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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Withdrawal Procedure For Clonotril?

WHatI am 32 years old, weighing 52 kg and 5’3” tall. For almost the whole year of 2016 I was suffering from sometimes heart palpitation and mild chest pain and sometimes no balance and my number 1 problem was that I got very tired and almost out of breath when I talked a lot. I had ECG I think three times in that year at the result is normal and by December of the same year I went through stress test and 2d echo and the result is normal except for that floppy mitral valve. Sometime in January 2017 I was jogging in a hill and almost lost breath and made me nervous and thought that I had a heart attack. After that I always feel very tired and when I exercise I felt anxious after. I went to our local general physician and he prescribed me valium 10 mg. I took that medicine in a half (5mg) every time I got anxious but my condition became worst and I always feel tired. I quit taking that medicine after a month and I think I consumed about 15 valium (10mg) in that span of time. When I quit taking that medicine I knew that my gastritis already started. I couldn’t eat well. I went to a doctor and I took omeprazole and in those times I could not sleep well and sometimes had a panic attack. So I took xanor (aprozalam) .25mg sometimes. My gastritis began to subside after two months but my anxiety still lingers. I always thinking my breath. So by March 9, 2017, I went to a psychiatrist and he diagnosed me with nervousness. He prescribed me with xanor (aprozalam) for three weeks .25mg before breakfast and clontril .5mg for six months after breakfast and .5mg after dinner. And now I began to taper the clonotril dosage to .25mg every after breakfast and dinner starting May 16, 2017 because I am afraid of the withdrawal effect. My anxiety is getting better although I cannot handle stress yet and I’m still getting tired and anxious when I talk a lot. Am I making the right decision? Please give me advice. What is the right plan to withdraw clonotril. I don’t want to be dependent on this drug. Another thing is this anxiety related to that “floppy mitral valve” as found in my 2d echo. Thank you and God bless!
Tue, 13 Nov 2018
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General & Family Physician 's  Response
Hi,

You are right, these drugs should not be used for a very long time, the best way is to gradually decrease the dose and then stop it. We generally recommended reducing dose by 10 to 20 per cent every two weeks until stopped.

Regarding your anxiety, you should work on that, as exercises and meditation may help. If severe you can see your psychiatrist.

Floppy mitral valve is common among people. Most of the times it does not cause any big problems. Though sometimes may be serious. If you have racing of heart or chest pain you can use a drug called beta-blockers. Your cardiologist may tell you more about that.

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

Regards,
Dr. Mahboob Ur Rahman,
General & Family Physician
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What Is The Withdrawal Procedure For Clonotril?

Hi, You are right, these drugs should not be used for a very long time, the best way is to gradually decrease the dose and then stop it. We generally recommended reducing dose by 10 to 20 per cent every two weeks until stopped. Regarding your anxiety, you should work on that, as exercises and meditation may help. If severe you can see your psychiatrist. Floppy mitral valve is common among people. Most of the times it does not cause any big problems. Though sometimes may be serious. If you have racing of heart or chest pain you can use a drug called beta-blockers. Your cardiologist may tell you more about that. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mahboob Ur Rahman, General & Family Physician