HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Best Tricyclic Antidepressants For GAD And Panic Attack

default
Posted on Mon, 5 May 2014
Question: I have tried many SSRI, they sedate me and give me headaches. I was able to take celexa 2 years prior, but now it sadates me. What tricylic would be best for me I have GAD with panic disorderl
doctor
Answered by Dr. Abhishek Kapoor (2 hours later)
Brief Answer: You can try bupropion or buspiron Detailed Answer: Hi Thanks for using healthcare magic. I, Dr Abhishek Kapoor, would help you in this query. Most of tricyclic antidepressants or all TCAs have anti-histaminic effect and cause sedation. You can try bupropion or buspiron for anxiety. Among SSRIs if you have not tried paroxetine or fluoxetine, then you can try them. Better to take medicine at night and take benzodiazepine at low dose on sos basis. You would not face drowsiness with medicine. Rest, you can discuss with your psychiatrist You can also try relaxation exercise like JPMR or deep breathing exercise that would help you keep relax. In case, you need further help, you can ask. Regards Dr. Abhishek Kapoor Psychiatrist
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Abhishek Kapoor

Psychiatrist

Practicing since :2007

Answered : 2496 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Best Tricyclic Antidepressants For GAD And Panic Attack

Brief Answer: You can try bupropion or buspiron Detailed Answer: Hi Thanks for using healthcare magic. I, Dr Abhishek Kapoor, would help you in this query. Most of tricyclic antidepressants or all TCAs have anti-histaminic effect and cause sedation. You can try bupropion or buspiron for anxiety. Among SSRIs if you have not tried paroxetine or fluoxetine, then you can try them. Better to take medicine at night and take benzodiazepine at low dose on sos basis. You would not face drowsiness with medicine. Rest, you can discuss with your psychiatrist You can also try relaxation exercise like JPMR or deep breathing exercise that would help you keep relax. In case, you need further help, you can ask. Regards Dr. Abhishek Kapoor Psychiatrist