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).
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✅ 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).
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🚨 When to Seek Urgent Care
Chest pain, palpitations, fainting, severe breathlessness.
Persistent dizziness or new neurological symptoms.
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👉 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.
You can consult me directly on Practo, or reach out via WhatsApp number:
Seven Zero Four Eight One Eight Seven Seven Seven Six ( 704818777six )
I’ll guide you step-by-step with easy-to-follow treatment and lifestyle plans.