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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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On Xanax For Extreme Panic And Anxiety. Have Rebound Anxiety, Shaky And Trembling. Should I Increase The Dosage?

Hi.....I have been on Xanax for twenty years for extreme anxiety/panic , initially prescribed .5 mgm at bedtime it worked very well and I felt great all the next day, but now I have Xanax tolerance and rebound anxiety when it wears off and I've been very shaky and trembling which makes me not want to leave the house for fear of having an epispde. it's made me very self conscious, I've tried most of the SSRI's with not much success. I've tried to keep the dosage low , I've done my homework on this drug and realize the addiction problem. Should I increase the dosage?
Mon, 2 Sep 2013
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Psychiatrist,  's  Response
Hello,
Thanks for choosing health care magic for posting your query.
I have gone through your question in detail and I can understand what you are going through.
You should not increase the dosage of xanax without the consent of your doctor. There are plenty of antidepressants which are available for treatment of anxiety disorders. If some medication has not suited you, you will improve with some other medication and you should not stop trying.
Also along with the medications, you should consider taking up therapy session especially the CBT therapy.
Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
In future if you wish to contact me directly, you can use the below mentioned link:
bit.ly/dr-srikanth-reddy

Wish you good health,
Kind regards
Dr. Srikanth Reddy M.D.
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Psychiatrist,  Dr. Sundar Gnanavel's  Response
Hello......
Thanks for your query. I would strictly dissuade you from increasing the dosage of alprazolam (xanax) by yourself. Apart from SSRIs, there are other drugs like TCAs , pregabalin etc that can address your anxiety and panic attacks. Hence, i would suggest you meet your psychiatrist for discussing these treatment options. Additionally, treatment options like psychotherapy (eg CBT/ Cognitive behavioural therapy) would also be helpful adjunctive options. Wish you speedy recovery.
Regards
Dr Sundar
Psychiatrist
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On Xanax For Extreme Panic And Anxiety. Have Rebound Anxiety, Shaky And Trembling. Should I Increase The Dosage?

Hello, Thanks for choosing health care magic for posting your query. I have gone through your question in detail and I can understand what you are going through. You should not increase the dosage of xanax without the consent of your doctor. There are plenty of antidepressants which are available for treatment of anxiety disorders. If some medication has not suited you, you will improve with some other medication and you should not stop trying. Also along with the medications, you should consider taking up therapy session especially the CBT therapy. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Kind regards Dr. Srikanth Reddy M.D.