
Effective Treatment For Anxiety, Panic Disorder And Mild Depression?

Thanks for choosing health care magic for posting your question.
First of all I would like to appreciate the way you have mentioned all the minor details in your question.
After reading your account, it is quite clear that you are having a relapse of depressive symptoms. Although paroxetine is a very good drug for anxiety disorder, its efficacy for depression is slightly lower. If you had good control with 25mg of paroxetine (pexidep) there was no need to increase it to 37.5mg. Further if the the depression was still present , instead of serta, venlafaxine would have been a better choice. Paroxetine was already taking care of your sarotonin levels and venlafaxine would have in that case taken care of your nor-adrenaline levels. Serta also acts as an SSRI like paroxetine and there is not much rational behind adding two drugs of the same classes. Try discussion with your psychiatrist about adding venlafaxine or even quetiapine in the place of serta.
If your depression is still resistant, there is a possiblity of it being of a bipolar type and then in that case quetiapine and lamotrigine are good drug choices.
Olanzapine does cause weight gain and has been proved many times. If you have weight concerns, you should better avoid that drug for depression.
Its good that you are doing pranayam and XXXXXXX XXXXXXX but you should also try some aerobic exercises probably in the morning.
Hope I am able to solve your concerns.
If you have any further clarifications, you can surely contact me back
If no, then in that case your may rate the answer and also provide with a review if possible.
Hope you get well soon.

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