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Sir, I Have Depression , Anxiety , Phobia , Low

Posted on Tue, 16 Jul 2019

Question: Sir, i have depression, anxiety, phobia, low self steam from last 16 year. Previously i was taking Nexito 10 mg and clonzepam 0.5 in morning and evening and Mirtazapine 15 mg in night. but it create me excess sedation in the morning. I discuss with other doctor and he prescribe me toficalm 100 mg and nexito 10 mg in morning and evening and veniz xr 75 mg in morning and evening but it create me some stomach upset problem.
Please suggest which combination of medicine should i take to avoid my long term anxiety, depression, phobia, low self steem. i have also IBS diarrehea problem.

Answered by Dr. Seikhoo Bishnoi (26 minutes later)

Brief Answer:
Low dose anti-psychotics can be added.

Detailed Answer:
Hello thanks for using ask a doctor service

You have depression, anxiety, phobias and poor self esteem. What kind of phobia do you have?

Please provide me more details.

You are currently on 10 mg Nexito two times a day, 75 mg Venlafaxine twice a day and Toficalm 10 mg twice a day and still there is anxiety. In that case one thing that can be done is to add some low dose antipsychotic drug in order to supplement the antidepressants. Addition of Olanzapine or Risperidone can be done. This will help in reducing the anxiety and you will feel better. You can talk with your doctor for that. This will also help in improving the sleep. Drugs like Clonazepam or Alprazolam or Etizolam can be used on SOS basis to reduce the exacerbations of anxiety. This will help to control severe anxiety and your self confidence will improve.

Thanks and Take care.

Please let me know if you have more doubts.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Seikhoo Bishnoi (17 minutes later)

thanks a lot sir for your valuable answer.

i start masterbation at age of 18 and soon i start feeling problem of night fall and weakness. i shown to local doctor and he says you ruined your life. i was afraid and try lots of ayurvedic medicine but no result. i visited lots of psychiatrist and they clear my doubts but still some i feel i have less sexual stamina. I am unamrried and afraid to marry due to this phobia.
Other confusion is that Combination of Nexito+Toficalm 100+ Veniz 75 in morning and evening is good for long term without much side effect as it create some time stomach upset or i need to change my doctor. Previous doctor suggested my nexito 10 and clonzepam 0.5 morning and evening and mirtazapine but it create me excess sedation. very much confused and cant concentrate on my job which destroying my life. pls help sir

Follow up: Dr. Seikhoo Bishnoi (2 hours later)

Dear Sir,

Previously i have also consulted a doctor in XXXXXXX and he suggested me buspin 10 mg in morning and night and Pexep Cr 12.5 mg in morning for my severe anxiety and depression problem. i had taken these medicine for 4-5 days and left as it cause me less effective and sweating. doctor says it will take time to adjust in body.

Another doctor suggest me a combination of Nexito+Toficalm 100+ Veniz 75 in morning and evening but it also create me stomach upset probelm.

Then i visit to another doctor in apollo hospital and he prescribed me nexito 10 and clonzepam 0.5 morning and evening and mirtazapine but it create me excess sedation.

Now very much confused that which treatment i take for long term without much side effect.

I have severe depression with anxiety, excess seating, low self esteem and stamina, social anxiety, afraid to go out and meet people.

Please help.

Answered by Dr. Seikhoo Bishnoi (5 hours later)

Brief Answer:
Wait for some times, medicines will definitely act

Detailed Answer:
Hello again

First of all I'd like to tell you that masturbation is a safe habit and it doesn't cause any sexual or physical side effects. So stop worrying for this. If the local quack said you ruined your life then this was to create confusion in you and to extract money from you. Most of people masturbate and this is normal.

Now coming to your anxiety and depression. The prescription you are currently on is good prescription. Just continue to take this as advised and you will see benefit in coming weeks. Medicines take time to act and wait for some time. You will be alright in some weeks. Remain relaxed.

Thanks.

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar