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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Mental Health Problem

I have suffered from severe agoraphobia since I was 17. I am adhd and take adderall. I have PTSD which caused the agoraphobia to go out of remission and return , now I take 8 mg klonopin, 60 mg adderall, 600 mg seroquel. I am physically extremely healthy, my blood pressure is low, it s now 100/80. I was having severe panic to the point of things looking unreal, I was terrified to get off my bed, my brain was going a mile a minute. Out of desperation I took an extra 20 mg adderall, it worked so well I forgot my 4 mg nightly klonopin, and only needed half my dose of seroquel, I tried it the next day with same results, I m afraid to tell my psychiastrists, what do you think I should do
Wed, 30 Jul 2014
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Psychiatrist 's  Response
Hello; thanks for the query. Addrell (amphetamine+ dextroamphetamine combination) is a psychostimulant used in treatment of ADHD. It does NOT reduce the anxiety symptoms or panic attacks. By defination anxiety symptoms associated with panic attacks rise & fall rapidly within few minutes. Hence my guess is your anxiety symptoms reduced spontaneously. Also; I would like you to consult your Psychiatrist about medication named Trazodone which is an antideprssant with excellent anxiolytic properties & also helps in sleep induction. Alternately, also discuss about use of SSRI medication (like paroxetine) for agoraphobia & PTSD & use of propranolol/trazosin to reduce PTSD flashbacks. Also try doing yoga+ pranayama which are excellent relaxation tools. Good Luck
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Suggest Remedy For Mental Health Problem

Hello; thanks for the query. Addrell (amphetamine+ dextroamphetamine combination) is a psychostimulant used in treatment of ADHD. It does NOT reduce the anxiety symptoms or panic attacks. By defination anxiety symptoms associated with panic attacks rise & fall rapidly within few minutes. Hence my guess is your anxiety symptoms reduced spontaneously. Also; I would like you to consult your Psychiatrist about medication named Trazodone which is an antideprssant with excellent anxiolytic properties & also helps in sleep induction. Alternately, also discuss about use of SSRI medication (like paroxetine) for agoraphobia & PTSD & use of propranolol/trazosin to reduce PTSD flashbacks. Also try doing yoga+ pranayama which are excellent relaxation tools. Good Luck