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What Causes Heaviness In Head And Nausea After Withdrawal Of Nexito And Etilaam?

Posted on Mon, 2 May 2016

Question: I was having panic attacks from Nov 26 2016 and was prescribed Etilaam 0.5 mg twice and Nexito 10 mg at Night. My panick attacks stopped with 2 weeks of medication.

I stopped having Nexito (had headaches) by reducing to 5 mg for 5 days and stopped. Also etilaam I am taking 0.5 mg only at night.

After 5 days of stopping Nexito and 10 days of reducing etilaam I experience heavy head even in the morning which gets bad as day progress everyday for the last 3 days and sometimes have Nausea but No Panic attacks. I feel better when I go out or walk.

My Vitamin B12 is 174 and I take UBIMUTH 300. Plz help as this heavy head is very disturbing.

Answered by Dr. Sudhir Kumar (27 minutes later)

Brief Answer:
Symptomatic treatment and B12 supplements would help.

Detailed Answer:
Hi,

Thank you for posting your query.

I have noted your symptoms and details of treatment received so far.

You took Nexito for about two weeks, gradually reduced the dose and stopped it; So, we we do not expect any withdrawal symptoms.

As of now, you should take symptomatic treatment with medication such as naproxen or etoricoxib for heavy head.

Also, your vitamin B12 level is low. You should take vitamin B12 supplements (injections, followed by tablets).

You would start getting better in a few days.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (14 minutes later)

Sir
Thanks .
My Neurologist has prescribed WECAL plus
UBIMUTH 300. Are these for Vitamin B 12.

Also he has prescribed S ADIMER 200. What is this medicine for.

Also plz tell me when should I stop using etilaam 0.5 mg.

Answered by Dr. Sudhir Kumar (3 minutes later)

Brief Answer:
They are not.

Detailed Answer:
Thank you for getting back.

The best B12 source is Methycobal 500 mcg. Initially, you can take one injection daily for five days. Then, one tablet two times daily. Since these are dietary supplements, you may not need a prescription.

I am not sure about your current medications, as they are not commonly prescribed.

Once your anxiety/sleep has improved, you can stop Etilaam 0.5 mg.

Best wishes,
Dr Sudhir Kumar MD DM

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (6 minutes later)

I also consulted my GP and he suggested Meganeuron OD plus once daily and ZemCal once daily. Shall I use these medicines. I consulted him regarding heavy head and B12

Answered by Dr. Sudhir Kumar (3 hours later)

Brief Answer:
Yes, you can take these.

Detailed Answer:
Thank you for getting back.

You can continue the medications provided by your GP.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (5 minutes later)

Thanks.
Can this also be bacause of anxiety because I also experience dizziness and pain in jaws
Moreover this heavy headedness increases as the day progress.
As I told you earlier also it feels fine when I go out for walks

Answered by Dr. Sudhir Kumar (3 minutes later)

Brief Answer:
Anxiety can worsen your symptoms.

Detailed Answer:
Thank you for getting back.

Yes, anxiety can worsen your symptoms. So, it would be good to control your anxiety to feel overall better.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar