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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Uneasiness In Heart On Missing Imipramin. Is There Any Other Substitute?

Hello Dr Samuel,My name is Najib and i am living in Peshawar Pakistan. My age is 29 years old and my wait is 55KG. I am using imipramin 50mg some time 75mg o once a night tablets from 5 - 7 years. I am feeling better with this tablets but some nights when i forget to eat then on next day i am feeling that some one push or take my heart in their hands and also i am angry on that day to every one. Please tell me some other medicines or what should i do that i reduce the imipramin tablets. Regards Najibullah Information Technology Assistant at IMC (International Medical Corps) in Kabul Afghanistan+92 (0) 0000 +93 (0) 0000 YYYY@YYYY YYYY@YYYY skype: najibullah-khan
Tue, 5 Feb 2019
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General & Family Physician 's  Response
Hi,

Yes, you are right missing these drugs can cause many symptoms including yours.

There is two way we can move ahead. If you are other wise fine, then you may stop the drug very slowly.

Like don't miss doses, rather start reducing the dose. Like 75 once, then Make it 50 at. Night for 2 weeks then 40 and hence gradually reducing the dose to finish.

Another way is if you still suffer from the symptoms of anxiety, you may gradually switch to other drugs like SSRiz. Be guided by your psychiatrist in this regards. Feel free to write back to us if you have any concern.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Mahboob Ur Rahman , General & Family Physician
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Uneasiness In Heart On Missing Imipramin. Is There Any Other Substitute?

Hi, Yes, you are right missing these drugs can cause many symptoms including yours. There is two way we can move ahead. If you are other wise fine, then you may stop the drug very slowly. Like don t miss doses, rather start reducing the dose. Like 75 once, then Make it 50 at. Night for 2 weeks then 40 and hence gradually reducing the dose to finish. Another way is if you still suffer from the symptoms of anxiety, you may gradually switch to other drugs like SSRiz. Be guided by your psychiatrist in this regards. Feel free to write back to us if you have any concern. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Mahboob Ur Rahman , General & Family Physician