Heyy I can help you better with further treatment course needed. U can connect me via whatsapp on seven zero eight two zero two two zero six two.

Hello, From what you’ve described, you’re already under treatment for Somatic Symptom Disorder with Escitalopram 5 mg and Etizolam 0.25 mg at night, but are still having occasional panic attacks with transient blood pressure spikes.

Your current symptoms suggest you're still adjusting to the treatment for Somatic Symptom Disorder and anxiety. It's common to have transient worsening of anxiety or panic attacks in the first 2–3 weeks of starting Escitalopram. The BP and heart rate spikes you experience during panic attacks are not harmful in themselves if your baseline vitals are normal. While beta blockers like propranolol can help with the physical symptoms of panic (like palpitations and tremors), they should only be used after assessing your resting heart rate and BP especially since yours is on the lower side. For now, it’s best to continue your current regimen, use Petril-MD 0.25 mg SOS for acute panic episodes as prescribed, and reassess after 4 weeks with your psychiatrist, who may then consider increasing escitalopram or adjusting medications.

Just take therapy

Hi.. maybe a review of your medicines will be needed. Consult online for treatment

Your medication dose is optimum but the weight of the person is also important, determines tolerability to Medication. More details are also needed as these anxiety episodes were earlier present before start of treatment or emerges after treatment As per my opinion, you should not add any medication on your own, you must consult your psychiatrist and discuss regarding it BP reading records, you can make notes of anxiety episodes and associated features, discuss it first with your psychiatrist

Hello. While the initial days of starting an antidepressant (escitalopram in your case) there can be some spike in anxiety and panic episodes occasionally, and It is their usual side affects, but the good news is that they generally subside in a week or two.

Hi.. Need some more history like whether you are having these panic attacks before starting treatment or not.. If present the symptoms will slowly subside with medication. As you are taking a minimal dose of medication there needs to be dose adjustment based on your symptoms.. If new attacks of panic are occurring only after starting treatment and severity there is more need to consult your Psychiatrist for further assessment and treatment modification. Generally it takes 3-4 weeks to get adjusted to the medication.