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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Cure Chronic Depression?

Sir,Male, Age31 , I have been advised to take flunil 20 mg and beta cap 5years back to overcome long time depression , nervous, tension and break less thinking.and head ache. Once I started taking dose I over come with only fifty percent of above problems. am still taking the medicine weekly twice but ther is not much advantage. still I am suffering from tension, laziness. head ache. repeated thinking of same things because of this I had changed my job, location but still I can't concentrate on any thing .I had consulted doctors several times but they advised me to take same medicine. I think I should consult good neurologist to know what is happening/happened in my mind nervous system. kindly advise
Fri, 28 Nov 2014
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Psychiatrist,  's  Response
Hello thanks for asking from HCM

You are talking Fluoxetine 20 mg and Propranol for depression since last 5 years. The symptoms of nervousness, tension, racing thoughts, headache improved about 50% but still you have symptoms like laziness, headache, repeated thinking or probably obsessive things. This has caused change in job and you are not able to concentrate on anything. As per my opinion you should visit a psychiatrist. Excessive repeated thinking could be due to obsessive ruminations and it need treatment. Usually for treatment high doses of SSRIs are used. You are taking 20 mg of Fluoxetine and which as per my opinion is not sufficient. I usually prescribed fluoxetine to 40-80 mg doses in my patients of such symptoms. You can consult for dose adjustments. There is nothing wrong in brain it is a psychiatric disorder and you will improve with medicines.

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How To Cure Chronic Depression?

Hello thanks for asking from HCM You are talking Fluoxetine 20 mg and Propranol for depression since last 5 years. The symptoms of nervousness, tension, racing thoughts, headache improved about 50% but still you have symptoms like laziness, headache, repeated thinking or probably obsessive things. This has caused change in job and you are not able to concentrate on anything. As per my opinion you should visit a psychiatrist. Excessive repeated thinking could be due to obsessive ruminations and it need treatment. Usually for treatment high doses of SSRIs are used. You are taking 20 mg of Fluoxetine and which as per my opinion is not sufficient. I usually prescribed fluoxetine to 40-80 mg doses in my patients of such symptoms. You can consult for dose adjustments. There is nothing wrong in brain it is a psychiatric disorder and you will improve with medicines. Thanks