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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Severe Anxiety And Upset Stomach. On Venlafaxcine And Then Clonazopam, Escitalopram, Mitrazapine, Zolpidem Tartrate, And Lorazopasm. Cure?

I am 33 M, I am down with severe anxiety, i has having venlafaxcine 150 mg for 6 years but my new doctor has stopped it and has prescribed clonazopam .25 mg + escitalopram 20 mg in the morning and mitrazapine 15 mg and zolpidem tartrate 5 mg at night along with lorazopasm as sos. Last few days i am having severe anxiety in the morning followed with nausea as the day grows it starts coming down. I have to travel to some difficult parts and my stomach has also been upset ever since the anxiety episode.

Can anyone help I shall be obliged!

Tue, 30 Apr 2013
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Psychiatrist,  's  Response
Hello and welcome to Healthcare Magic. Thanks for your query.

I understand that you are going through a difficult time due to your anxiety. You have not mentioned why your medication was changed after a long time. Anyway, Escitalopram is an SSRI antidepressant / anti-anxiety medication; Clonazepam and Lorazepam are benzodiazepine anti-anxiety / sedtive medication. Zolpidem is a non-benzodiazepine sedative medication. Mirtazapine is also an anti-depressant with anti-anxiety properties. Zolpidem and Lorazepam

It is common to have a transient worsening of anxiety after starting SSRI medication. SSRIs can also cause gastric irritation and nausea. Moreover 20mg Escitalopram is a high dose and is likely the cause of your problems. Usually, these side effects gradually subside within 2 - 3 weeks. In the meantime you can try relaxation techniques like deep breathing, progressivemuscle relaxation, yoga, meditation, etc. to combat the increase in anxiety.

Wish you all the best.

Regards,
Dr. Jonas Sundarakumar
Consultant Psychiatrist
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Having Severe Anxiety And Upset Stomach. On Venlafaxcine And Then Clonazopam, Escitalopram, Mitrazapine, Zolpidem Tartrate, And Lorazopasm. Cure?

Hello and welcome to Healthcare Magic. Thanks for your query. I understand that you are going through a difficult time due to your anxiety. You have not mentioned why your medication was changed after a long time. Anyway, Escitalopram is an SSRI antidepressant / anti-anxiety medication; Clonazepam and Lorazepam are benzodiazepine anti-anxiety / sedtive medication. Zolpidem is a non-benzodiazepine sedative medication. Mirtazapine is also an anti-depressant with anti-anxiety properties. Zolpidem and Lorazepam It is common to have a transient worsening of anxiety after starting SSRI medication. SSRIs can also cause gastric irritation and nausea. Moreover 20mg Escitalopram is a high dose and is likely the cause of your problems. Usually, these side effects gradually subside within 2 - 3 weeks. In the meantime you can try relaxation techniques like deep breathing, progressivemuscle relaxation, yoga, meditation, etc. to combat the increase in anxiety. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist