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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Headache In The Morning?

I and chronic patient of depression and anxiety. Have headache whole day. I get panic quickly on adverse situation. I feel like not going to office in the morning. Situation improves after lunch and I fee comfortable by evening. But cycle restarts in the morning. I am taking Naxto LS for teh alst one eyar . Previously I took Naxito 10 for about 4 years. witha brak ofr a year
Mon, 17 Apr 2017
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Psychiatrist,  's  Response
hi
thanks for using health care magic.
as you are suffering from depression and anxiety and not responding fully with the nexito LS. one strategy is to increase the dose of escitalopram. second you can switch to other drug of same class of ssri. third you can add the antidepressant from different class like modafinil or tricyclic antidepressant.also get some investigation like Serum D3 , Serum B12 and T3,T4, TSH test. you can also try some meditation/ yoga as it will also help to some extent. revert back to me with these investigation. hope it will help you.
thanks.
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What Causes Headache In The Morning?

hi thanks for using health care magic. as you are suffering from depression and anxiety and not responding fully with the nexito LS. one strategy is to increase the dose of escitalopram. second you can switch to other drug of same class of ssri. third you can add the antidepressant from different class like modafinil or tricyclic antidepressant.also get some investigation like Serum D3 , Serum B12 and T3,T4, TSH test. you can also try some meditation/ yoga as it will also help to some extent. revert back to me with these investigation. hope it will help you. thanks.