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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Anxiety And Depression Be Managed?

My PCP told me that my brain could not tell the difference between anxiety and depression. He doubled my depression meds even though I said i was not feeling depressed and gave me a new med called Seroquel to help with my anxiety. After 2 weeks I am back to feeling the same as I was before. I also take .5 mg of klonpin twice a day for the past 2 years and that worked for quite a while. but now my anxiety is a lot less controlled. Is there anything I can do to take the edge off the anxiety? The most predominant sensation I have is feeling like I want to throw up when I am not sick. Others include sweating, shaking, having trouble sleeping because I think about all the things I should have done better and then worry that I am going to get yelled at for the most minor things.
Thu, 28 Jun 2018
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Psychiatrist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

On a long term course for both anxiety and depression, same medications work so there is no hurry in deciding whether you are suffering from anxiety or depression. As you have said you are feeling better, maintenance dose (low dose) can be taken of antidepressants.

Seroquel at low dose helps get relief from anxiety and makes you fall asleep. There is no compulsion in using tablet Seroquel if you are not comfortable with it. I am sorry, I'm not sure about the composition of tablet Klonopin 0.5mg. If it's Clonazepam, it is not advisable to take on a long term basis as it leads you into addiction.

Discuss with your Psychiatrist once again and take a decision.

I hope I have met​ your expectations. Feel free to ask further questions.
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How Can Anxiety And Depression Be Managed?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. On a long term course for both anxiety and depression, same medications work so there is no hurry in deciding whether you are suffering from anxiety or depression. As you have said you are feeling better, maintenance dose (low dose) can be taken of antidepressants. Seroquel at low dose helps get relief from anxiety and makes you fall asleep. There is no compulsion in using tablet Seroquel if you are not comfortable with it. I am sorry, I m not sure about the composition of tablet Klonopin 0.5mg. If it s Clonazepam, it is not advisable to take on a long term basis as it leads you into addiction. Discuss with your Psychiatrist once again and take a decision. I hope I have met​ your expectations. Feel free to ask further questions.