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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Get Rid Of Anxiety?

I had a total hysterectomy at age 38, I have been taking premerin for 20 yrs. I am very concerned about health risks. I have tried a few times to get off this medication. having severe mood swings, crying jags, anxiety, headaches, severe dry eyes, mental confusion, other symptoms on a reduced dosage. after months of those symptoms I went back to the 1.25 mg. dosage. and all those symptoms stopped. it works, but is very expensive. I don t want to take it. is there any alternatives?
Wed, 27 Aug 2014
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Psychiatrist,  's  Response
Hi

I understand your concern.

I guess you have generalized anxiety that affect in all area.

anxiety with low mood can affect daily routine more and should be treated.

Premerin is estrogen supplement . You have done hysterectomy so it produced mix anxiety depressive symptoms and estrogen supplement is useful.

I prefer low dose of SSRI like escitalopram 5 mg or tab sertaline 25 mg along with etizolam 0.5 mg to control both anxiety and mood swings. But it is necessary to evaluate 1st before start this medicines.


Take regular sleep.
Eat healthy food and antioxidant.

DO exercise and meditations.

Avoid smoking and alcohol.

If require than consult psychiatrist .

Get well soon
Thank you.






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How To Get Rid Of Anxiety?

Hi I understand your concern. I guess you have generalized anxiety that affect in all area. anxiety with low mood can affect daily routine more and should be treated. Premerin is estrogen supplement . You have done hysterectomy so it produced mix anxiety depressive symptoms and estrogen supplement is useful. I prefer low dose of SSRI like escitalopram 5 mg or tab sertaline 25 mg along with etizolam 0.5 mg to control both anxiety and mood swings. But it is necessary to evaluate 1st before start this medicines. Take regular sleep. Eat healthy food and antioxidant. DO exercise and meditations. Avoid smoking and alcohol. If require than consult psychiatrist . Get well soon Thank you.