamy. I am confused whether everyone will get bubble and foamy urine while urinating. Please ...Read more »