Recently Answered Questions
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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 »
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 »
I have had GAD, BPD, and panic disorder since the pandemic. How to overcome them?
Query: Hello doctor, I have GAD, BPD, and panic disorder. I was staying at home during the pandemic and it is almost three years now, and I need to go back to the office next week. Unfortunately, I still feel overwhelmed whenever I go out or ride public transportation vehicles. Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for taking help from a psychiatrist. I can understand your situation and COVID have changed so many lives. There is worsened and precipitated mental illness due to COVID. You need to push yourself to come out of it. you have to move into the routine li... Read Full »
What should my friend do to overcome anxiety and panic attacks?
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. I was re... Read Full »
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 »
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 »
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 »
I am a 43-year-old female with panic disorder, which makes me scared of sex. Please help.
Query: Hi doctor, The other night while having sex, I got really hot, and as I orgasmed, I felt a weird feeling inside the top of my head for a second, but I did continue to sweat a lot. I am a 43-year-old female with panic disorder, which makes me scared of sex. However, I did see my primary care physicia... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. It is not uncommon to have such weird sensations during sexual activity. Suppose it is the first time, then there is no need to worry. Just remain cool and calm. But, as you also have panic disorder, it seems to be a part of it. If you are g... 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 »
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 »
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 »
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 Amitrip... 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 »
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 want medicine without side effect for anxiety and panic disorder. Is Imipramine a good choice?
Query: Hello doctor, I have tried Lexapro, Wellbutrin, Effexor, and Prozac for anxiety and panic disorder. But I suffer from the side effects of these medications. My biggest complaints were increased anxiety, and panic attacks, along with weight gain (50 pounds), and tachycardia that kept me up at night ... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your problem. Imipramine is a tricyclic antidepressant drug, and yes the drug is known to result in side effects like weight gain. But this depends upon the dose, the duration of treatment, patient factors, etc. Lexapro (Escitalopram), Wellbutrin (Bu... Read Full »
What can be the reason for my dull sternal ache?
Query: Hi doctor, I am a 23-year-old female; I have dull sternal ache on both sides of the sternum but preferably on the left, and it worsens when laying down. I have severe anxiety disorder and panic disorder and suffer from many panic attacks. I have no history of heart problems and do not get tachycardi... Read Full »
Answer: Hi, Welcome to icliniq.com. Your ECG (electrocardiogram) is normal, with no significant ST - T (ST-segment and T wave) changes. Blood work-up is good. No need to worry. Yes, panic attacks can be associated with precordial pain. I suggest continuing treatment for panic attacks. You can repeat TMT (... Read Full »