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Fear of spoiling academic performance
I have been diagnosed somatoform bipolar disorder with measure depressive episodes.I had chronic back pain, anxiety, breathlessness, jaw stiffness,tremors,weight loss, overthinking, forgetfulness,absentmindedness.I was prescribed lamez 25 + duzela 30 + cloba 5 BD.After taking one weeks of medication i had great relief in my back pain and breathlessness and other symptoms.but due to rashes i had to quit lamez.Now i am on duzela 30 and cloba 5 since 2 month. I am a final Mbbs student and within 15 days i have my final university exams.but i am scared due to side effects of the medicines since i have searched online that clobazam leads to significant decline in memory and concentration and deterioration of cognition.Will it affect my exam performance and will i get failed due to these medications?
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Do not think too much, you had developed rash so lamotrigine was stopped
Duloxetine and Clobazam are continued
Gradually Clobazam will be tapered and duloxetine will be continued
Do not worry, you are under the guidance of your doctor and you can discuss your queries in follow up visits too
Your exams are close, do not worry, when Medications are taken at higher dose and for longer time, they cause cognitive decline
You will be best in your exams, just follow your routine and one most important advise to read and prepare for exam in day time , at night you have to take sleep for 6 hours at least,
, you can get up early and study
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Take the medicines exactly as prescribed until your exams are over.
Optimize sleep, exercise lightly, take breaks, use memory techniques (spaced repetition, active recall).
After exams, review with your psychiatrist about long-term plan — whether clobazam can be tapered gradually, and whether alternatives (non-benzodiazepine anxiety management, psychotherapy, lifestyle) can replace it
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At your current doses, duloxetine and clobazam are unlikely to cause significant memory decline or exam failure. The relief in pain, anxiety, and mood is far more likely to help your performance. Please don’t stop or change your medicines just before exams — review tapering options later with your doctor.
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