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Hi, One Of My Friend Has Asked For Opinion For
Question: Hi,
One of my friend has asked for opinion for his condition. I am attaching whole document. Cardiologist has asked me to consult Psychiatrist. I am seeking your opinion for same.
One of my friend has asked for opinion for his condition. I am attaching whole document. Cardiologist has asked me to consult Psychiatrist. I am seeking your opinion for same.
Brief Answer:
It could be due to panic attacks.
Detailed Answer:
Hi,
Welcome to ask a doctor service,
I have gone through your query in detail and can certainly understand your concern towards your friend
Definitely, the symptoms are suggestive of panic attacks related to anxiety.
I need some more details regarding his experience during the attack, any history of feeling of impending doom. How frequent the attacks were??
Please provide these details to help you.
Thank you.
It could be due to panic attacks.
Detailed Answer:
Hi,
Welcome to ask a doctor service,
I have gone through your query in detail and can certainly understand your concern towards your friend
Definitely, the symptoms are suggestive of panic attacks related to anxiety.
I need some more details regarding his experience during the attack, any history of feeling of impending doom. How frequent the attacks were??
Please provide these details to help you.
Thank you.
Above answer was peer-reviewed by :
Dr. Yogesh D
He has attacks mostly in afternoon while sitting in office. He has attacks when at home as well. Sometimes he feels while driving back to home from office. His family life is very good and family members are supportive. He never had feeling of impending doom.
frequency -- 2 to 3 times per month initially. Now it has reduced. But he has problem once a month.
frequency -- 2 to 3 times per month initially. Now it has reduced. But he has problem once a month.
Brief Answer:
My suggestion.
Detailed Answer:
Hi,
Welcome back,
I have gone through your description regarding the pattern of panic attacks.
Considering normal ECG and EP, the symptoms could be suggestive of panic attacks.
It needs to be treated with anti-anxiety medications along with relaxation therapy such as breathing techniques and JPMR.
I would like to know whether you are on Cipla LA or any other medications currently.
Looking back for your reply.
Thank you.
My suggestion.
Detailed Answer:
Hi,
Welcome back,
I have gone through your description regarding the pattern of panic attacks.
Considering normal ECG and EP, the symptoms could be suggestive of panic attacks.
It needs to be treated with anti-anxiety medications along with relaxation therapy such as breathing techniques and JPMR.
I would like to know whether you are on Cipla LA or any other medications currently.
Looking back for your reply.
Thank you.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
No Ma`m. Earlier he started three medicines including Ciplar LA for one month. Now all medicines are stopped
Brief Answer:
My suggestion.
Detailed Answer:
Hi,
Welcome back,
I have gone through your details.
Considering his age, and no significant organic history, it could be anxiety problem.
He can be started with anti anxiety drugs like benzodiazepines.
Along with this , he has to be treated with relaxation therapy, breathing techniques and JPMR.
Hope this information would help you.
Thank you.
My suggestion.
Detailed Answer:
Hi,
Welcome back,
I have gone through your details.
Considering his age, and no significant organic history, it could be anxiety problem.
He can be started with anti anxiety drugs like benzodiazepines.
Along with this , he has to be treated with relaxation therapy, breathing techniques and JPMR.
Hope this information would help you.
Thank you.
Above answer was peer-reviewed by :
Dr. Kampana
Thanks for answer.
Can you please provide me details of Medicines?
1. DOse and Duration of benzodiazepine?
2. How to do relaxation therapy and JPMR?
3. Prescription of each medicine
Can you please provide me details of Medicines?
1. DOse and Duration of benzodiazepine?
2. How to do relaxation therapy and JPMR?
3. Prescription of each medicine
Brief Answer:
Duration of treatment depends on individuals response.
Detailed Answer:
Hi,
Welcome back,
I have gone through your follow up query, and can certainly understand your concern.
You can start on safest benzodiazepine like clonazepam 0.25 mgalong with the combination of antidepressant like escitalopram 5 -10 mg initially.
Depending on the response, it has to be titrated to required dosage.
Relaxation therapies can be possible only in live sessions, so if you are interested you can consult through live session.
I'm sorry that prescription can not be provided on this platform.
You can consult your doctor for prescription based medicine or can be possible through live session.
Looking back for your reply.
Thank you.
Duration of treatment depends on individuals response.
Detailed Answer:
Hi,
Welcome back,
I have gone through your follow up query, and can certainly understand your concern.
You can start on safest benzodiazepine like clonazepam 0.25 mgalong with the combination of antidepressant like escitalopram 5 -10 mg initially.
Depending on the response, it has to be titrated to required dosage.
Relaxation therapies can be possible only in live sessions, so if you are interested you can consult through live session.
I'm sorry that prescription can not be provided on this platform.
You can consult your doctor for prescription based medicine or can be possible through live session.
Looking back for your reply.
Thank you.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Answered by
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