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Q. I suffer from headaches, insomnia, depression and anxiety. Please help.

Answered by
Dr. Ramchandra Lamba
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Sep 03, 2017

Hello doctor,

I have been suffering from headaches for the past 80 days. I smoked four cigarettes every night and two every day early in the morning for 30 days, and then I stopped it with nicotine gum. From the past 160 days, I am suffering from insomnia. Five days after I quit smoking, I started having the headaches. So, I just took OTC painkillers for ten days and later it became more severe. I consulted four different doctors but, it did not help. They prescribed Amitriptyline, Topiramate, Escitalopram, Divalproex sodium, Propranolol, and Flunarizine in different combinations. I am totally messed up due to all these medicines. My headache gets worse if I watch a movie. I got my eyes checked by an ophthalmologist. He said I have +0.25 power on both the eyes. I am a quality engineer, and I have been staying alone, far away from home since the last 12 months. And my concern is, I am not able to concentrate and communicate at work due to these headaches. I stopped the gums and started Bupropion. But, I am not craving for cigarettes any longer. They are almost never on my mind at all. But now, I experience panic attacks a few times every month for the last six months. I have never touched alcohol. The only mistake I did was smoke cigarettes, and I felt very guilty about that and stopped it. But, this headache, depression, and anxiety due to personal problems are killing me every day.

#

Hello,

Welcome to icliniq.com.

I have gone through your query and understand your concern.

  • Bupropion can worsen the headache. As of now, you can increase the dose of Amitriptyline, Propranolol, and Flunarizine after consulting your treating doctor.
  • Meanwhile, you can use Naproxen or Sumatriptan for your headache as on required basis.
  • Also, try to identify the trigger of the headache and avoid them as much as possible. Take adequate rest.

Thanks and regards.

For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician

Thank you doctor,

We were a middle class family with enough income and more than enough happiness earlier but, after some debts, my dad became an alcoholic and he is behaving like a schizophrenic. I tried my best to get him treated, and after a lot of doctor visits, I got fed up and I left him as it is. My grandmother and mom are currently taking care of him. I performed well at school and college and scored good percentages. I had great dreams to pursue my education further but due to my dad's debts, I am here far away from home. I got selected in the campus selections and completed my training period. But now, I am going through a lot of health problems like insomnia and typhoid. I was doing well at work and got appreciated for it. But now, I do not know what happened to me. I had a disappointing love-life. I was an extrovert once but now, I am an introvert. After joining work, I learned how egoistic and selfish people can be. So, I do not have any real friends here. I am lonely and my teammates are the only people I communicate with. Now, I get thoughts like why am I stuck in this job which is unrelated to what I studied. I am not even making good money. We sold half of our property for clearing half of my dad's debts. I cannot even sleep properly now due to nightmares. I totally hate my life and job. I have become short-tempered and arrogant.

#

Hello,

Welcome back to icliniq.com.

  • I suggest you continue the medication for at least six weeks.
  • Also, consult a psychiatrist in person and start psychotherapy. Along with the medicines, it will help you to overcome your issue.
  • As for your job, you have to consider the pros and cons of continuing it or quitting.
  • Exercise regularly for at least 40 minutes every day.

Regards.

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


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