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Suggest Treatment For Anxiety And Panic

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Posted on Mon, 6 Jul 2015
Question: I have severe anxiety and panic lately it has not been responsive to meds I have change the mess and still not quite right. I've had my thyroid checked and I don't understand the levels--are there high or low adding to my anxiety? Tsh 2.730 t4 free 1.29 t3 1.130
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Answered by Dr. Shehzad Topiwala (3 hours later)
Brief Answer:
Thyroid

Detailed Answer:
Sorry to learn about your anxiety and panic.

The blood test results for thyroid appear normal.

Often each laboratory has their own reference range depending on the test method they have chosen to perform the analysis with. So it would be best to confirm that your thyroid labs are normal by looking at the normal ranges on your lab report particularly for the free T4 and T3.

So it is very likely your thyroid is normal.

There is a rare condition that mimics panic attacks. It is called Pheochromocytoma. There is a simple blood test to check for this called Plasma Free Metanephrines.

However the Paxil medication that you are on will likely give falsely positive results in this test. So do not stop it just like that. Speak with the physician who prescribes it to you, to see if you can gradually go off it for couple weeks before you consider testing for this medical condition. This blood test does not require any fasting and can be done at any time of the day
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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Suggest Treatment For Anxiety And Panic

Brief Answer: Thyroid Detailed Answer: Sorry to learn about your anxiety and panic. The blood test results for thyroid appear normal. Often each laboratory has their own reference range depending on the test method they have chosen to perform the analysis with. So it would be best to confirm that your thyroid labs are normal by looking at the normal ranges on your lab report particularly for the free T4 and T3. So it is very likely your thyroid is normal. There is a rare condition that mimics panic attacks. It is called Pheochromocytoma. There is a simple blood test to check for this called Plasma Free Metanephrines. However the Paxil medication that you are on will likely give falsely positive results in this test. So do not stop it just like that. Speak with the physician who prescribes it to you, to see if you can gradually go off it for couple weeks before you consider testing for this medical condition. This blood test does not require any fasting and can be done at any time of the day