Doctor insights on:
Medicine For Panic Disorder
Is amitriptyline a good medicine to treat panic disorder i was prescribed that and protonix (pantoprazole) yesterday and I'm not sure its going to work?
Not common choices: For Panic Disorder, those medications are not usually prescribed. They are for major depression and gastric acid problems respectively in most cases. Drugs are used 'off label' more and more, so this may be a new choice. Do take the opportunity to clarify w/ the Dr who prescribed. Don't simply ignore it and don't start it until you understand why, what to expect, etc. Take care, be well! ...Read more
Panic is a psychological and somatic state of anxiety usually involving extreme fear, characterized by symptoms such as shortness of breath, rapid pounding heartbeat, sometimes dizziness or light-headedness, tunnel vision, a sense of unreality, and a feeling of needing to escape from ...Read more
We can't cross-: reference this submission with your previous submissions on the Health Education portion of Health Tap Prime. Health Tap Concierge or Prime will allow you to have an ongoing conversation with a medical provider. ...Read more
Psychiatry: Kindly, This question should be discussed with your psychiatrist. ...Read more
Many: There is a wide range of medications commonly used for anxiety disorder and/or panic attacks. The list is long and it includes zoloft, paxil, wellbutrin, prozac, buspar, (buspirone) xanax, valium, klonopin, ativan, etc. Anxiety medications are carefully chosen and effects of meds are closely monitored by physicians, especially ones with high addictive nature. ...Read more
the best way to overcome anxiety is THERAPY in addition to meds. medicines help but therapy with meds is best combination. of meds, SSRIs (if Celexa (citalopram) not working well, try another in this class) then SNRIs are best suited for long term management of anxiety. would suggest staying away from benzodiazepines - cause dependence in general - this is on a case by case basis of course. see a doctor. ...Read more
SSRI/ SSNRI / BZD: The selective serotonin re-uptake inhibitors (ssri) are probably the most effective and safest followed by the selective serotonin and norepineprine re-uptake inhibitors (ssnri) followed by the benzodiazepines (bzd). There are many medications within each class which are often chosen based upon side effect profile. ...Read more
Have panic disorder scared of medicines. Have taken asprin many time before in my life. Is there any way i can have an adverse reaction to it now?
Maybe: The risk with Aspirin with your history of successful use in the past is how the product is formulated. Aspirin needs to dissolve in the stomach quickly like bufferin , or not dissolve until it reaches the small intestine- enteric coated.Take Aspirin with full glass of water while standing or seated, never while laying down. Taking with food or antacid can reduce risk of stomach irritation. ...Read more
Which medicine is better for panic attacks, ativan or xanax (alprazolam)? I suffer from severe panic disorder and I am currently taking ativan and lexapro, which helps, but i still have constant, extreme attacks. I have been told by others who have the sa
Both : Both Ativan (lorazepam) and xanax (alprazolam) belong to a class of drugs called benzodiazepines. They can both be used to treat panic disorder and both have similar side effects. Most important side effects are those affecting central nervous system: drowsiness, daytime sedation, memory impairment, physical and psychological dependence, tolerance and withdrawal symptoms. Different people respond differently to these drugs, something that depends on a person's age, general health (in particular presence of liver disease) and concurrent use of other drugs. Your doctor's decision to prescribe Ativan is most likely based on factoring these and other aspects of your general health into this decision. There is no downside of asking your doctor about xanax vs. Ativan for treatment of your panic disorder. ...Read more
Are there rehab clinics that can deal with prescription drug addiction and panic disorder in one place?
Yes: Such a facility would have a psychiatrist on staff that would be managing the detox as well as management of coexisting psychiatric disorders. ...Read more
What is preferred/tolerable for anxiety, ocd, panic disorder - Lexapro (escitalopram) or Zoloft? I have bradycardia worried about long qt from drugs, raised BP, etc.
