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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Severe Depression And Anxiety While Having High BP And Diabetes

hi,my brother is patient of heigh blood pressure and diabetic .now a days he is jobless n lost his 22lac business.now in great depression ,his bp shoots daily,he is using different tablets but in ain,220/100 is his bp .littlebit phsyco,hegoes i feel short breathing while sleeping n my neck muscles r stretched ,anexiety n taking sleeping pills but all in ain,bp shoots .what should do we now,hi,my brother is patient of heigh blood pressure and diabetic .now a days he is jobless n lost his 22lac business.now in great depression ,his bp shoots daily,he is using different tablets but in ain,220/100 is his bp .littlebit phsyco,hegoes i feel short breathing while sleeping n my neck muscles r stretchehi,my brother is patient of heigh blood pressure and diabetic .now a days he is jobless n lost his 22lac business.now in great depression ,his bp shoots daily,he is using different tablets but in ain,220/100 is his bp .littlebit phsyco,hegoes i feel short breathing while sleeping n my neck muscles r stretched ,anexiety n taking sleeping pills but all in ain,bp shoots .what should do we now d ,anexiety n taking sleeping pills but all in ain,bp shoots .what should do we now
Fri, 22 Aug 2014
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Psychiatrist,  's  Response
hi.. i have understood your concerns...your brother has lost lots of money in business, so it is a trigger for his depression and anxiety and when a person is anxious his blood pressure usually shoots to a high level..

so first of all i ll suggest u to consult a psychiatrist and go for psychotherapeutic counselling.. i can suggest u medications which u can give him and he ll be improved within 1 to 2 mnths but after that the medications shud be continued for long duration and shudnt be stopped unless any expert advises,,..

the drugs are: tablet. sertraline [zoloft 50 mg] once a day at night ..increase the dose to 100 mg at night after 15 dyas..u can go upto 200 mg of sertraline..

tablet..clonazepam [klonopin 0.25 mg thrice a day]..if your brother is having excessive sleep then give this drug at night only...

u can give him tablet zolpidem [ambien 10 mg ] at night for sleep..

furthermore, u shud consult a physician for control of his high blood pressure and uncontrolled diabetes..
for blood pressure u can give combined medications like:
tab. amlosafe-at [amlodipine 5 + atenolo 50 mg] once in the morning after the breakfast
tab. telma [ telmisartan 50 mg] once in the morning after the breakfast..

i hope withis antihypertensive medications his blood pressure will come under control..but this much high BP is a hypertensive emergency, so u shud go for physician first and make it under control..same u shud do for diabetes..

i hope u ll find this advice helpful.. best luck...
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Suggest Remedy For Severe Depression And Anxiety While Having High BP And Diabetes

hi.. i have understood your concerns...your brother has lost lots of money in business, so it is a trigger for his depression and anxiety and when a person is anxious his blood pressure usually shoots to a high level.. so first of all i ll suggest u to consult a psychiatrist and go for psychotherapeutic counselling.. i can suggest u medications which u can give him and he ll be improved within 1 to 2 mnths but after that the medications shud be continued for long duration and shudnt be stopped unless any expert advises,,.. the drugs are: tablet. sertraline [zoloft 50 mg] once a day at night ..increase the dose to 100 mg at night after 15 dyas..u can go upto 200 mg of sertraline.. tablet..clonazepam [klonopin 0.25 mg thrice a day]..if your brother is having excessive sleep then give this drug at night only... u can give him tablet zolpidem [ambien 10 mg ] at night for sleep.. furthermore, u shud consult a physician for control of his high blood pressure and uncontrolled diabetes.. for blood pressure u can give combined medications like: tab. amlosafe-at [amlodipine 5 + atenolo 50 mg] once in the morning after the breakfast tab. telma [ telmisartan 50 mg] once in the morning after the breakfast.. i hope withis antihypertensive medications his blood pressure will come under control..but this much high BP is a hypertensive emergency, so u shud go for physician first and make it under control..same u shud do for diabetes.. i hope u ll find this advice helpful.. best luck...