Download FREE Practo app
Get ₹200 HealthCash
General query
I am diagnosed with OCD and General anxiety disorder I take Depran L in the night but sometimes I have a feeling of confusion. Does it is due to medicine or just my doubt?
Answers (7)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
Heyy
I can help you better with further treatment course needed. U can connect me via whatsapp on seven zero eight two zero two two zero six two.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced psychiatrist online and get your health questions answered in just 5 minutes.
+191
Take therapy too
Connect on nine two six six seven two six zero six five
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Hi.. benzodiazepine can be the cause for confusion. However will need further history regarding the same to advise appropriately. Consult online for treatment
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
As per my opinion, feeling of confusion may a symptom of your illness or medicine related
* Further, your medications are combination of escitalopram and Clonazepam, escitalopram is very important medication for your illness
* Gradually Clonazepam will be tapered and stopped in further month, you discuss with your doctor in follow up visit
* Confusion sometimes may be due to excess sedation during day time, Clonazepam may be tapered as per guidance of your psychiatrist as when Clonazepam will be tapered, symptoms of anxiety or disturbed sleep may relapse, for that other medications may be suggested so that relapse not occur
* At last, in this hot and humid weather, there is loss of water from body, try to hydrate yourself by drinking lot of water, fruits, salad, avoid spicy, oily food
/* Brisk walk, relaxation exercise must be done with medications for better response and maintaining self attention
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Kindly rule out what kind of confusion you are having .
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Mohd Ahsan
Psychiatrist
10 yrs exp
Lucknow
Details about ur current symptoms is further required for evaluation
In my experience low dose bzd are very less likely to cause confusional state
Have to further evaluate accordingly
Next Steps
consult a psychiatrist
Health Tips
lifestyle modification/follow sleep hygiene
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Vettrivel Arul
Mental Health Counselor
7 yrs exp
Salem
Confusion while on Depran-L (a combination of Escitalopram and Clonazepam) can happen due to how the brain adapts to serotonergic and GABAergic modulation. Escitalopram increases serotonin levels, which helps regulate mood, but can also cause cognitive slowing or derealization in sensitive individuals, especially during the initial weeks or with dosage changes. Clonazepam, a benzodiazepine, acts on GABA-A receptors and can contribute to sedation or mild cognitive dulling if the brain is already under stress or if dosage is too high for your system. However, people with OCD and anxiety often experience metacognitive hypervigilance, where normal fluctuations in clarity are misinterpreted as signs of illness or damage. That makes it crucial to distinguish between pharmacological effects and anxiety-driven perceptions.
Next Steps
Instead of stopping or adjusting the medicine on your own, maintain a symptom journal that records when the confusion occurs, for how long, and what you were doing beforehand. Share this with your psychiatrist, who can evaluate whether it's dose-related, timing-related, or anxiety-linked. If Clonazepam is the likely cause, a gradual taper may be considered. Alternatively, if the anxiety itself is perpetuating doubt and confusion, cognitive behavioral therapy (CBT) or metacognitive therapy should be initiated alongside medication. These therapies help retrain the brainâs habit of checking and doubting itselfâa core feature in OCD-spectrum presentations.
Health Tips
Anchor your day with a fixed wake-up time, exposure to natural morning light within 30 minutes of waking, and regular protein-rich meals (like eggs, soaked almonds, paneer, or millets) to stabilize neurotransmitter production. Avoid caffeine post-2 PM, reduce sugar spikes which worsen brain fog, and hydrate well. Incorporate magnesium-rich foods (like spinach, pumpkin seeds, and bananas) and B-vitamin sources (like whole grains or brewerâs yeast). Start gentle aerobic movementâlike walking for 20 minutes in the eveningâto regulate circadian rhythm and lower cortisol. These daily routines directly support neural recovery and stabilize cognition without depending entirely on medication.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Articles you may like
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.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
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.