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Suggest Treatment For Anxiety And OCD

Posted on Tue, 5 May 2015

Question: ok...problem is I am in US and I don't have separate tablets of esctiloparam and clonozopam .I only have escigress 0.5 prescribed by XXXXXXX doctor. so I started using it by cutting it to half. is it better to take in the morning or dinner? I am expereinecing most of my anxiety during the morning and day time. by the evening I am becoming more normal so I thought of starting in the morning. doctor in XXXXXXX said I am experiencing anxiety and ocd

Answered by Dr. Deepti Verma (29 minutes later)

Brief Answer:
prefer medication in night

Detailed Answer:
HI, XXXX
I have read earlier conversation with Dr XXXXXXX XXXXXXX and i agree with his advice.
Usually escitalopram and clonazepam are prescribed to be taken in night as it causes some sedation along with calming anxiety. But in some patients day time dosing is also given if required dose is high. In your case you are being advised minimal dosing and can be taken for months during night. If you are not working near to machines and not driving then you can take in morning also. Actually anxiety is relieved by clonazepam.
If you are staying for long in US then consider consulting a psychiatrist for proper management and follow up as fluctuations in your disease may occur.
Hope you recover early.
wishing good health
Dr Deepti XXXXXXX

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Deepti Verma (15 minutes later)

Thanks XXXXXXX and XXXXXXX

I may probably come to XXXXXXX in the month of may or XXXXXXX I thought i am becoming more normal by the evening. so i thought better to use it in the morning. since i started today after a month break, during the break i could sleep well except that during the day i was feeling the symptoms and searching the iternet over small things. So i started today by cutting the escigress into half in the morning

Answered by Dr. Deepti Verma (8 minutes later)

Brief Answer:
can take medication in morning if no side effects

Detailed Answer:
HI, XXXX
As discussed earlier if you suffer no sedation or heaviness in daytime on taking the drug then you can take it in daytime in half dose . But you have to increase the dose if symptoms of depression are not controlled. If available then you can take only 0.25 mg clonazepam in morning and escigress CZ in night.
Hope your concerns are answered.
Wishing good health.
Thanks
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj