Dr. Seikhoo Bishnui
Psychiatry
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Patient's Query
Hi doctor,
I am taking Stalopam 10 bd, Fludac 20 od and Alprax 0.5 od for anxiety and depression. I feel sleepy in daytime and frequent yawning. I feel fatigue and no energy or activeness. I am also on Olmesartan for high BP; Harty and Mactor EZ for high cholesterol levels. Kindly suggest some medicine which will give energetic and active signal from brain to body.
Hi,
Welcome to icliniq.com.
I can understand your concern. You are suffering from anxiety and depressive disorder and are on 20 mg Escitalopram and 20 mg Fluoxetine per day. Both these drugs are SSRIs (selective serotonin reuptake inhibitor) and in my opinion there is no use in taking two SSRI drugs simultaneously. The dose of Escitalopram that is 10 mg twice a day is really high and could be the reason of your persistent symptoms like sleepiness in day time, yawning and reduced energy. In my opinion, the drug Fluoxetine should be stopped and the dose of Escitalopram should also be reduced to 10-15 mg per day. This would help to reduce the side effects and will give better symptom control. Continue Alprax (Alprazolam) in prescribed dose as per your prescription. The drug will help to control anxiety symptoms and will make sleep refreshing. For reduced energy and activeness the drug like Modafinil can be used. Modafinil in 100-200 mg will help to improve the activeness and you should feel better.
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Psychiatry
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