Recently Answered Questions
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My fingers twitch consistently and lose circulation. Why?
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 bo... Read Full »
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 ini... 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 170 pounds weight and 5 feet 5 inches 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 I have withdrawn it some times but faced some panic attacks.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 »
Answer: Hello, Welcome to icliniq.com. Mirtazapine is an effective antidepressant medicine used to treat depression and anxiety disorders. What dose are you taking? It can usually be from 15 mg to 45 mg depending on response and tolerability. You need to take it daily for at least six months to a year, pos... 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 »
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 si... 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 »
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 »
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 »
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 »
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 »