1. Anxiety / Panic attacks (very likely) Evening worsening, episodic nature, breathlessness + dizziness, resolution by morning → fits anxiety/panic profile. Stopping medication suddenly (especially SSRIs like escitalopram) can cause relapse of anxiety or withdrawal symptoms. 2. Other causes that should be excluded: Cardiac: Arrhythmia, angina, or uncontrolled BP → can cause evening breathlessness/dizziness. Respiratory: Asthma, GERD-related nocturnal symptoms. Endocrine: Thyroid dysfunction, perimenopausal changes. Metabolic: Anemia, hypoglycemia (if skipping dinner). --- ✅ What to Do Step 1: Rule out physical causes first BP, ECG, blood sugar, thyroid profile, CBC. If normal → more likely anxiety-related. Step 2: Address anxiety Do not stop medications like Nexito Plus suddenly → can cause relapse. If anxiety is confirmed, discuss with psychiatrist about restarting or switching therapy. Non-medication: relaxation techniques, regular sleep, exercise, mindfulness, CBT (if available). Step 3: Monitor pattern Keep a symptom diary (time, triggers, food intake, stress level). --- 🚨 When to Seek Urgent Care Chest pain, palpitations, fainting, severe breathlessness. Persistent dizziness or new neurological symptoms. --- 👉 In summary: Yes, this pattern is likely anxiety-related, especially since she stopped Nexito Plus against medical advice. But before blaming anxiety alone, she should rule out heart, lung, thyroid, and metabolic causes. If tests are normal → restart treatment for anxiety under her doctor’s guidance.

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Can help you, kindly consult and provide detailed history for proper diagnosis and further management

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Anxiety  or related to heart lung. Wrong decision  u can disconnect  like this.

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Could be anxiety, could be problem of heart, lungs, anemia. Consult a physician physically.

Yes for anxiety and depression u have to take medicine for long untill u get a symptom free period of around 6m to 1 yr then after u can tapper and stop the medicine and stopping suddenly causes all ur symptoms to relapse..

Need few more details Kindly consult

Avoid fried food and spicy food Water intake more Green leafy vegetables and fruits Fiber meal Do connect and consult

Hello, Feeling dizzy and breathless in the evenings can be related to anxiety, especially since you stopped Nexito Plus on your own. Stopping such medicines suddenly may cause return of symptoms. However, dizziness and breathlessness can also occur due to other causes like low blood pressure, sugar fluctuations, or heart/lung issues. It’s best to consult your doctor again before restarting or stopping anxiety medicines, and also get a basic check-up done to rule out physical causes.