Panic Disorder

A panic disorder occurs when you have sudden unexpected panic attacks recurrently. The symptoms of panic disorder are sweating, trembling, raised heart rate, weakness, breathing problems, and chest pain. It occurs commonly in women than men. Taking cognitive behavioral therapy and medications helps a lot.

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Taking 5mg lorazapam for anxiety disorder gives poor response. Is it safe to take one more tablet?

Query: Dear Doctor, I have panic/anxiety disorder and was prescribed with 5mg lorazepam. I took one tablet at 8 PM but still l would wake up anxious in the morning. Is it safe to take one more tablet?  Read Full »


Dr. Ashok Kumar Choudhary

Answer: Hi, Thanks for posting your query at icliniq.com. At this moment you can take another 0.5mg but do not repeat it after that. Tomorrow you can discuss your poor response to the 0.5mg lorazepam either with your physician or you can discuss with me online, if online therapy for a psychiatry consultat...  Read Full »

Can Daxid and Stablon be taken together?

Query: Hello doctor, I am suffering from panic disorder and was prescribed Daxid 100, Qutipin 50, Stablon 12.5 (all one tablet per day). Can anyone take Daxid and Stablon simultaneously?  Read Full »


Dr. Ashok Kumar Choudhary

Answer: Hi, Welcome to icliniq.com. From the available description, it appears that you are confused with your drugs. Yes; you can take both Stablon (Tianeptine) and Daxid (Sertraline) at the same time. I want to know, are you having any other disorder other than panic disorder. Qutipin (Quetiapine) is no...  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, l...  Read Full »

Will stopping Effexor worsen panic disorder?

Query: Hi doctor, Seven years back, for two years, I had a complete breakdown with agoraphobia, panic attacks, weight loss, anxiety, depression. Little bouts throughout the prior ten years but they only last two weeks or few days. Nearly three years on Effexor for the panic disorder after a breakdown. I h...  Read Full »


Dr. Vishal Anilkumar Gandhi

Answer: Hi, Welcome to icliniq.com. You have panic disorder. There is non-pharmacological management for it. However, it would help if you tried to follow the below guidelines to deal with it. It will help you: 1) You should do exercises daily for 30 to 45 minutes, like going for a walk. 2) You should d...  Read Full »

Please suggest the best medicine for my psychological disorders.

Query: Hi doctor,I would like to know some treatment recommendations for my condition. I have bipolar disorder type II, social and generalized disorder, and panic disorder. I am having depression for a year. My hypomania is very mild and short-lived. I am afraid to get out of my home due to my constant anx...  Read Full »


Dr. Parth Nagda

Answer: Hi, Welcome to icliniq.com. Regarding your anxiety symptoms, you have tried taking SSRI (selective serotonin reuptake inhibitor) and SNRI (serotonin-norephedrine reuptake inhibitor) class of medications. I suggest you try taking TCA (tricyclic antidepressants) class of antidepressants like Ami...  Read Full »

I scream a lot while having panic attacks with anxiety. Please suggest.

Query: Hi doctor, I am not sure if I should be doing this, but I am worried. I really want to die. I have always considered it, but I have goals like seeing my books published. But, for the past few months, I have cared less for the books and more for how to die. I am trapped in school to study engineering...  Read Full »


Dr. Seikhoo Bishnoi

Answer: Hi, Welcome to icliniq.com. The symptoms suggest some adjustment issues related to ongoing problems. These issues are resulting in the lack of pleasure and thus deteriorating the depression. The symptoms like a wish to die, inability to find pleasure in anything, feeling weak and tired, panic sympto...  Read Full »

I have frequent pain in shoulders, arms, legs, and chest. Is it due to anxiety?

Query: Hi doctor, I am a 34 year old man. My weight is 22 stone, but I am pretty active despite my weight. I am neither easily fatigued from being active nor do I ever feel breathless other than normal. There is no history of peripheral artery disease in my family or coronary artery disease and to my knowl...  Read Full »


Dr. Rishu

Answer: Hi, Welcome to icliniq.com. It is good to see your detailed history for which I have asked for. Firstly, your ECG is perfectly normal. For anything to be wrong in case of ECG, the changes should be present in at least two consecutive leads at a time. In your case whether it is a T-wave or Q, it ...  Read Full »

How long does it take to become normal after a panic attack?

Query: Hi doctor,Last night, I had a bad panic attack with shortness of breath, shaking, heart racing and chest pains. Today, I have chest soreness and discomfort. Is this normal? When will it stop? I have anxiety and I am prone to anxiety attacks, but none with chest pain. I am on regular Zoloft 75 mg.  Read Full »


Dr. Rishu

Answer: Hi, Welcome to icliniq.com. Fast heart rate (palpitations), chest pain or heaviness and breathing difficulty are all observed during a panic attack. These are classical symptoms of panic disorder. Sertraline is a selective serotonin reuptake inhibitor given in panic attacks. A panic attack may take ...  Read Full »

Why do I always feel hopeless and nervous?

Query: Hi doctor, I am having really bad anxiety. I have a feeling of hopelessness and fear of the unknown. I have been diagnosed with depression when I was younger and have been to a mental institute once. I just feel like being around no one. I am irritable and have tremors. It has been happening about t...  Read Full »


Dr. Vijay Niranjan

Answer: Hi, Welcome to icliniq.com. I understand your concerns. You are describing episodes of panic attacks in which one feels intense anxiety, fear of impending doom, racing or sinking heart, dizziness, breathlessness, numbness, dry mouth, tremors, etc. Mostly, panic attacks are part of psychological orig...  Read Full »

Is difficulty breathing after a workout sign of heart disease?

Query: Hi doctor, A few months ago, I have been having left side pain from my shoulder blade down to my arm till the tip of the last finger. I have had ECGs, blood work, chest x-rays and finally a CT angiogram. All were normal. I am tempted to go to the ER every time this happens, because I think this migh...  Read Full »


Dr. Muhammad M. Hanif Md.

Answer: Hi, Welcome to icliniq.com. I appreciate you and have thoroughly worked through your case. I can well realize the sensitivity of the issues you are feeling right now. My discussion today will mostly comprise of reassurance and explaining the things in the best possible way for easy understanding. Th...  Read Full »

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