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Anxiety and Panic
Hello. I had an panic attack 45 days back. Had consulted a Medicine specialist. Sir has advised to take Stalopam mini plus and diagnosis was GAD. But then I used to take Only Clonafit 0.5 for 10 days then clonafit 0.25 for 30 days. I was feeling bit better now but still at times feeling anxious and having panic feelings, especially at night .  Do I need to continue clonafit or shift to Stalopam mini plus. All blood investigation including Thyroid and HBA1 C are within normal range. ECG was normal.
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You may take the following steps to manage your anxiety. Accept It: When you are feeling nervous, remind yourself that it is natural to feel anxious. Remind yourself that in the past also you have felt nervous but you succeed in your job. Practice More: If you practice your lessons and rehearse your speech, your anxiety levels are likely to be much lower when you are on the job. Practice makes a person perfect and a perfect person is never anxious. Take it as a Challenge: When something makes you nervous, instead of running away from it, take the bull by horn. Face the challenge boldly as if you are fighting a battle with an enemy. Imagine the joy you would get after you defeat your enemy!! Be Positive: You must think about winning the game rather than losing it. Positive thinking keeps your mood good and reduces your nervousness. Try Your Best: Instead of bothering whether you would win or lose, think whether you have tried your best or not. Once you are convinced that you have tried your best, you must stop bothering about the result which is not in your hand. Be Ready for the worst: You must evaluate what would happen if you lose in the worst case. Heaven is not going to fall and your life would go on. If you are ready for the worst, you would be much less anxious. Accept the Destiny: I always believe that we must try our best and leave the rest to God or destiny. If things don’t go our way, it may be the decision of God which may actually turn out to be better for us.
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Clonazepam use should be restricted to a short time. ie; not more than 6 weeks. And continue escitalopram for  at least 6 months with frequent follow up in between. Then taper the dose slowly after remission following advice from your Psychiatrist to stop medication.
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You need to take Ssri stalopam for at least six months after complete remission. Clonazepam can only give transient relief in symptoms, and anxiety returns on discontinuing.
Next Steps
Consult online for restarting the medicines or consult with your previous psychiatrist.
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U need proper assesment for your diagnosis. treatment can be decided only after the proper diagnosis
Next Steps
reconsult a psychiatrist or contact me directly via my chat box
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.