Hello,
Thanks for your query.

I appreciate your efforts for medical consultation in so much distress.

Important aspects of your query are:
•     53 year old female
•     Known case of fibromyalgia, panic and anxiety
•     Stopped Venlafaxine suddenly
•     Complaints of: right ear ache pain that extends to jaw and down my neck and front and back shoulder, heart racing at night and difficulty in sleep.

Symptoms like right ear ache pain that extends to jaw and down my neck and front and back shoulder, heart racing at night and difficulty in sleep are possible due to recurrence of anxiety symptoms.

Treatment for anxiety and panic disorder need to be continued for long term in psychiatrist supervision. Medicines like venlafaxine should not stopped suddenly. Ambien is used only for sleep, but it do not reduce anxiety and longterm use lead to addiction. Although venlafaxine use do not lead to addiction even on years of use.

Apart from that, it is better to rule out other causes of headache in following hierarchy:
-Pathology in ear, teeth, sinus or eyes
-High BP: so monitor your BP
-Vision problem
-Neurological cause: may need MRI for that.

Your treatment will depend on cause of headache. So get yourself evaluated for above causes for headache. Same time it is better to restart treatment for anxiety and panic.

I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.

Wish you good health.
Regards,
Dr Ashish XXXXXXX Mittal

---

Hello again,
Thanks for follow up.

Yes it matter, as there is more chances left side pathology and physician will pay more attention on that side during examination.


Wish you good health.
Regards.

---