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Suggest Treatment For High BP, Depression And Anxiety

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Posted on Sat, 19 Dec 2015
Question: Hi Dr,

I already have high blood pressure and taking medicine (Atpure 50 mg) for it since 10 years.Since 4 months I am constantly facing problem about low self confidence, depression and anxiety, Regarding this, Dr prescribed me Rexitra 5mg and 10 mg , Epritril 0.5 mg , are these medicines safe?? I am not able to sleep more than 4-5 hrs and constant fear, anxiety is there. Please please suggest me what should be done and the medicines.Do these medicines have any side effects ?

Regards, XXXXXXX
doctor
Answered by Dr. Dr. Chintan Solanki (1 hour later)
Brief Answer:
they are right medicines and relatively very safe

Detailed Answer:
Hello Mr. XXXX,

Thanks for writing to us.

Rexipra (escitalopram) is an SSRI group of anti-depressant drug and it’s very safe among most of the antidepressants. Common side effects are nausea, gastric discomfort, yawning, decrease libido. However it does not mean that each patient taking it will have side effects. 5-12% of the patients suffer from these. And most of them get adapted and tolerant to side effects and only few of them have to stop medicine due to side effect. It is good drug from your problem and safe in patients with high blood pressure.

Epitril (clonazepam)is benzodiazepine and very good anti-anxiety drug. In day time at low dose it gives immediate control of anxity symptoms. At night time in higher dose it is helpful in sleep. No major side effects of this drug.

Both of these drug can be stopped gradually under doctor's guidance. If your physician have given these drugs I recommend take opinion of psychiatrist once as psychiatrist is the expert person who can prescribe and use these drugs effectively and safe manner.

Hope I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2407 Questions

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Suggest Treatment For High BP, Depression And Anxiety

Brief Answer: they are right medicines and relatively very safe Detailed Answer: Hello Mr. XXXX, Thanks for writing to us. Rexipra (escitalopram) is an SSRI group of anti-depressant drug and it’s very safe among most of the antidepressants. Common side effects are nausea, gastric discomfort, yawning, decrease libido. However it does not mean that each patient taking it will have side effects. 5-12% of the patients suffer from these. And most of them get adapted and tolerant to side effects and only few of them have to stop medicine due to side effect. It is good drug from your problem and safe in patients with high blood pressure. Epitril (clonazepam)is benzodiazepine and very good anti-anxiety drug. In day time at low dose it gives immediate control of anxity symptoms. At night time in higher dose it is helpful in sleep. No major side effects of this drug. Both of these drug can be stopped gradually under doctor's guidance. If your physician have given these drugs I recommend take opinion of psychiatrist once as psychiatrist is the expert person who can prescribe and use these drugs effectively and safe manner. Hope I have answered your query, I will be happy to help further. Regards, Dr.Chintan Solanki.