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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffer Panic Attacks. Prescribed Pristiq, No Effects. Still Have Symptoms. Medications?

I suffer from panic attacks. I have been prescribed Pristiq and am into my 3rd week. I don t feel it is doing me any favours. If anything it s making me feel more tense. It hasnt stopped my heart palpitations when going shopping. It s actually made them more frequent. I also have a very tense jaw. I feel that this drug is giving me more symptoms of anxiety than treat them. I was told to try and hang in there but I m into week 3 and it s making my symptoms worse, as well as making me feel flat and unmotivated to do any exercise when I used to do yoga classes all the time.
Fri, 1 Mar 2013
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Psychiatrist 's  Response
Hello,
Thanks for choosing health care magic for posting your query.
From the discription that you have given, it appears that you are not responding much to pristiq. Although pristiq is a good drug meant for the treatment of anxiety disorder, so patients may not respond to it. If you are not responding it is not end of the world. There are plenty of various treatments available other than the one that you are taking. Escitalopram and venlafaxine and two drugs showing promising results. Further you should also augment your drug therapy with behavioural therapies and cognitive therapies which will help you a lot.
Hope I am able to solve your concerns.
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Psychiatrist Dr. Seikhoo Bishnoi's  Response
Hello hanahwy123
Welcome to HCM

Pristiq or Desvenlafexine is a medicine of SNRI group, and it is a very good anti anxiety and anti depressant drug. Its action takes at least 4-6 weeks to offer full relief. So have faith in treatment, in some time you will see improvement.
Secondly for episodic severe anxiety or panic attacks, for immediate relief you can take Clonazepam or B-Blockers as propranolol on SOS basis. Kindly discuss with your psychiatrist regarding these medicines.
Thirdly yes; Yoga, meditation, deep breathing exercises, progressive muscle relaxation methods will really help you.
Hope I cleared your doubt.
Take care
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Homeopath Dr. kinjal Shah's  Response
Thank you for using HCM forum.
You should consult any homoeopathic physician near ny, give them brief history of your symptoms. Many homoeopathic medicines help to cure psychitric illnesses completely when they are well chosen.
You should continue persuing yoga as routinr.
For any further query you can write to me at kalpclinichpathy@gmail.com
Dr.kinjal shah.
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Suffer Panic Attacks. Prescribed Pristiq, No Effects. Still Have Symptoms. Medications?

Hello, Thanks for choosing health care magic for posting your query. From the discription that you have given, it appears that you are not responding much to pristiq. Although pristiq is a good drug meant for the treatment of anxiety disorder, so patients may not respond to it. If you are not responding it is not end of the world. There are plenty of various treatments available other than the one that you are taking. Escitalopram and venlafaxine and two drugs showing promising results. Further you should also augment your drug therapy with behavioural therapies and cognitive therapies which will help you a lot. Hope I am able to solve your concerns.