Panic Attack

A panic attack is a sensation of fear that occurs without warning in the body. It occurs at any time in the day, but it often occurs during sleep. The symptoms are chest pain, loss of control in the body, increased heartbeat, tingling or numbness in the body, and breathing difficulties. Usually, it lasts for ten minutes, but it cal also occur for a long time. It can occur during diabetes, heart disease, hyperthyroidism, asthma, and irritable bowel disease. It is treated by taking selective serotonin reuptake inhibitors and Benzodiazepines. Doing deep breathing exercises regularly helps to provide some relief.

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I am a 20-year-old female who is experiencing panic attacks now due to my childhood trauma. Kindly help.

Query: Hello doctor, I am a 20-year-old female. My childhood was not good. That is a nightmare for me. That is why I now suffer from a panic attacks, pathological lying, and memory loss, and I need help. Please help me. My family members are not supportive. And I do not have any friends so no one can help ...  Read Full »


Dr. Vishal Anilkumar Gandhi

Answer: Hi, Welcome to icliniq.com. I understand your situation, and you have passed trauma in your childhood. You may have an anxiety disorder. There is non-pharmacological management for it, and I suggest you to follow the guidelines below to deal with it. It will help you. 1) You should exercise 30 to...  Read Full »

Have to interact with people but my fear remains an obstacle. Will you suggest any solution?

Query: Hi doctor, I am 30 years old. I do not like being in public. I do not do anything fun. I have a thought that always people in my surroundings are looking at me. So I would rather be at home. I do not like using the phone. I am taking Klonopin 2 mg 3 times a day. But I am not taking it now as I am...  Read Full »


Dr. Nidhi Jain Bukharia

Answer: Hi, Welcome to icliniq.com. You are suffering from panic attacks with agoraphobia (fear to go to public place). You are taking Benzodiazepine (Klonopin-Clonazepam) of very high dose. Continue it but should take it occasionally only, as high chance of dependence is there. You should start an antid...  Read Full »

Is 5 mg Xanax a minimal dose for panic attack?

Query: Hello doctor, I am a 28-year-old male. I have diagnosed with anxiety and panic attacks and prescribed 5 mg of Xanax daily dose for eight years. My last anxiety symptoms were two years ago, and my last panic attack was last year while eight years ago, I had a panic attack daily. Is 5 mg daily Xanax ...  Read Full »


Dr. Seikhoo Bishnoi

Answer: Hello, Welcome to icliniq.com. Xanax 0.5 mg dose is not high. The drug is a rapid action Benzodiazepine drug and helps to reduce the anxiety symptoms. Abrupt stoppage of a drug after regularly taking for years might lead to withdrawal symptoms and precipitation of panic and insomnia. So it is advisa...  Read Full »

I am on Adderall for ADD and I am unable to sleep. Why?

Query: Hi doctor, I have ADD and taking Adderall 20 mg twice daily. Usually, my sleep is good and rarely I may feel difficult to sleep. Also, I only take prescription when I am supposed to. But, for the past one week, I am unable to sleep. I took my sleeping pills and still just could not sleep. As till ea...  Read Full »


Dr. Sadaf Mustafa

Answer: Hello, Welcome to icliniq.com. First of all, I would like to know how long have you been taking that dose of Adderall (combination of Amphetamine and Dextroamphetamine)? It is relatively high dose. Usually, with greater than 20 mg it has less effect on ADD (attention deficit disorder) and you...  Read Full »

SSRI is not helping with my bipolar disorder and panic attacks. Why?

Query: Hello doctor, I have bipolar disorder, panic attacks, social and generalized anxiety disorder. I have one to three panic attacks per day, constant anxiety, and fear of leaving the house. No motivation to work, no energy, apathetic, without mood. Right now I am in a depressive episode. I previousl...  Read Full »


Dr. Parth N. Nagda

Answer: Hello, Welcome to icliniq.com. If your anxiety is not responsive to SSRI's (selective serotonin reuptake inhibitors), then you should consider trying TCA (tricyclic antidepressants) class of antidepressants. They will help with your anxiety and panic attacks. Apart from Tranxene and Benzodiazepin...  Read Full »

How to stop a panic attack naturally?

Query: Hello doctor, I had a horrible panic attack two weeks ago. My arms and legs went numb. Even now, I am having trouble with them and my balance. What can I do to stop this?  Read Full »


Dr. M. K. Rathore

Answer: Hi, Welcome to icliniq.com. The treatment includes some medicines and psychotherapy. Medication includes antidepressants (SSRI's, TCI), antianxiety drugs. It is better to see a doctor before taking any medicine as the best medication for your panic attacks will depend on a variety of factors, like ...  Read Full »

I have panic attacks and nausea even after taking Valdoxan. Why?

Query: Hello doctor, I have severe anxiety and struggling majorly with nausea, having multiple panic attacks a day and now stuck for leaving home. 10 years ago they tried Zoloft which worsened symptoms. Then went to Mirtazapine 45 mg and that helped for quite many years. Unfortunately, the last 12 months ...  Read Full »


Dr. Ashok Kumar Choudhary

Answer: Hi, Welcome to icliniq.com. Although Agomelatine (Valdoxan) is a good medication for treatment of anxiety and panic disorders, it is not the best option. Agomelatine is considered a weak agent and possibility of helping in severe anxiety and panic attacks are less when compare to traditional medic...  Read Full »

I am an anxiety patient and using Mirtazapine. How long can I continue this?

Query: Hello doctor,I am an anxiety patient with 80 kg weight and 5.5 height. I am using the Mirtazapine tablet for a year. I have withdrawn it some times but faced some panic attacks. Please suggest to me how long I can continue this?  Read Full »


Dr. Suresh Kumar G D

Answer: Hello, Welcome to icliniq.com. 1. Mirtazapine is an effective antidepressant medicine used to treat depression and anxiety disorders. 2. What dose are you taking? It can usually be from 15 mg to 45 mg depending on response and tolerability. 3. You need to take it daily for at least six months to...  Read Full »

I take tablets Lexapro and Valdoxan, but I still keep getting panic attacks. Please help.

Query: Hello doctor, I keep getting really bad panic attacks. I take two tablets of Lexapro in the morning and a tablet of Valdoxan at night, but I need help controlling my panic attacks. I have also had panic attacks and have taken tablets Diazepam, Clonazepam, Alprazolam, Lexapro, Duloxetine, and Effexor...  Read Full »


Dr. Aditya Gupta

Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. 1. You can discuss with the treating psychiatrist regarding changing the dosage of medicines or substituting the tablet Valdoxan (Agomelatine) with Mirtazapine. 2. You can also discuss regarding tablet Lorazepam. ...  Read Full »

Why do I feel a sudden adrenaline rush, pressure, odd sensation, and pain on the left side of my head?

Query: Hello doctor, Since yesterday I have been having weird rushes of adrenaline in my head and some odd sensations on the left side of my head. I am worried about having temporal lobe seizures. The sudden rush to my head is followed by pressure or a slight ache to the side of my head. I also have frequ...  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. Your symptoms could be related to high blood pressure values or panic attacks. Temporal lobe epilepsy cannot be excluded either. For this reason, I recommend closely monitoring your blood pressure values and checking complete blood count and thyroid hormone levels fo...  Read Full »

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