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Suggest Treatment For Anxiety

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Posted on Sat, 20 Sep 2014
Question: Hi my name is XXXXX and I need treatment for anxiety.Have been diagnosed with gad,ptsd.Have taken clonazapam but my dr.is very strict and and took me off it after being on it for a while.Anxiety interferes in every aspect of my life.I need medication treatment ,if you can help.Thank you.
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Answered by Dr. Manisha Gopal (27 minutes later)
Brief Answer:
venalafaxine + get tests. Stay busy

Detailed Answer:
Hello XXXXXX,

I have read your query and it says that you have a diagnosis of PTSD, anxiety and you see a rheumatologist.

You have mentioned taking clonazepam only but that dosent help daytime anxiety.

Its difficult to asess as why your doctor didnt ever put you on a proper anti anxiety meds (which would have solved the issue till now and there would have been no need for clonazepam). However, it is good that you want to go for it now.

Drugs like - sertraline 25-150mg or venalafaxine are good anti anxiety.

For severe anxiety cases I usually go for venalafaxine, starting at 37.5mg to upto 225mg. The effect effect come mostly within 3-7days and there is almost no episode of severe anxiety.

For initial few days one might need sedative at night but gradually this is not required.
The drug venalafaxine or sertraline are non sedative in nature so can be taken in day time as well.

You can discuss the meds with your doctor and start them.

Get your blood pressure checked, and blood tests- suagr fasting, TSH. If these are disturbed, take the necessry meds- it is helpful in early recovery.

Wish you good luck.
Please feel free to ask more queries for further clarifications.

Dr. Manisha Gopal
MD Neuropsychiatry
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
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Answered by
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Dr. Manisha Gopal

Psychiatrist

Practicing since :2005

Answered : 947 Questions

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Suggest Treatment For Anxiety

Brief Answer: venalafaxine + get tests. Stay busy Detailed Answer: Hello XXXXXX, I have read your query and it says that you have a diagnosis of PTSD, anxiety and you see a rheumatologist. You have mentioned taking clonazepam only but that dosent help daytime anxiety. Its difficult to asess as why your doctor didnt ever put you on a proper anti anxiety meds (which would have solved the issue till now and there would have been no need for clonazepam). However, it is good that you want to go for it now. Drugs like - sertraline 25-150mg or venalafaxine are good anti anxiety. For severe anxiety cases I usually go for venalafaxine, starting at 37.5mg to upto 225mg. The effect effect come mostly within 3-7days and there is almost no episode of severe anxiety. For initial few days one might need sedative at night but gradually this is not required. The drug venalafaxine or sertraline are non sedative in nature so can be taken in day time as well. You can discuss the meds with your doctor and start them. Get your blood pressure checked, and blood tests- suagr fasting, TSH. If these are disturbed, take the necessry meds- it is helpful in early recovery. Wish you good luck. Please feel free to ask more queries for further clarifications. Dr. Manisha Gopal MD Neuropsychiatry