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What Causes Persistent Anxiety Symptoms Despite Taking Medication?
Question: Hii, I was diagnosed with anxiety disorder one year back. Doctor prescribed me with two capsules. Etilam Pro 20 and escigress. And some breathing techniques.Till now I have been on these medicines. Though I have got a bit of relief. But largely it's still there. With breathing issues, ear opening gets frequently closed and having jaw muscle irritation. Sense of shaking and weird thoughts end up in scary sensations. Please suggest. I am male, age 33, non veg.
Brief Answer:
I think there is need to increase dose or may change
Detailed Answer:
Hello,
Thanks fort using Healthcaremagic.
I read your query and understand your concerns.
First of all I need to inform you that if it was only anxiety than the medications are appropriate to condition but the dose is too low for a healthy man of 33 years.
I feel first thing there is need to increase the dose of escigress from current 10 mg to 20 mg per day.
In case you are already on 20 mg of escigress than the next option is etilam pro from once a day to twice a day.
In case all these simple measures do not help you it will be better if you can request for change of medicine.One such more powerful medicine is paroxetine to be taken 25 mg at the night time.
I hope this helps you.
If you have more questions feel free to write back to me.
Thanks and regards.
I think there is need to increase dose or may change
Detailed Answer:
Hello,
Thanks fort using Healthcaremagic.
I read your query and understand your concerns.
First of all I need to inform you that if it was only anxiety than the medications are appropriate to condition but the dose is too low for a healthy man of 33 years.
I feel first thing there is need to increase the dose of escigress from current 10 mg to 20 mg per day.
In case you are already on 20 mg of escigress than the next option is etilam pro from once a day to twice a day.
In case all these simple measures do not help you it will be better if you can request for change of medicine.One such more powerful medicine is paroxetine to be taken 25 mg at the night time.
I hope this helps you.
If you have more questions feel free to write back to me.
Thanks and regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
But would increase in dosage, may hamper the chances of full recovery? I.e.having to take no medicine. And I am an engineer, and already feel dizzy or sleepy while in the job. If I increase the dosage, will it effect my job?
Brief Answer:
likely not to impair your performamce
Detailed Answer:
Hello,
Thanks for reverting back to me.
The dose increase will not affect your performance but contrary is true. It is possible that with adequate dose you will be able to function more properly and that may increase your performance.
There is no relation between increasing dose and chance of recovery although contrary is true. Once you recovered well it will be more easy for you to handle your anxiety and get long term cure.
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.
likely not to impair your performamce
Detailed Answer:
Hello,
Thanks for reverting back to me.
The dose increase will not affect your performance but contrary is true. It is possible that with adequate dose you will be able to function more properly and that may increase your performance.
There is no relation between increasing dose and chance of recovery although contrary is true. Once you recovered well it will be more easy for you to handle your anxiety and get long term cure.
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.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Please suggest me the Medicines I should take from now on.
Brief Answer:
Please reconfirm/ provide following details
Detailed Answer:
Your age
Weight
Height
History of medical illness
History of psychiatric illness
History of surgical illness
Current medication and dose
Previous medications and dose
Side effects if you had any
Allergies
Family history of medical surgical psychiatric or allergic illnesses
Current symptoms- not diagnosis
Please reconfirm/ provide following details
Detailed Answer:
Your age
Weight
Height
History of medical illness
History of psychiatric illness
History of surgical illness
Current medication and dose
Previous medications and dose
Side effects if you had any
Allergies
Family history of medical surgical psychiatric or allergic illnesses
Current symptoms- not diagnosis
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Your age: 33 yrs
Weight: 87 Kg
Height: 5 feet 8 inches
History of medical illness: nothing major, Joindice, Malaria, typhoid all before the age of 20 yrs, and has a torned nasal bone inside in one of the nasal openings.
History of psychiatric illness: None.
History of surgical illness: None
Current medication and dose: apart from the ones already mentioned, taking a multi vitamin, seed oils etc.
Previous medications and dose: None
Side effects if you had any: Feels dizzy at times.
Allergies: yes
Family history of medical surgical psychiatric or allergic illnesses: None.
Current symptoms: too many thoughts to control, feeling shaky sometimes, jaw discomfort, breathing issues.
Weight: 87 Kg
Height: 5 feet 8 inches
History of medical illness: nothing major, Joindice, Malaria, typhoid all before the age of 20 yrs, and has a torned nasal bone inside in one of the nasal openings.
History of psychiatric illness: None.
History of surgical illness: None
Current medication and dose: apart from the ones already mentioned, taking a multi vitamin, seed oils etc.
Previous medications and dose: None
Side effects if you had any: Feels dizzy at times.
Allergies: yes
Family history of medical surgical psychiatric or allergic illnesses: None.
Current symptoms: too many thoughts to control, feeling shaky sometimes, jaw discomfort, breathing issues.
Brief Answer:
This could be possible treatment for you
Detailed Answer:
Hello,
Thanks for reverting back to me.
Considering all the details and previous history of response this could be possible treatment for you provided you are my patient.
Cap Fluoxetine 20 mg per day
Tab Propranolol 20 mg one in morning and one in afternoon
Tab Etizolam 0.5 mg one in the morning one in afternoon and two in evening
I must acknowledge that these are prescription only medicines and should be used after getting a physical prescription from local doctor. They are not means as prescription and just indicated course of action.
In addition they should be reviewed after two weeks.
I hope this helps you further.
Thanks and regards.
This could be possible treatment for you
Detailed Answer:
Hello,
Thanks for reverting back to me.
Considering all the details and previous history of response this could be possible treatment for you provided you are my patient.
Cap Fluoxetine 20 mg per day
Tab Propranolol 20 mg one in morning and one in afternoon
Tab Etizolam 0.5 mg one in the morning one in afternoon and two in evening
I must acknowledge that these are prescription only medicines and should be used after getting a physical prescription from local doctor. They are not means as prescription and just indicated course of action.
In addition they should be reviewed after two weeks.
I hope this helps you further.
Thanks and regards.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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