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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Body Tremors Caused By Severe Depression

Hello, im a male 32 years of the age . Im facing some problem since 2009 after the death of my father . The problem is related to my sleep . Whenever i M falling asleep some weird things happens in my body .. Like choking and waking up , feeling of heat attack or vibrations starts in my body and then when i wake up and sit down it vanishes.. These things really doesn t allow me to go off to sleep but once i go off to sleep nothing bothers.. These episodes doesn t happen every time it happens mostly when im tensed or worried the entire day .. In 2012 i had some severe vibrations starting from my back and then every where including my head whenevr i try to fall asleep .. It lasted for 4 days..thn I visited a neurologist he gave me. Etizolam and revotril .. Asked me to take those med for 3 months but made me very slow and Sleepy that after a week i left them and fortunately i didnt experience any kind of trouble for a year .. On and off the episode happened after a year but not that often.. But now for past few months im constantly worrying about something and these things hs started again from last 8-10 days Whenever im falling asleep vibrations and twitching in my body starts and doesn t allow me to sleep .. I started etizolam .25 mg again for 3-4 days i didnt experience any thing but last nite i had the med around 1 and slept aroun 3 but couldn t sleep as i had some thoughts n my mind and then the vibrations started .. Please let me know the cure and is this any kind of disease im suffering from? Thank u
Fri, 15 Jul 2016
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Psychiatrist 's  Response
Hello

What you are describing seem to be panic attacks that feel like bouts of anxiety, palpitation, breathlessness and a fear that something bad is going to happen. The anticipation of these attacks causes further anxiety. If these attacks are very distressing I would advice you to start a SSRI preferably Paroxetine (Pari CR 12.5 mg) at bed time and continue it for at least 6 months. It can be increased further with a psychiatrist advice. You shouldnot take Etizolam unsupervised for so long. Also get one ECG and TSH done to rule out any other physical cause of anxiety. Hope your query is satisfied.
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Suggest Treatment For Body Tremors Caused By Severe Depression

Hello What you are describing seem to be panic attacks that feel like bouts of anxiety, palpitation, breathlessness and a fear that something bad is going to happen. The anticipation of these attacks causes further anxiety. If these attacks are very distressing I would advice you to start a SSRI preferably Paroxetine (Pari CR 12.5 mg) at bed time and continue it for at least 6 months. It can be increased further with a psychiatrist advice. You shouldnot take Etizolam unsupervised for so long. Also get one ECG and TSH done to rule out any other physical cause of anxiety. Hope your query is satisfied.