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Suggest Other Medications For Depression And Anxiety
Question: Of all the outdoor games, my most favorite is cricket. This game has been popularly accepted in XXXXXXX in recent years since India’s good performance in international cricket.
The game of Cricket is played on a large oval-shaped ground. Each team comprises of eleven players. After the toss players of one team go in for batting and the players of the other team bowl in turn. There are fielders also who stop balls and return it. The batmen start bating and defend the deliveries of the bowlers.
The game may be of a One-day match or a Test Match for five days. The team that scores more runs wins the match.
The captains of both the teams have on significant role in such a game. There are two umpires whose opinion and decision are to be accepted by the players of both the teams.
Like other games, cricket is also a toilsome game and the practice of it keeps the players fit and healthy physically. Excellent team spirit and sense of discipline can be developed by joining and practicing this game. Deep concentration and determination are necessary to gain perfection. This game is regarded as the valuable and dignified one.
My favorite game is cricket. In IPL my favorite team is KKR (Kolkata Knight Riders) and in international cricket my favorite team is Ind (India).
Whenever a match is played by XXXXXXX or KKR I don’t miss a single ball. CSKs (Chennai Super Kings) have won two IPLs back-to-back, but still I don’t support CSK.
I support KKR because I have stayed in XXXXXXX for 8 years. Even though I have now shifted to XXXXXXX my heart still goes out to KKR and not to the XXXXXXX Daredevils!
My favorite bowler is XXXXXXX XXXXXXX He is one of the best bowlers in the world. My favorite batsman is XXXXXXX Tendulkar. He is the greatest batsman in the world.
My greatest wish is to meet XXXXXXX Tendulkar. My Mamu (mother’s brother) has promised me to take me to meet him some day. I am waiting for that day!
Dear Doctor, I am suffering from Depression and Anxiety (Panic Attacks) since I was 3 years old. I am male and age 42 yrs working in Government of XXXXXXX My job is sedentary. First thing recently I am taking 4mg rivotril since 2003. She has prescribed apart from this serta 150 mg and petra beta. But in vein. The she suggested for RTMS (Rapid Transcranial Magnetic Stimulator) for 20 sessions. First she tried for 10 sessions in the left brain for depression but does not work out. Next 20 sessions she tried for right brain for anxiety that too also not worked. Again she has changed medication and prescribed Amixide H and proxidep 25 mg but in vein. Now she want to take the councilling and after that it does not work out she would like to prefer to petscan. Kindly tell me the solution please. First thing I am feeling unknown sadness through out day. Second thing I feel Anxiety ( 3 types: one is nervous laugh, unable to explain freely, unable to argue), third thing addiction of rivotril. Kindly suggest me what to do I want to come out of these problems.
The game of Cricket is played on a large oval-shaped ground. Each team comprises of eleven players. After the toss players of one team go in for batting and the players of the other team bowl in turn. There are fielders also who stop balls and return it. The batmen start bating and defend the deliveries of the bowlers.
The game may be of a One-day match or a Test Match for five days. The team that scores more runs wins the match.
The captains of both the teams have on significant role in such a game. There are two umpires whose opinion and decision are to be accepted by the players of both the teams.
Like other games, cricket is also a toilsome game and the practice of it keeps the players fit and healthy physically. Excellent team spirit and sense of discipline can be developed by joining and practicing this game. Deep concentration and determination are necessary to gain perfection. This game is regarded as the valuable and dignified one.
My favorite game is cricket. In IPL my favorite team is KKR (Kolkata Knight Riders) and in international cricket my favorite team is Ind (India).
Whenever a match is played by XXXXXXX or KKR I don’t miss a single ball. CSKs (Chennai Super Kings) have won two IPLs back-to-back, but still I don’t support CSK.
I support KKR because I have stayed in XXXXXXX for 8 years. Even though I have now shifted to XXXXXXX my heart still goes out to KKR and not to the XXXXXXX Daredevils!
My favorite bowler is XXXXXXX XXXXXXX He is one of the best bowlers in the world. My favorite batsman is XXXXXXX Tendulkar. He is the greatest batsman in the world.
My greatest wish is to meet XXXXXXX Tendulkar. My Mamu (mother’s brother) has promised me to take me to meet him some day. I am waiting for that day!
Dear Doctor, I am suffering from Depression and Anxiety (Panic Attacks) since I was 3 years old. I am male and age 42 yrs working in Government of XXXXXXX My job is sedentary. First thing recently I am taking 4mg rivotril since 2003. She has prescribed apart from this serta 150 mg and petra beta. But in vein. The she suggested for RTMS (Rapid Transcranial Magnetic Stimulator) for 20 sessions. First she tried for 10 sessions in the left brain for depression but does not work out. Next 20 sessions she tried for right brain for anxiety that too also not worked. Again she has changed medication and prescribed Amixide H and proxidep 25 mg but in vein. Now she want to take the councilling and after that it does not work out she would like to prefer to petscan. Kindly tell me the solution please. First thing I am feeling unknown sadness through out day. Second thing I feel Anxiety ( 3 types: one is nervous laugh, unable to explain freely, unable to argue), third thing addiction of rivotril. Kindly suggest me what to do I want to come out of these problems.
