Brief Answer:
I think managing stress may help you

Detailed Answer:
Hello,
Thanks for using healthcaremagic.

I read your query and understand your concerns.

From the available description it appears that you are dealing with stress which can be managed by few simple changes in life style.

I am writing down few of the strategies that will help you in management of stress leading to reduction of your symptoms and improvement in your functioning.

1. Diet: Ensure intake of adequate quantity of fiber. 2 servings of vegetable salad and 2 servings of fruits( One preferable citrus fruit).
Avoid junk food and fast food especially pizza, burgers and excessive sweets

2. Ensure adequate water intake: Recommended intake of water is 2 to 3 liter a day. Insufficient intake of water could be a contributing factor in causation of symptoms.

3. Early morning Exercise: Brisk walking for 30 minutes at a stretch preferably in garden will be very helpful. Make it a daily habit and incorporate in your lifestyle. Believe me it makes wonders.

4. Avoid tea/coffee/ nicotine and alcoholic beverages.

5. Start your day with a glass of Lemon water with 2 spoons of honey added.

6. Don't take work so seriously: We all have the feeling to excel in our respective fields and don't spend adequate time with our own self trying to understand our own needs.

Spend time with your family and friends.

7. While working take frequent regular breaks: Taking regular breaks will not waste the time, but it will definitely increase the productivity, concentration and reasoning. Take break for 5 minutes every 30 minutes.

8. Avoid late night socialization

9. Avoid starring for longer time at the computer screen or TV for longer time

10. Steam inhalation before going to sleep will be very refreshing

11. Multivitamin and Calcium supplement.

12. Meditation and Yoga

Wishing you a very happy and healthy life

Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.

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Brief Answer:
Z drugs are the first choice

Detailed Answer:
Hello,
Thanks for reverting back to me.

I am glad to know that information was useful for you.

In regard to your question I feel you can use Z drugs like zoplpidem, zaleplon etc as they are safe and do not cause habit formation. Although considering your anxiety benzodiazepines can also be used for brief period but they have high addition potential and should be avoided as far as possible.

I am not supposed to prescribe online, as it is against the medical ethics, but I think zolpidem is best choice for onset of sleep and you can discuss with your doctor.

I hope this assists you further.
Thanks and regards.

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Brief Answer:
Xanax acts immediately

Detailed Answer:
Hello,
Thanks for reverting back to me.

Xanax acts immediately in anxiety but due to addictive properties should be removed after few weeks once paxil starts working. Generally paxil takes 2-6 weeks to act in anxiety.

Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.

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