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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Panic Attacks Be Treated?

I have recently suffered from a panic attack and was given hydroxyzine hcl at the er. the pa told me follow up with my doctor who had me on lorazapam 05mg. It was not working so he put me on the lorazapam and respiradone 2 mg . I remain restless and i am so tired could i take the hydroxyzine at this point. I just took a resiradone about 2 hours ago and the last time I took a lorazapam was at 8 about 31/2 hrs ago.
Wed, 21 Feb 2018
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Psychiatrist,  's  Response
hi sir
I have gone through your question and understand your concerns.

according to the history you provided, it appears that your suffering from panic disorder.

but, coming to treatment history, your diagnosis and treatment are not matching properly. mostly treatment for panic disorder consists of a combination of an SSRI and benzodiazepine( clonazepam/lorazepam/ etilzolam....soon). here, benzodiazepine to prevent the current attack and SSRI to stop the panic disorder completely.

but, in your case SSRI is missing and antipsychotic was added( risperidone).I don't know the purpose for addition of the antipsychotic.so, I feel that the diagnosis may be incorrect.

you didn't provide regarding your complaints. so, I couldn't come to a decision regarding your diagnosis to confirm whether your suffering from panic disorder or some other psychiatric issue.so, please provide me COMPLETE HISTORY.
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How Can Panic Attacks Be Treated?

hi sir I have gone through your question and understand your concerns. according to the history you provided, it appears that your suffering from panic disorder. but, coming to treatment history, your diagnosis and treatment are not matching properly. mostly treatment for panic disorder consists of a combination of an SSRI and benzodiazepine( clonazepam/lorazepam/ etilzolam....soon). here, benzodiazepine to prevent the current attack and SSRI to stop the panic disorder completely. but, in your case SSRI is missing and antipsychotic was added( risperidone).I don t know the purpose for addition of the antipsychotic.so, I feel that the diagnosis may be incorrect. you didn t provide regarding your complaints. so, I couldn t come to a decision regarding your diagnosis to confirm whether your suffering from panic disorder or some other psychiatric issue.so, please provide me COMPLETE HISTORY.