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Suggest Treatment For Anxiety Attacks And Clinical Depression While On Nexito-20

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Posted on Mon, 19 Jun 2023
Question: Hello Doctor,

My son, 20 years old, has recently been diaganosed as clinically depressed since the last 2 years. Since he was away in hostel, I did not realize it so long. Now, his studies are affected and he has anxiety attacks in class due to which he misses class and exams.

A highly recommended Psychiatrist has put him on Nexito 20 mg since 2 months now. He felt better for 2 months, but now I am seeing his anxiety attacks come back and he is missing some classes.

Please can you suggest if this is normal or if not, what should I do ?

Thanks
Helpless mother
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (32 minutes later)
Brief Answer:
It is not normal

Detailed Answer:

Hello,

Most of the patients who are prescribed anti anxiety medications do well for a long period of time but few patients experience recurrent anxiety attacks despite the continuation of medication. The same is applicable in case of our son and I do not feel this is normal.

Having said this, there are two options to counter these recurrent anxiety attacks.

First, to prescribe add on anti anxiety medication for a short period such as Clonazepam thrice a day, it can be increased further as per the needs.

Second, to add another antidepressant with the current medication such as Mirtazapine.

I need to acknowledge that what I mentioned above are prescription only medications and you will need to see his psychiatrist in person before adding the above mentioned treatment.

I hope this helps you.

Thanks again.

Regards,
Dr. Ashok Kumar
Psychiatrist
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3350 Questions

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Suggest Treatment For Anxiety Attacks And Clinical Depression While On Nexito-20

Brief Answer: It is not normal Detailed Answer: Hello, Most of the patients who are prescribed anti anxiety medications do well for a long period of time but few patients experience recurrent anxiety attacks despite the continuation of medication. The same is applicable in case of our son and I do not feel this is normal. Having said this, there are two options to counter these recurrent anxiety attacks. First, to prescribe add on anti anxiety medication for a short period such as Clonazepam thrice a day, it can be increased further as per the needs. Second, to add another antidepressant with the current medication such as Mirtazapine. I need to acknowledge that what I mentioned above are prescription only medications and you will need to see his psychiatrist in person before adding the above mentioned treatment. I hope this helps you. Thanks again. Regards, Dr. Ashok Kumar Psychiatrist