Patient's Query
Hello doctor,
I am a 44-year-old male, and I have been struggling with depression, severe anxiety, palpitations, sweating, and IBS with diarrhea for the last 20 years. I have tried various treatments, including Homeopathic, Ayurvedic, Unani, and Allopathic medicines. Currently, I am taking the following medications under the guidance of a psychiatrist:
Nexito Forte - one in the morning, one at night.
Nortimer 25 mg - one in the morning, one at night.
Pronol H - one in the morning, one at night.
I have experienced some relief from my IBS diarrhea, but I am still not finding proper relief for my anxiety and depression. One psychiatrist suggested adding Veniz XR 75 mg at night along with my current medications, while another psychiatrist recommended adding Desvenlafaxine 50 mg at night with the existing medicines.
My question is: Which combination of medication would be better for both IBS diarrhea and severe anxiety? I am having trouble focusing on my job and personal life, and I need help choosing the right medication combination.
Please help me find a solution.
Thank you.
Hello,
Welcome to icliniq.com.
I read your query and understood it.
Desvenlafaxine is better than Venlafaxine for anxiety and depression. However, you should start with a low dose initially. Begin with Desvenlafaxine and your other medications. Gradually stop Escitalopram and increase the dosage of Desvenlafaxine.
If Desvenlafaxine does not suit you, then switch to Venlafaxine. You can also consider adding another medication, Stablon. Start daily physical exercise. Avoid smoking and drinking, if applicable.
I hope this has helped you.
Kindly follow up if you have more doubts.
Thank you.
Patient's Query
Hi doctor,
Thank you for your reply.
Stablon does not suit me well. I have taken Desvenlafaxine in the past, and it is good for anxiety, but it causes sweating as a side effect. Sir, may I go with Nexito Forte, Nortimer 25 mg, Pronol H, and Desvenlafaxine 50 mg? I am confused about whether to use Desvenlafaxine or Venlafaxine for anxiety and diarrhea.
Please suggest.
Hello,
Welcome back to icliniq.com.
I read your query and understood your concern.
If Stablon does not suit you, there is no need to take it. Yes, Desvenlafaxine initially causes sweating and anxiety, but gradually it will improve. You can start again with a low dose and increase it gradually. Start with Desvenlafaxine, as it suited you in the past.
I hope this has helped you.
Kindly follow up if you have more doubts.
Thank you.
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Answered byDr. Vipul Chelabhai Prajapati
Medically reviewed byiCliniq medical review team
Same symptoms don't mean you have the same problem. Consult a doctor now!
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