Mental Health

PLZ SUGGEST A GOOD MEDICINE FOR ANXIETY WHICH DOESNT PRODUCES SLEEP DURING WORK.MY LOCAL PHYSCHARIST HAS GIVEN ME ETIZOLA 0.25 OR ATIVAN 1MG.BUT BOTH MEDICINES RPRODUCING HIGH SLEEP WHICH IS HAMPERING MY WORK.PLZ SUGGEST A DIFFERENT MEDICINE FOR ANXIETY WHICH PRODUCES NON ANXIETY.

I have Generalised Anxiety disorder and Hypocondriasis ( Health Anxiety )since last 12 years. I started my treatment with Paroxetene 25 and Clonazepam 0.25 and took it for 1 month but it lead a bery bad constipation. My doctor shifted me to Escitalopram 10 and Clonazepam 0.25 for next 9 yrs, I took it. Then I was put on Vortioxetine, Desvenlafaxine, Bupropion, all gave me really bad constipation. At last a different psychiatrist put me on Vilazodone for 3 yrs and it doesnt cause me any constipation, but it was not effective in managing my Anxiety disorder and racing thouhgts. I was then shifted to Sertraline but it also caused constipation. Now my doctor has prescribed me Fluoxetine 40 in the morning and Mirtazapine 15 at night. I have started taking it but mirtazapine is causing very much sleepiness. Can sum1 please advise me does fluoxetine cause less constipation, than other SSRI and SNRI and can I skip Mirtaz due to excess sleep. And continue clonazepam 0.25 as I did for 12 years.

Hi ,I have frequent urination problem with UTI from last 2 weeks and antibiotic course are finished, I was not getting sleep due to frequent urination and Overactive bladder so I took different sleeping pills like,Ativan 1mg,zolfresh 5mg in last 10 days just to get a proper sleep, Am still on this soliten medication for my OAB issue but now the problem is am not able to sleep without any sleeping pills.I really want to leave this but somehow without this whole night am suffering for sleeplessness. Please give me solution, How I can get back my natural sleep asap.

I had consulted Dr.Tariq Ahmad Bhat on 08 February 2025 through Practo to treat Anxiety, Depression. Got relief. Again I have been suffering from Anxiety and Depression since 29thJuly 2025. Due to non availability of Dr. Tariq Ahmad Bhat in Practo, I had consulted Dr.S.K.Singh locally at Guwahati Assam on 18th July, 2025. During this one month there is no improvement.

I am suffering from anxiety from almost 7-8 years.Symptoms and go,have been to few psychiatrist as well, prescribed medicines like paxidep,toficalm etc.It gets better but then again it comes back.I had symptoms of depersonalisation and derealization as well but very moderate.Currently from past 3-4 days this feeling of depersonalisation and derealization has become very strong,I am currently on paxidep cr 12.5,the feeling is so strong that it seems like I will pass out now.It's getting very bad experience for me.Everythings appear in 2D.sleep is almost okay,I sleep for 7-8 hours,I am a software engineer has some work pressure but not much. Please guide me what should I do,I am very much frightened.

My brother is suffering from all symptoms of brain fogging, hand Shivering, Confused all times, Not able to focus, Mood swings, Always feeling fear, A bit of confusion while walking/talking, Not feeling strength in body, weight Loss, Constipatin Below Test results: ULTRASOUND - Both kidneys are show evidence of increased cortical echogenicity with however CM differentiation is maintained. No evidence of calculus / hydronephrosis. OPINION-FINDINGS ARE CONSISTENT WITH B/L INCREASED RENAL CORTICAL ECHOGENICITY AS DESCRIBED ABOVE ADVICE - RFT TO RULED OUT ANY POSSIBILITY OF RENAL PARENCHYMAL DISEASE On Full Body checkups: Vitamin B12 Almost Double as per normal range. RBC - 6.02 (4.5-5.50 normal range) LFT/Thyroid/CBC/Urine/Sugar/Cretanine/LF/FSH/Testosterone/MRI: Normal Eye checkup: Bit Nerves shrink Consulted multiple dr MIMHANS (merrut) Allegra 120 MG Dizitac Naxdom 500 MG OLIMELT 5MG PPnil 40MG Vertin 24MG Neuropsychiatric Dr: Opiprime 50mg Voxinix CR 100mg Franxit Zenoxa 150

I am looking for medical certificate for submitting to my employer as I am preparing for some exams and I required for the same.

My brother is suffering from all symptoms of brain fogging, hand Shivering, Confused all times, Not able to focus, Mood swings, Always feeling fear, A bit of confusion while walking/talking, Not feeling strength in body, weight Loss, Constipatin Below Test results: ULTRASOUND - Both kidneys are show evidence of increased cortical echogenicity with however CM differentiation is maintained. No evidence of calculus / hydronephrosis. OPINION-FINDINGS ARE CONSISTENT WITH B/L INCREASED RENAL CORTICAL ECHOGENICITY AS DESCRIBED ABOVE ADVICE - RFT TO RULED OUT ANY POSSIBILITY OF RENAL PARENCHYMAL DISEASE On Full Body checkups: Vitamin B12 Almost Double as per normal range. RBC - 6.02 (4.5-5.50 normal range) LFT/Thyroid/CBC/Urine/Sugar/Cretanine/LF/FSH/Testosterone/MRI: Normal Eye checkup: Bit Nerves shrink Consulted multiple dr MIMHANS (merrut) Allegra 120 MG Dizitac Naxdom 500 MG OLIMELT 5MG PPnil 40MG Vertin 24MG Neuropsychiatric Dr: Opiprime 50mg Voxinix CR 100mg Franxit Zenoxa 150

I am 31 years old male now. Since childhood,(may be age of 3 or 4years)I have over active urinary bladder , with pain in the bladder whenever urge comes with urine leakage and also a problem of Irritable bowel syndrome constipation alternate with diarrhoea and also tendency of anal fissure. I consult many psychiatrist but, can't continue treatment. Taking their prescribed medications from the very first dose I feel severe stomach bloating, headache and complete loss of appetite and severe hard stool. Why this is happening??

Dear Doctors, kindly help me to understand how to take my medicine as I'm unable to understand the frequency and the dosage of the medicine. Seeking your help to Understand the prescription dosage.