HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Is The Treatment For Anxiety , Panic And Sleeping Disorders?

HOW WELL ARE U EQUIPPED TO TREAT ANXIETY , PANIC DISORDERS ETC...RGDS A V MOHAN



hEIGHT 184 CMS, 100 kg WEIGHT .

Was o Cpralex 10 mg mdicatio along with 0.5 mg Rivotril for 1 yesr ...duing whcih Cipralex was brought down to 2 mg & Rivotril to 0.25 mg regular & 0.5 mg for SOS situations.

I was being treated for anxiety / panic related disorder .

Now since last 6 days we ve stopped Cipralex completely but last bfew days I m experiencing extreme insomnia & also panic attacks have returned in nights.

Doctor has told me to have the 0.25 Rivotril regularly & 1 mg Fulnite for SOS if I dont get sleep.

Fulnite causes grogginess in mornings & does not work sometimes ...

I m losing the sleep related confidence . Till last week i was not having such symptoms & I approached phychiatrist to help me taper off the last bit of medicine I was consuming...



pl advise me on what track I m right now .



Rgds A V Mohan







Tue, 9 Sep 2014
Report Abuse
Psychiatrist 's  Response
Hi

I understand your concern.

Usually If you have still panic attack then it would better if you take mild dose of cepralex.
Cepralex is relatively safe in long term and no major side effects.


If you do not have proper sleep then need to increase dose of rivotril from 0.5 mg to 1 mg.

Or add zolpidam 5 mg along with rivotril 0.5 mg for better sleep.

Tab zolpidam has long half life then fulnite.

It would more convenient to you.

Thank you.

Take care.





I find this answer helpful

Note: For further guidance on mental health, Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Beta-lactam


Loading Online Doctors....
What Is The Treatment For Anxiety , Panic And Sleeping Disorders?

Hi I understand your concern. Usually If you have still panic attack then it would better if you take mild dose of cepralex. Cepralex is relatively safe in long term and no major side effects. If you do not have proper sleep then need to increase dose of rivotril from 0.5 mg to 1 mg. Or add zolpidam 5 mg along with rivotril 0.5 mg for better sleep. Tab zolpidam has long half life then fulnite. It would more convenient to you. Thank you. Take care.