Escitalopram belongs to the selective serotonin reuptake inhibitor (SSRIs) group of drugs. It is an antidepressant medicine and is used to treat the symptoms caused due to depression and anxiety disorders. It works by restoring the balance of serotonin, which is a natural substance found in the brain.
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I started experiencing anxiety, headaches, and panic attacks when I discontinued Escitalopram. Please help.
Query: Hi doctor, After I decreased the dose of Escitalopram to 5mg, I started feeling anxious about everything again. I felt anxious about death, and also I had a small headache. I watched a drama for five days, and I liked it, but my mother said it was not interesting. After that, I became quite anxious ... Read Full »
Answer: Hi, Welcome to icliniq.com. Thank you for your query, I can understand your situation. You may have mixed anxiety and depressive disorder. Although non-pharmacological management exists, you should try to follow the guidelines below to deal with it. It will help you. It would help if you exerci... Read Full »
I have been on Escitalopram for bipolar disorder for the last few months; since then, my period has been irregular and long. Kindly help.
Query: Hi doctor, I am an 18-year-old female who has been taking Escitalopram for bipolar disorder for the last few months. Before taking this medication, I was taking Quetiapine, Lithium, and Aripiprazole tablets twice a day. Since I have been on this new medication, my menstruation cycle has become high... Read Full »
Answer: Hi, Welcome to icliniq.com. As you described in your history, many factors could cause your disturbed and heavy cycles with long menstrual bleeding days. At your age, the reproductive system is still in the developmental phase so cycles could be ovulatory, anovulatory, regular, irregular, and heav... Read Full »
Query: Hello doctor, I am a medical graduate having trouble in sleeping. My psychiatrist told it is a panic disorder. First she gave me Escitalopram 10 mg for which I got akathisia, severe irritability and sleeplessness got aggravated. She later changed it to Fludac 20 mg in the morning at 8 AM. I did not ... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hello, Welcome to icliniq.com. Fluoxetine is known to cause significant insomnia in many patients as it is an activating drug.Even if it is taken early morning, it can still cause insomnia, particularly in the initial few days or weeks.My advice would be if you are doing well on Fluoxetine, apart fr... Read Full »
Will my anxiety relapse if I stop SSRI?
Query: Hello doctor, I am a male who was diagnosed with generalized anxiety disorder (GAD) and social anxiety, eight years back. Initially, I was prescribed Paxil 20 mg, which helped treat my anxiety and depression but I started having side effects of weight gain, fatigue, and sexual dysfunction. When I st... Read Full »
Answer: Hi, Welcome to icliniq.com. Paroxetine acts on multiple receptors, and it is known for its withdrawal effects of weight gain due to its antihistaminic and anticholinergic action.SSRI (selective serotonin reuptake inhibitors) can cause significant sexual dysfunction. Usually, Bupropion along with SSR... Read Full »
My mother is so clueless about what she is doing. Why?
Query: Hi doctor, My mother is 50 years old. Sometimes, she is so clueless about how to talk, what to talk and when to talk. As a result she always gets hatred from the people around her. She fights with everyone and always complains about each and everything happening. We used to think all these where ho... Read Full »
Answer: Hi, Welcome to icliniq.com. Kindly answer me few questions. Has it started suddenly or gradually?How was she a year back? Was she completely normal or had some behavioral problems?For last one year, is she performing her duty like job or kitchen work? Is she caring and responsible in her family now?... Read Full »
What is the treatment for attention deficit disorder?
Query: Hello doctor, I am suffering from attention deficit and disturbed memory problems. It affects the speed of my work. Presently I am taking tablet Fenofibrate 145 mg once daily and tablet Avital once daily for high triglycerides and disturbed lipids. Kindly suggest a treatment for my above problems. Read Full »
Answer: Hi, Welcome to icliniq.com I have thoroughly read your query. But only with this much detail of symptoms, it is difficult to reach the diagnosis. So, please elaborate on your symptoms and answer a few questions. For how long have you been suffering from these problems? Do you have other depressive... Read Full »
Query: Hello doctor, I am a 42 year old married male. I have two daughters and a son. I have a good job and works as a manager in the engineering sector. During the past two years, I noticed myself with down health. One night, I suffered dizziness in my head and felt cold in my limbs. I almost lose conscio... Read Full »
Answer: Hi, Welcome to icliniq.com. I have carefully reviewed your health issues and want to add that, this actually is a painful situation for a person like you. The fainting episode destabilized your whole rhythm of normal, healthy life and it is difficult for you to concentrate. It is none of your f... Read Full »
I have spastic paraplegia.Will dopamine help me?
Query: Hello doctor, I have spastic paraplegia. Everything I have tried has not worked. I was told to try a medication called L-Dopa. Will this medication help me? Read Full »
Answer: Hi, Welcome to icliniq.com. L- Dopa is Levodopa and is a drug for parkinson's disease. It will help you in spastic paraplegia in case there is a deficiency of dopamine in substantia niagra of your brain. It is definitely going to help you if there is any deficiency. But if there is no deficiency, ... Read Full »
I am always anxious and worried and cannot concentrate on my studies. Please help.
Query: Hi doctor, I have a problem with social anxiety disorder. I used tablet Escitalopram for the last two months, but it did not work, and my problem continues. When many students ask me about something then, my face starts boiling and becomes red, and my ears also turn red. It is the same as when a tea... Read Full »
Dr. Hafiz Muhammad Hassan Shoukat
Answer: Hi, Welcome to icliniq.com. I understand your concern. If your anxiety is more like stage fright, such as speaking in public or on stage, I would advise a different medication instead of tablet Escitalopram. Take tablet Inderal 10 mg, two tablets before starting a speech. This medication helps yo... Read Full »
I had an episode of psychosis. How long should I stay on the treatment?
Query: Hello doctor,I am a 35 years old male. I had an episode of psychosis for the first time four months ago and is treated with Risperidone and Escitalopram. For how long should I stay on the treatment? Read Full »
Answer: Hello, Welcome to icliniq.com. For psychosis, Risperidone is considered the right drug. However, Escitalopram is given for depression. So if at present you do not have any depressive symptoms you can discontinue Escitalopram. However, Risperidone should be continued at least for a year in the first ... Read Full »