Suggest Medication For Palpitation And Breathlessness During Stressful Situations
Thu, 21 Sep 2017
Answered on
Mon, 16 Oct 2017
Last reviewed on
1) First thing Venlift OD 150 mg once in a day giving respite from Depression. That I am continuing.
2) As far as the problem of jaw pain and unable to explain is concerned, finally I got some sort of respite after 23 years from Inderal 40mg. I am taking Inderal 80 mg per day. Now I am in a position that I am laughing freely, expressing my facial feelings freely. Not bad/ worse like before. Thanks Doctor.
3) Now the Third question is concerned two more problems are there. That is palpitation. When I am in Group or any argument occurs, Palpitation occurs. Heart beat increases, Unable to talk for a while. Shortness of breath. THIS IS THE PROBLEM KINDLY ADDRESS DOCTOR. KINDLY SUGGEST ANY SUITABLE MEDICINE.
4) Doctor kindly tell me whether clonazepam and revotril are same. Because since last decade and ago I have been taking rivotril 2 mg but not giving respite. But as far as clonazepam 2mg concerned it is giving respite to me.
4) As advised by you, to reduce revotril 2 mg, I shifted to lonazepam 2 mg and gradually reducing revotril 2mg to deaddiction of this medicine.
5) Finally I am taking daily venlift od 150 mg one capsule, clonazepam 2 mg one tablet and inderal 80 mg. Is it ok Doctor or can you suggest any change in the medicine.
FINALLY MY QUESTION TO YOU DOCTOR, I IDENTIFIED MY PROBLEM IS SOCIAL ANXIETY. INDERAL IS WORKING EXCELLENTLY. SIMILARLY KINDLY PRESCRIBE ANY MEDICINE I CAN TALK IN THE SOCIAL SITUATIONS WITHOUT ANY PALPITATION, SHORTNESS OF BREATH, CALMLY AND COOLY. THIS IS THE PROBLEM WHICH YOU HAVE TO ADDRESS.
WAITING FOR YOUR REPLY DOCTOR.
Inderal can be increased to 120 mg per day
Detailed Answer:
Hello,
Thanks for using Healthcaremagic.
I read your query and understand your concerns.
First of all I feel you are taking treatment as prescribed your doctor and this is rationale treatment to great extent considering the multitude of problems. However considering the ongoing palpitations in social situations I feel increasing propranolol (Inderal) is safest option among the available medications.
For the anxiety disorders the dose of propranolol is 40-240 mg per day and there is no harm if the dose of inderal increased for control of anxiety by your doctor. Since there is ongoing need for clonazepam I feel increasing inderal will help you in decreasing the dose of clonazepam.
Regarding Venlift I like to inform you that it is one of effective medication in anxiety disorder and I do not feel it should be decreased at this time.
I also like to clarify that rivotril, clonazepam and lonazep are the same medication and it is better if the dose of it can be reduced.
I hope this answers you.
Feel free to write back to me if you have more questions.
Thanks and regards.
Follow up
Detailed Answer:
Hello,
Thanks for follow up.
Yes it is true that palpitations are controlled by propranolol and can be used under supervision of your doctor. However I like to make it clear that it is symptomatic treatment and other causes of palpitations (cardiac illness) should be ruled out before taking propranolol.
I I hope this assists you further.
If you have more questions I will be glad to answer you further.
If you do not have more questions, please close the discussion and if possible rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
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