How do I treat panic attacks, and anemia due to heavy menstrual flow other than birth control pills and antidepressants?

Question

Hello doctor,

I have had panic attacks and anxiety attacks. Also, I have periods almost every day, resulting in my blood iron level dropping, because of which I have a high pulse rate and feel fatigued all day, and I am in bed all the time. Also, I get diarrhea and stomach aches whenever I take iron supplements and take Cyclizine. I also tried taking Sertraline, but it did not help with the condition. Therefore, I do not want to take birth control or antidepressants as the medication for this condition. Kindly help me with some medicines for the same.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I have gone through your query and understand your concern. Your symptoms suggest iron deficiency anemia, for which iron infusion therapy is good. For high pulse and anxiety, I would suggest beta-blockers, and no need to take an antidepressant. And for the periods, I would suggest oral contraceptive pills that will not cause depression.

Kindly revert for more queries.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

I would suggest a combined oral contraceptive pill, Depo-Provera (Medroxyprogesterone acetate) injection, or intrauterine devices. Also, you can take iron or vitamin D supplements. And for the stress, I would suggest beta-blockers.

I hope this helps.

Thank you.