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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Stress And Panic Attacks

i have RA & Angina and have had a heart attack in the last year also have fibro, suffer with migraines and insomnia, the doctors ran tests and said I have severe stress problems which caused angina and heart attack and panic attacks, chest pains, I am never happy because I have been feeling bad for the last 2 years all the time. They put me on Zoloft, Prozac, neurontin,Cymbalta,temazepam,lipitor,and nifediac. The only thing improved is I don't cry anymore and my arms and legs do not ache. So whats up?
Mon, 8 Dec 2014
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Psychiatrist 's  Response
Dear User,
If I were to treat tour depression and panic attacks, I would have used single antidepressant i.e. either Zoloft (100-150 mg/day) or Prozac (40-60 mg/day) and not both of them as you are receiving now. This is as per most of standard guidelines for treatment of anxiety and depression. I would have continued one of them for long going by chronic course (2 yrs). Discuss about this with your treating doctor.
Dr. Sudhir Mahajan
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Suggest Treatment For Stress And Panic Attacks

Dear User, If I were to treat tour depression and panic attacks, I would have used single antidepressant i.e. either Zoloft (100-150 mg/day) or Prozac (40-60 mg/day) and not both of them as you are receiving now. This is as per most of standard guidelines for treatment of anxiety and depression. I would have continued one of them for long going by chronic course (2 yrs). Discuss about this with your treating doctor. Dr. Sudhir Mahajan