Hi Doctor ,
For last 12 months I'm on Prodep & last 3-4 months I'm stable on 10 mg Prodep . Recently I starred gym & started doing exercise & weight training . I take my breakfast then Prodep 10 mg & before gym black coffee & then go for gym at 12 noon .. I do for 45 min .. once I'm back I feel some anxiety ; there is energy but also some level of anxiety and thinking which was not there before o started the gym .. now I'm confused is this post workout anxiety normal ? What's the solution . Please help .
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A detailed clinical assessment is advised to understand the issue.
For a personalised treatment plan, DM on insta: dr.abhinavtewari
Dr. Abhinav Tewari
MBBS(AIIMS, New Delhi), MD (AIIMS, New Delhi), DNB
Ex-KGMU Lucknow
Formerly at NHS England
Ex-Faculty RMLIMS, Lko, and KSSSCI
Whatsapp on Nine Four One Five Three Nine Four Three Seven Nine
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. The Perfectionism Challenge: Do something at 80%.
The Values Card Sort: What are your top 5 values?
The Values-Based Action: Do one thing that aligns with a value
1. Breathe Slowly
If you are feeling anxious, you are more likely to breathe faster and shallower. Sometimes, the easiest and most important thing we can do to soothe ourselves is to focus on our breathing.
Inhale slowly. Count to three as you do it. Focus on each breath. Exhale slowly. Count to three as you do it.
2. Stay In the Present
Try the 5-4-3-2-1 technique
Focus on five things around you that you can see. A pen, a bottle of water, a spot on the wall - anything.
Focus on four things around you that you can touch. Your watch, the coffee mug, the chair you are sitting on - anything.
Focus on three things you can hear. Someone speaking on their phone, the TV in the background - any external sound.
Focus on two things you can smell - Maybe itâs a charcoal pencil, a hand cream, or leftover coffee in your mug.
Focus on one thing you can taste - What does the inside of your mouth taste like? Gum, coffee?
3. Muscle Relaxation
When you are anxious, you may feel your body tense up.
Find a quiet place. Slowly tense a muscle group. Letâs say you start with your shoulders.
Breathe in while you tense your shoulders. Hold the tension for a few seconds.
Slowly release the tension and breathe out as you do it.
Do this a couple of times before moving on to the next muscle group. What this practice essentially does is it builds awareness of tension in the body and also recognises when the body is completely relaxed.
4. Get Moving
Move your body. There is simply no way around it. When you do activities that get your heart rate up, like running, cycling, getting some exercise, or even dancing, it can literally change your brain chemistry..
5. Small Acts of Bravery
If thereâs something that makes you anxious, try tackling it in baby steps. For example, if public speaking freaks you out, start by giving a short presentation to a few friends. This can help you build confidence and manage your anxiety when it comes to bigger challenges.
6. Be Kind to Yourself
Practicing self-compassion can really help ease your anxiety. Remember, we all deserve to be cared for, and that includes taking care of ourselves.
Much love!
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You could reply:
What you’re experiencing can happen after exercise, particularly when combined with caffeine. Both exercise and black coffee can increase physiological arousal, which may sometimes be experienced as anxiety, restlessness or racing thoughts. Try avoiding/reducing the black coffee before your workout, hydrate well, and notice whether the symptoms reduce. If the anxiety continues despite these changes, or feels intense/persistent, please discuss it with your psychiatrist before making any changes to Prodep.
Cause: Black coffee (caffeine) paired with Prodep (Fluoxetine) and heavy lifting causes excessive sympathetic activation; Fluoxetine slows caffeine breakdown, compounding jitters.
Brain Misinterpretation: Normal post-exercise arousal (elevated heart rate, alertness) is being misinterpreted by the brain as panic or emotional anxiety.
Next Steps
Drop Pre-Workout Coffee: Stop having black coffee before the gym; use plain water or electrolytes instead.
Add a 5-Minute Cool-Down: Practice slow, deep diaphragmatic breathing immediately after training to engage the parasympathetic nervous system.
Post-Workout Nutrition: Have a balanced snack (protein + complex carbs) right after working out to prevent mild hypoglycemia mimicking anxiety.
Doctor Review: If symptoms continue after stopping caffeine, discuss the timing of your Prodep dose with your psychiatrist.
Health Tips
Do not alter or stop your Prodep 10 mg dosage; eliminate the stimulant trigger first.
Mental Reframe: Tell yourself that elevated pulse and energy post-gym are normal workout physiology, not a return of anxiety.
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.
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