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What Causes Loss Of Appetite, Altered Taste And Anticipatory Anxiety?

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Posted on Thu, 4 Jun 2015
Question: What we have to do when always afraid about future and the thought that what will be happen in next time. And at that time the patient not wish to have any food and the food had no taste .
Totally upset in that time .



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Answered by Dr. Dr. Chintan Solanki (58 minutes later)
Brief Answer:
clonazepam should be given more,Replace/add medicine after evalaution

Detailed Answer:
Hello,

Thanks for writing to us.

Patient has too much anticipatory anxiety with continuous thoughts of future events.No wish to have food and no taste.These features are suggestive of anxiety with depression.
Zenoxa is an anti epileptic drug used in bipolar depression. Qutan is also used in Bipolar depression. Bupropion is an antidepressant. Clonazepam is an anti anxiety medicine.

I would start 0.25 mg clonazepam in morning and noon and 0.5 mg at night. Keep other medicines same. Wait for 2 days if no improvement, then the treatment can be modified. Clonazepam is a prescription only drug. I will recommend you discuss about this option with the treating doctor.

Considering symptoms you mentioned I feel an SSRI(sertraline, escitalopram, fluoxetine) should be added for improvement.
If patient is not taking food since more than 3 days take her to doctor immediately for evaluation.
For more comments I need to know her detail history of illness(with duration and symptoms) or diagnosis made by treating doctor.
Hope I have answered your query, I will be happy to help further.

Regards,
Dr.Chintan Solanki.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by : Dr. Prasad
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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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What Causes Loss Of Appetite, Altered Taste And Anticipatory Anxiety?

Brief Answer: clonazepam should be given more,Replace/add medicine after evalaution Detailed Answer: Hello, Thanks for writing to us. Patient has too much anticipatory anxiety with continuous thoughts of future events.No wish to have food and no taste.These features are suggestive of anxiety with depression. Zenoxa is an anti epileptic drug used in bipolar depression. Qutan is also used in Bipolar depression. Bupropion is an antidepressant. Clonazepam is an anti anxiety medicine. I would start 0.25 mg clonazepam in morning and noon and 0.5 mg at night. Keep other medicines same. Wait for 2 days if no improvement, then the treatment can be modified. Clonazepam is a prescription only drug. I will recommend you discuss about this option with the treating doctor. Considering symptoms you mentioned I feel an SSRI(sertraline, escitalopram, fluoxetine) should be added for improvement. If patient is not taking food since more than 3 days take her to doctor immediately for evaluation. For more comments I need to know her detail history of illness(with duration and symptoms) or diagnosis made by treating doctor. Hope I have answered your query, I will be happy to help further. Regards, Dr.Chintan Solanki.