How long should I use Nexito Forte for and panic attacks?

Question

Hello doctor,

I have been suffering from anxiety for the last 10 years. I was able to live a normal life and working happily. I was on Nexitoplus (do not know if I had depression). Two months back because of family problems (father health issue), financial stress, work pressure, and continuous thoughts. The panic attack was on Nexito 20 and Etizola but with no greater relief. After that, our family doctor changed to Nexito forte. Now I am feeling physically well. Looking for motivation to get on with life and go to the job. Prior to use of Nexito forte, I was not able to concentrate. I was feeling less interested. Can you suggest how long should these medications be used? Also, how can I be mentally strong?

Answer 1

Hi,

Welcome to icliniq.com.

It is quite common for anxiety to get elevated when faced with stressful situations in life. The good thing is with appropriate support your anxiety will come down eventually and you can function normally. Nexito (Escitalopram) is a good medication for your condition. It is positive that you are feeling better now. I see that you are prescribed Nexito Forte (which contains Clonazepam in addition to Escitalopram). I will recommend discussing with your family doctor and switch from Nexito Forte to Nexito (Clonazepam is not recommended for long-term use). Nexito 10 mg once daily can be continued at least for a year after your anxiety comes down and you are feeling better. Then it can be gradually cut down. I will recommend having some psychological therapy or counseling to deal with factors contributing to your anxiety and help manage family problems and stress at work. Exercise regularly, try yoga or meditation whichever you find comfortable. Cut down on drinking excessive coffee or tea or caffeinated drinks. It can worsen your anxiety. Thank you.