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Why do anxiety and depression relapse with the stoppage of medications?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have been diagnosed with depression and anxiety five years ago, and since then I was on continuous treatment. Two months back, I had many side effects and other health issues for which I tapered and stopped all medications. It has been hardly four to five days since I left tablets and now I am again having continuous thoughts about my past painful experiences, and I am repeatedly blaming my mother for hurting me. I do not want to start medications. Can you help me any other way?

Answered by Dr. Vishal Anilkumar Gandhi

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

Thank you for taking help from a psychiatrist. I read your case but you have not mentioned the name of your medication which gave you trouble. So I can help you in a better way. You have a mixed anxiety depressive disorder. You should try to follow the below lifestyle to deal with your problems. It will help you.

  1. You should do exercises daily for 30 to 45 minutes like at least going for a walk. It will uplift your mood.
  2. You should do meditation for 20 minutes daily, just sit in one place in a comfortable position and try to concentrate on your normal breathing, do not stop or force yourself to stop your thoughts, just let it be. It will help you to relax and reduces thoughts.
  3. You should eat healthy home-cooked foods, and avoid junk foods.
  4. You must drink enough water.
  5. You should spend quality time with friends and family daily or do video calls if you are living away from your family.
  6. You should spend time on creative hobbies like reading good books, writing journals, painting, drawing, and learning new skills or language or musical instruments.
  7. You should take enough seven to eight hours of sleep daily.
  8. You must avoid tobacco or alcohol or any substance abuse.
  9. Live your life, do not just spend it.
  10. Be bold and confident.

You must do the following blood reports and follow up with your medicine details so I can guide you.

I hope that you get your answer.

Please, let me know if you want some help.

Thank you for consulting me.

You can always come back and reach me at icliniq.com.

Investigations to be done

The following investigations have to be done: Complete blood count, thyroid profile, vitamin D3, and vitamin B12.

Patient's Query

Hello doctor,

I was on Sertraline for a few months. But I had pain in the abdomen on the left side. Initially, I thought it was renal calculi but nothing showed on the scan. Later pain stopped when the doctor reduced the dose. I take tablet Propranolol 40 mg for palpitations which increases on lying down and when I am in a crowd or a new situation or bad situation. I also have anxiety when I open my book to study and my palpitations increase. The doctor also put me on a tablet Vortioxetine 20 mg once. Then tablet Topiramate 100 mg because of my depression and irritation if I gain weight. My psychiatrist suddenly changed and he stopped Sertraline and put me on Bupropion 150 mg. After which I had severe constipation and had fissure. I suffered pain for almost more than a month. I discontinued Bupropion after 15 days. Along with the fissure I started having severe pain and numbness in my leg and on MRI, I found to have disc prolapse. So after all this, I stopped my medications.

Answered by Dr. Vishal Anilkumar Gandhi

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

Thank you for taking help from a psychiatrist. I read all your details. You have gastric problems due to medications. You have tried so many medications to date. You must take the medication with an antacid.

  1. You can take tablet Escitalopram 10 mg daily in the morning after breakfast or after lunch. If you take it on an empty stomach, then you will have surely trouble.
  2. You must take a capsule of Omeprazole 20 mg before breakfast daily in the morning.
  3. If this medication does not help, then you can try the tablet Mirtazapine 7.5 mg at night after dinner.
  4. You can take the tablet Clonazepam mouth dissolving the 0.25 mg for palpitation and anxiety.
  5. You have low vitamin D3 and Vitamin B12. You must take a tablet of vitamin D3 60000 IU once a week for three months.
  6. Injection vitamin B12, five injections intramuscular alternate day.

You must follow the above lifestyle. It will help you to keep mentally and physically healthy.

I hope that you get your answer.

Please let me know if you want some help.

Thank you for consulting me.

You can always come back and reach me at icliniq.com.

Answered byDr. Vishal Anilkumar Gandhi

Medically reviewed byiCliniq medical review team

Published At July 7, 2023
Reviewed AtApril 23, 2024

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vishal Anilkumar Gandhi
Dr. Vishal Anilkumar Gandhi

Psychiatry

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