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 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 I have withdrawn it some times but faced some panic attacks.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 »

Is it advisable to reduce the dose of Stalopam and Clonafit, if symptoms reduced drastically?

Query: Hello doctor, I am suffering from panic disorder for the past four months. Initially, when I got my first panic attack, I just suffered without taking medical help since I am frightened to take medicine. This made matters worse and I started to have almost regular panic attacks followed by mild de...  Read Full »


Dr. Suresh Kumar G D

Answer: Hello, Welcome to icliniq.com. It is good to know that you are feeling better and the medication have been helpful. Regarding your query about medication, it is advisable to continue Stalopam 10 mg (Escitalopram) for at least six months even if you are feeling better. Stalopam is an SSRI (selectiv...  Read Full »

Am I having panic attak because of anxiety?

Query: Hello doctor, I suffered from a horrible panic attack this morning which lasted over 5 hours and along with it I got painful cramps in my stomach similar to contraction pains and really bad chest pains, it felt like someone has physically squeezed my heart and I have seen my doctor about this previ...  Read Full »


Dr. Suresh Kumar G D

Answer: Hello, Welcome to icliniq.com. I understand that high levels of anxiety and panic attacks can be debilitating and needs to be properly managed. Your doctor is correct in informing you that Valium and Oxazepam are not appropriate in this situation as they will make the situation worse. If anxiety i...  Read Full »

I have constant fight or flight feeling. Is it due to panic attack?

Query: Hi doctor, I have what I believe is a panic disorder. I have episodes where my stress gets too high something gets triggered and I felt stuck in constant fight or flight like a constant panic attack which lasts for atleast 2 months. Sometimes I can be calm in the evening but the next morning the pa...  Read Full »


Dr. Suresh Kumar G D

Answer: Hello, Welcome to icliniq.com. You are probably experiencing high levels of anxiety and panic symptoms which make you feel edgy and finding it difficult to relax. Physiological signs of sympathetic nervous system activation can happen in anxiety and panic disorders. Alcohol does not help and can ...  Read Full »

My anxiety is worsened after using Klonopin and having panic attacks in the morning. Why?

Query: Hello doctor, I have been diagnosed with major depressive disorder and take both Prozac and Wellbutrin daily. I also have extreme anxiety and take Klonopin. Lately, my anxiety has worsened to the point that the Klonopin does not help like it once did. I wake up almost every morning having a panic a...  Read Full »


Dr. Suresh Kumar G D

Answer: Hello, Welcome to icliniq.com. Anxiety disorder and related panic attacks are best managed by a combination of medication and psychological therapy like CBT. Prozac (Fluoxetine) is effective not only against depression but also helps with anxiety. Discuss with your doctor whether you are on the opti...  Read Full »

My fingers will twitch consistently then lock up and lose circulation, on both sides. Is this panic attack?

Query: Hello doctor,I have been dealing with some issues lately regarding panic attacks. I am not sure what it is, but it is scary. I had three panic attacks in one day, or I think they are panic attacks. My fingers will twitch consistently then lock up and lose circulation, along with my whole arm, on bot...  Read Full »


Dr. Suresh Kumar G D

Answer: Hello,Welcome to icliniq.com.The symptoms you are experiencing can be possibly due to hyperventilation during panic attacks. These can give rise to tetanic symptoms like tingling in limbs and face, muscle stiffness, trembling in hands, etc. It is advisable to consult your primary care doctor initial...  Read Full »

How can I overcome panic attack due to fear of the dark?

Query: Hello doctor, I have been experiencing what my mother says is a panic attack, but I am not sure because I only get racing thoughts, my heart races or beats really hard, and I feel shaky like I might cry (no other symptoms). I read that panic attacks peak at 10 minutes, but I feel this way for hours...  Read Full »


Dr. Suresh Kumar G D

Answer: Hello, Welcome to icliniq.com. Your mother is probably right. You are describing anxiety and panic symptoms. Staying at a noisy Air BNB has probably accentuated your fears. How long have you been having these symptoms? If you are not having any problems during the day and no problems during other ...  Read Full »

Can I replace Paroxetine with Buspar to fight the possible serotonin depletion?

Query: Hello doctor, My complaints started 22 years back, light feeling in the head, cramped neck and chest, hypochondriacal thoughts about heart disease (which I do not have). This caused several panic attacks and anxiety and finally chronic fatigue. My doctor prescribed Paroxetine 20 mg and after some e...  Read Full »


Dr. Suresh Kumar G D

Answer: Hello, Welcome to icliniq.com. You have provided a helpful insightful summary of your problems. As you rightly identified, your difficulties appear to be related to excessive anxiety. Panic attacks, obsessive preoccupation about breathing, fatigue and sleep disturbance appear to be related to high...  Read Full »

How can anxiety causing breathlessness be controlled?

Query: Hello doctor, I have a best friend who suffers from anxiety and I saw her almost dying today because of a panic attack she had. All her life she thought she had a problem with her heart but she went to see a doctor and he said she is in perfect health. She starts shaking and cannot breathe and I am...  Read Full »


Dr. Suresh Kumar G D

Answer: Hello, Welcome to icliniq.com. Panic attacks related to anxiety can be a scary experience. But remember it is not a life-threatening experience. You can encourage your friend to seek professional support to manage her panic attacks and anxiety. She will need a complete assessment following which t...  Read Full »

How long should Nexito Forte be used for anxiety and panic attack?

Query: Hello doctor, I have been suffering from anxiety for the last 10 years. I was able to live a normal life and working happily. I was on Nexitoplus (do not know if I had depression). Two months back because of family problems (father health issue), financial stress, work pressure, and continuous thou...  Read Full »


Dr. Suresh Kumar G D

Answer: Hi, Welcome to icliniq.com. It is quite common for anxiety to get elevated when faced with stressful situations in life. The good thing is with appropriate support your anxiety will come down eventually and you can function normally. Nexito (Escitalopram) is a good medication for your condition. I...  Read Full »

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