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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Anxiety

I am 36 yr old female. I have a history of anxiety. 3 yrs ago i had a complete hysterectomy and was put on hormone replacement therapy. alittle over a yr ago i was taking depo estridiol injections, b 12 injections and i was also taking zanax. I quit taking all of these for alittle over a yr now and have been fine until recently. I have had some anxiety also fluxuating blood preassure and heart rate is this all anxiety related
Wed, 5 Nov 2014
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Psychiatrist,  's  Response
Hello
Welcome to HCM

A lot of females develop mood fluctuations, hot flushes, anxiety attacks after hysterectomy. Hormonal changes following the surgery are the main reason for these anxiety symptoms. You are on hormone replacement and also on Xanax (Alprazolam) but recently you have developed change in BP and heart rate.

Most likely the anxiety symptoms and changes in heart rate are due to anxiety only. Xanax is a benzodiazepine drug which can be used for symptomatic control of anxiety but this is not the definitive treatment of anxiety. Medicines like Fluoxetine, Escitalopram, Duloxetine, Venlafaxine etc are good anti-anxiety drugs which help in improving such symptoms.

You are already taking Vitamin B12 supplements so there is no need to increase the dose. You can take Omega 3 Fatty Acid soft gels as they help in relieving anxiety. Consult a psychiatrist if symptoms persist.

Thanks, hope this helps you
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Suggest Treatment For Anxiety

Hello Welcome to HCM A lot of females develop mood fluctuations, hot flushes, anxiety attacks after hysterectomy. Hormonal changes following the surgery are the main reason for these anxiety symptoms. You are on hormone replacement and also on Xanax (Alprazolam) but recently you have developed change in BP and heart rate. Most likely the anxiety symptoms and changes in heart rate are due to anxiety only. Xanax is a benzodiazepine drug which can be used for symptomatic control of anxiety but this is not the definitive treatment of anxiety. Medicines like Fluoxetine, Escitalopram, Duloxetine, Venlafaxine etc are good anti-anxiety drugs which help in improving such symptoms. You are already taking Vitamin B12 supplements so there is no need to increase the dose. You can take Omega 3 Fatty Acid soft gels as they help in relieving anxiety. Consult a psychiatrist if symptoms persist. Thanks, hope this helps you