Brief Answer:
Medicines from other chemical group should be used
Detailed Answer:
Hello,
Thanks for writing to us.
I like your passion for cricket.
You have been given sertraline and paroxetine (it is pexidep I think, not proxidep) for depression and rivotril, petra beta and amixide h for anxiety. RTMS has also been used. You are still suffering from sad mood, nervousness and lack of confidence(unable to argue).
In my opinion, anti depressant from other medicine group should be used. Sertraline and paroxetine both are SSRI. Desvenlafaxine, Mirtazapine (both SNRI) or bupropion (NRI) should be used in optimum dose for optimum period. If still no improvement, lithium, lamotrigine, quetiapine or aripirazole can be added considering resistant depression.
Other option is ECT(electro convulsive therapy).
Rivotril addiction can be treated with gradually decreasing the dose of the same with supporting medicines like lorazepam, etizolam or oxcarbazapine.
Counseling and behavior therapy are useful approach. you must go for the same. But I don't think that they will be effective without help of medicines at this stage.
PET scan is not at all indicated in my opinion. It will not be useful in treatment. Simple MRI brain is sufficient to rule out any neurological problem.
If your job is continue with this problem also, I think your disorder is not too much severe that it can not be treated. You just need to be given right treatment from right doctor.
Discuss above aspect with your treating psychiatrist and move forward.
All the best and I wish team XXXXXXX will win this world cup again.
Hope I have answered your query,I will be happy to help further.
Regards,
Dr.Chhintan Solanki.
Medicines from other chemical group should be used
Detailed Answer:
Hello,
Thanks for writing to us.
I like your passion for cricket.
You have been given sertraline and paroxetine (it is pexidep I think, not proxidep) for depression and rivotril, petra beta and amixide h for anxiety. RTMS has also been used. You are still suffering from sad mood, nervousness and lack of confidence(unable to argue).
In my opinion, anti depressant from other medicine group should be used. Sertraline and paroxetine both are SSRI. Desvenlafaxine, Mirtazapine (both SNRI) or bupropion (NRI) should be used in optimum dose for optimum period. If still no improvement, lithium, lamotrigine, quetiapine or aripirazole can be added considering resistant depression.
Other option is ECT(electro convulsive therapy).
Rivotril addiction can be treated with gradually decreasing the dose of the same with supporting medicines like lorazepam, etizolam or oxcarbazapine.
Counseling and behavior therapy are useful approach. you must go for the same. But I don't think that they will be effective without help of medicines at this stage.
PET scan is not at all indicated in my opinion. It will not be useful in treatment. Simple MRI brain is sufficient to rule out any neurological problem.
If your job is continue with this problem also, I think your disorder is not too much severe that it can not be treated. You just need to be given right treatment from right doctor.
Discuss above aspect with your treating psychiatrist and move forward.
All the best and I wish team XXXXXXX will win this world cup again.
Hope I have answered your query,I will be happy to help further.
Regards,
Dr.Chhintan Solanki.
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
Dear Doctor, kindly suggest me immediately what steps I have to follow sequentially to get rid of this problem.
Brief Answer:
Continue rivotril, add antidepressant, start counselling
Detailed Answer:
Hi,
Thanks for follow up.
Your problem of depression is chronic as you mentioned. It is not possible to treat this depression immediately by any mean.
Still you can follow steps as below to get rid of your problem.
First of all there is need to add specific anti depressant medicine to rivotril. Ask your doctor to prescribe suitable medicine as discussed in previous answer.
Simultaneously start counselling sessions. Psychotherapy and behaviour therapy will have additive effects to medicines.
If your situation is too severe, ECT can help. Anti depressant medicines will show effects after 10-15 days. After course of ECT medicines must be continued as per doctor's advice.
When you feel satisfactory improvement, rivotril can be decreased gradually and stopped.
Healthy life style helps a lot. Regular 6-8 hours sleep per day,exercise(walking 3-4 km daily is enough) and healthy nutritious diet(more vegetables and fruits, no junk food) are important measures for fast recovery.
Hope this answer will be helpful, feel free to ask if more queries.
Http://bit.ly/drchintansolanki
Continue rivotril, add antidepressant, start counselling
Detailed Answer:
Hi,
Thanks for follow up.
Your problem of depression is chronic as you mentioned. It is not possible to treat this depression immediately by any mean.
Still you can follow steps as below to get rid of your problem.
First of all there is need to add specific anti depressant medicine to rivotril. Ask your doctor to prescribe suitable medicine as discussed in previous answer.
Simultaneously start counselling sessions. Psychotherapy and behaviour therapy will have additive effects to medicines.
If your situation is too severe, ECT can help. Anti depressant medicines will show effects after 10-15 days. After course of ECT medicines must be continued as per doctor's advice.
When you feel satisfactory improvement, rivotril can be decreased gradually and stopped.
Healthy life style helps a lot. Regular 6-8 hours sleep per day,exercise(walking 3-4 km daily is enough) and healthy nutritious diet(more vegetables and fruits, no junk food) are important measures for fast recovery.
Hope this answer will be helpful, feel free to ask if more queries.
Http://bit.ly/drchintansolanki
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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