Q. What are the chances of side effects of tablets given for GAD?

Answered by
Dr. Ashok Kumar Choudhary
and medically reviewed by iCliniq medical review team.
Published on Jul 12, 2016

Hi doctor,

I am suffering from unsteadiness, muscle tension, mild fatigue, anxiety and depression. I have been diagnosed with GAD. My doctor prescribed my Clonazapem 5 mg and Escitalopran 10 mg. Is it fine to take half of each tablet? Will it cause any intolerable side effects? I do not want to take medicines. My doctor said that it is mandatory. She said CBT will not work for me. Please help.

Dr. Ashok Kumar Choudhary

Andrology Geriatrics Psychiatry Psychologist/ Counsellor Psychotherapy Sexology
#

Hi,

Welcome to icliniq.com.

I think for a 71 Kg young male the chance of side effects with recommended dose is very minimal, but at the same time I do not think this could be the final dose.

Your doctor is right in saying take 5 mg of Escitalopram and this is the minimal effective dose for first time anxiety problem.

Since you are already taking Xanax (Alprazolam) I assume that you have this problem for a longtime and it is possible that there will be required to increase the dose in the near future.

You also mentioned heart arrhythmia. In that situation we need to be very slow. First, start with 5 mg than 7.5 mg or 10 mg as there are problems encountered by those who has a heart problem. I do not mean there is a serious risk, but caution is warranted.

In case if you develop side effects, then there is some possibility of headache, gastrointestinal disturbance and giddiness, which are most common.

Regarding the suitability of treatment, I do not find any fault with prescribed treatment as Escitaopram a SSRI (selective serotonin reuptake inhibitor), is used for definite treatment of GAD (generalized anxiety disorder) while Clonazepam helps in initial management of anxiety till Escitalopram takes over.

For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist

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