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Suggest Treatment For Panic Attacks

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Posted on Wed, 28 May 2014
Question: Yes I have severe anxiety issues. I use to be on Xanax. I obtained a sample of Lorazepam and it makes me a little tired but it is better than having panic attacts. Im 50 yrs old and I think I might be going through mid-life depression and anxiety. fear of death, etc. I cant afford my dr. $100 co pay plus they want me to get a physical which is $500 . I cant afford it right If you can help me it would be great. thanks, XXXX
doctor
Answered by Dr. Srikanth Reddy (2 hours later)
Brief Answer:
Panic diosrder

Detailed Answer:
Hello,
Thanks for choosing health care magic for posting your query.
I have gone through your question in detail and I can understand what you are going through.
The condition that you are having is basically panic attacks. This is a disorder of anxiety and occurs cause of imbalance of certain neurotransmitters in the brain. especially serotonin, nor adrenaline, and dopamine to some extent. Medicines are the best options to take care of these symptoms. Paroxetine is the the most popular medicine and my drug of choice. I generally prescribe my patients 12.5 mg per day at night which takes care of anxiety symptoms. Also certain medicines like propranolol and clonazepam can be give as required when there is a panic episode or expected situation where panic attack can appear.
Now I also understand that you have problem with the finances. In that case you may try doing regular aerobic exercise which can reduce the panic attacks. Yoga and meditation have also helped some. You may also visit a website called Mood Gym which will do a free computer based cognitive behavioural therapy which can also help you.
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 me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
bit.ly/dr-srikanth-reddy
                                                                                                                                                                                                                                                                                                                                               
Wish you good health,
Kind regards
Dr. Srikanth Reddy M.D.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Srikanth Reddy (13 hours later)
Pravastatin is my cholesterol pill I also take. these are my med's / prav./ coreg/hydroclorizide/celexa/ I just need something for anxiety mostly
doctor
Answered by Dr. Srikanth Reddy (41 hours later)
Brief Answer:
Yes you are right

Detailed Answer:
Hello
Yes you are right. You need treatment for anxiety. As mentioned in my earlier answer you need to be started on either paroxetine or escitalopram along with clonazepam or propranolol. This will take care of your anxiety.
Regards
Dr. Srikanth Reddy
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Srikanth Reddy (34 hours later)
Is there anyway I can get a script faxed over to my pharmacy from you. I'm willing to try what you recommended. thank you, XXXX
doctor
Answered by Dr. Srikanth Reddy (13 hours later)
Brief Answer:
Unfortunately not possible

Detailed Answer:
Hello
As health care magic is an online forum, legally we are not supposed to prescribe medications without physically examining you. Such regulation are primarily meant for the safety of the patients as well as the Doctor. Further any prescription given in E-mail will not be honored by the pharmacy in your country. Sincere apologies for the same.
You may discus these options with your local doctor who can help you with a prescription.
Kind regards
Dr. Srikanth Reddy
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
Answered by
Dr.
Dr. Srikanth Reddy

Psychiatrist

Practicing since :2007

Answered : 2770 Questions

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Suggest Treatment For Panic Attacks

Brief Answer: Panic diosrder Detailed Answer: Hello, Thanks for choosing health care magic for posting your query. I have gone through your question in detail and I can understand what you are going through. The condition that you are having is basically panic attacks. This is a disorder of anxiety and occurs cause of imbalance of certain neurotransmitters in the brain. especially serotonin, nor adrenaline, and dopamine to some extent. Medicines are the best options to take care of these symptoms. Paroxetine is the the most popular medicine and my drug of choice. I generally prescribe my patients 12.5 mg per day at night which takes care of anxiety symptoms. Also certain medicines like propranolol and clonazepam can be give as required when there is a panic episode or expected situation where panic attack can appear. Now I also understand that you have problem with the finances. In that case you may try doing regular aerobic exercise which can reduce the panic attacks. Yoga and meditation have also helped some. You may also visit a website called Mood Gym which will do a free computer based cognitive behavioural therapy which can also help you. 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 me, so that I get a good feedback. In future if you wish to contact me directly, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Kind regards Dr. Srikanth Reddy M.D.