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Suggest Alternative Medication In Place Of Melitracen
Question: hi , i have anxiety disoder and have been on anti depressants since 3 years without any panic attack episode. i am on escitalopram 5 mg,melitracen 10 mg and flupentixol 0.5 mg per day. now melitracen has been banned, i am afraid that i will not be able to control anxiety , what drug should be substituted in place of melitracen
Brief Answer:
Flupenthixol and melitracen can be stopped
Detailed Answer:
Hi, thanks for writing through HCM.
I have read your query and understood your concerns.
For the treatment of anxiety disorder escitalopram alone is effective and tolerable. You are on escitalopram 5 mg for last 3 years, so you need to stop the flupenthixol and melitracen and increase the dose of escitalopram to 10 mg.
You must be visiting your prescribing psychiatrist, if not then meet him and ask for the change in the dosage.
In my patient I would have stopped flupenthuxol and melitracen and the dose of escitaopram would have increased to 10 mg. In follow up within 3 months I would have decreased escitalipram from 10 to 5 mg.
Flupenthixol and melitracen have been banned long before and now no one prescribes it.
Hopa I have answered your query. If you do not have further query then close the discussion and rate the answer.
Wish you good health.
Flupenthixol and melitracen can be stopped
Detailed Answer:
Hi, thanks for writing through HCM.
I have read your query and understood your concerns.
For the treatment of anxiety disorder escitalopram alone is effective and tolerable. You are on escitalopram 5 mg for last 3 years, so you need to stop the flupenthixol and melitracen and increase the dose of escitalopram to 10 mg.
You must be visiting your prescribing psychiatrist, if not then meet him and ask for the change in the dosage.
In my patient I would have stopped flupenthuxol and melitracen and the dose of escitaopram would have increased to 10 mg. In follow up within 3 months I would have decreased escitalipram from 10 to 5 mg.
Flupenthixol and melitracen have been banned long before and now no one prescribes it.
Hopa I have answered your query. If you do not have further query then close the discussion and rate the answer.
Wish you good health.
Above answer was peer-reviewed by :
Dr. Pradeep Vitta
The doctor i see is a cardiologist not a psychiatrist, i take escitalopram at night, should i take one 5 mg pill in the morning and one at night
Brief Answer:
Whole dose should be taken at night
Detailed Answer:
Hi, thanks for writing again.
The prescribing guidelines for escitalopram is that it should be given in once a day dose. So, taking 10 mg at night would be advisable.
Cardiologists do not have knowledge of psychiatric drugs, that is why they prescribe irrelevantly.
Hope I have answered your query. If you do not have any further query then close the discussion and rate the answer.
Whole dose should be taken at night
Detailed Answer:
Hi, thanks for writing again.
The prescribing guidelines for escitalopram is that it should be given in once a day dose. So, taking 10 mg at night would be advisable.
Cardiologists do not have knowledge of psychiatric drugs, that is why they prescribe irrelevantly.
Hope I have answered your query. If you do not have any further query then close the discussion and rate the answer.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Pradeep Vitta
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