Anxity and depression what medicine should be used? I have been diagnosed with anxity and panic disorder. The doctor put me on celexa. As i did research its for depression wich i don't have. This medication makes my anxity worse I have constant heart race
Exposure therapy: Once medical prob is ruled out find a therapist who specializes in panic disorder, esp helpful is exposure therapy for panic, where gradually, w the therapist's guidance, u intentionally & repeatedly bring on various symptoms of panic, interspersed w/ relaxation techniques. By doing this over & over again, physical sensations that accompany the panic feeling will no longer trigger a panic attack. ...Read more
Yes, very real: Panic disorder is a genuine medical condition consisting of episodic intense anxiety & terror that come out of the blue. They're accompanied by physical symptoms such as: racing heart; chest pressure or pain; shortness of breath; feeling weak or dizzy; GI distress; tingling or numbness in hands, fingers, & sometimes face; feeling of loss of control & that death is imminent. Treatment helps! ...Read more
A couple of ways: Panic disorder is a form of anxiety disorder. I would recommend seeing a doctor and see if you really have this. Also one can treat the underlying cause with a serotonin drug and use a tranquilizer like Clonazepam to take for breakthrough panic episosdes. In addition counseling can be helpful in dealing with this as well. Definitely get help as this is treatable. ...Read more
Panic Attacks: may be treated with psychotherapy & /or psychiatric medications. Cognitive Behavioral Therapy (CBT) & behavior therapy can be effective. Medications such as SSRI's or SNRI's may be used. Benzodiazapines are sometimes used. Talk about feelings & address problems. Don't avoid them. Aim for 7.5 - 8 hours of sleep/ night. Daily physical activity is optimal in a green space. Eat healthfully. Cut out > ...Read more
out of the blue: For many folks, panic attacks start and come out of the blue and for no reason. For others, symptoms of anxiety and panic start in relation to some stress. Panic disorder as well as other anxiety problems tend to run in the family. A good book you can try is: stop obsessing by edna foa, which has techniques which are very useful. ...Read more
CBT: Cognitive behavioral therapy (cbt) is a fabulous treatment for panic disorder. It involves learning what triggers panic and how to manage panic symptoms. Effective tools are used. Medication can help, as well, if the panic symptoms are so severe that they initially get in the way of participating in cbt. ...Read more
You may have PD if U: 1) experience frequent, unexpected panic attacks that aren’t tied to a specific situation. 2) worry a lot about having another panic attack. 3) are behaving differently because of the panic attacks, such as avoiding places where u’ve previously panicked. Still, even if u don't meet the specific criteria for pd, u deserve to feel better about ur symptoms! consult w/ ur dr. Or a therapist. Gl! ...Read more
Expert Docs & Info!: #1) really helps 2have mental health clinician like a clinical psychologist who has specific training/expertise in treatment of anxiety disorders. #2) it's vital 2understand what anxiety is, how it ticks so u can take back ur life from anxiety when it interferes w/ur ability 2function. Consider researching. http://www.anxietybc.org #3) but start w/ur pcp 4 workup 2rule out medical conditions.! ...Read more
Panic attacks often: Last 2 to 10 mins. Sx’s can include: sense of severe anxiety or panic, chest tightness or pain, rapid or pounding heartbeat, areas of numbness or pins ; needles type sensation, hot flashes or chills ; heavy perspiration. There may be a tickle sensation in the stomach or nausea, feeling dizzy or faint ; physical shaking. The person may fear that they are going crazy, they are out of control or that. ...Read more
Panic attacks can
develop rapidly ; include: marked anxiety; rapid, pounding heart beat; chest tightness or pain; shortness of breath with hyperventilation; hot or cold flashes; a sense of butterflies in the stomach, nausea or even vomiting; tingling of mouth or extremities; increased sweating; feeling faint or lightheaded; headache or shaking. There may be difficulty swallowing or tight throat;. ...Read more
People who have: Panic attacks are ok but often fear dying or some other catastrophic event. The fear of another panic attack becomes the real issue. Some therapists will even prescribe panic attacks to help the person see that they are ok and that the attacks are self-limiting. Please see a psychologist for support. Peace and good health. ...Read more
PD symptoms include: 1)frequent, unexpected panic attacks that aren’t tied to a specific situation. 2)worry a lot about having another panic attack-pa. 3)behave differently because of the pa (avoiding places where u’ve previously panicked.) i've seen these sx in various degrees of intensity (mild with only 1 pa to severe w daily pas.) in all, the psyche has something to say. Listen to it... U'll be glad u did! ...Read more