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Suggest Treatment For Anxiety

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Posted on Fri, 28 Nov 2014
Twitter Fri, 28 Nov 2014 Answered on
Twitter Mon, 22 Dec 2014 Last reviewed on
Question : Sir i am frm XXXXXXX and i am sufferig frm anxiety due to home sickness can you suggest me any medicine bcoz i need an immediate help.as i have to left home for job and i can not afford to lose job i need a medicine immediately bcoz there is no psychtrist is in my locality plz help me i need it immediately i can not tolerate the anxiety i am facing now
doctor
Answered by Dr. Dr. Chintan Solanki (12 minutes later)
Brief Answer:
Propranolol, but consultation of psychitrist is must for treatment

Detailed Answer:
Hello,
Thanks for writing to us.

For immediate relief I suggest propranolol 20 mg with some food/milk. It can help to reduce /stop your anxiety. In some countries it is available over the counter or You can get this medication with local doctor prescription.

Other medicine is clonazpam 0.25 mg mouth dissolving preparation which you can put in your mouth (no need to swallow) for fast action. But it wont be available without prescription.

Anxiety is just the symptom. There are many psychiatric disorders in which anxiety is one of the symptoms.

You need to consult a psychiatrist for detail history and mental status examination which will help to diagnose your problem and then treatment.

If you have more query , please revert back to me with more detail about your problem of home sickness and fear of loosing job and other stress/worries/symptoms and any related history if you feel it is important.

Hope I have answered your query, I will be happy to answer more.

Regards,
Dr.Chintan Solanki.



Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Dr. Chintan Solanki (30 minutes later)
Sir as i mentioned i am living in small city and i have to go to another small town where psychic help is not available i am aware that i have to be examined properly but i do not have time for this please give me the proper and common name of the tab which is available in small town also i want to mention that i feel very sad depredsed and hopeless in the morning and afternoon sometime i also feel relaxed and optimistic i am also having problem of sleep from last few days for this i am taking zolpdiam 10 mg tab is it making me depressed should i take it
doctor
Answered by Dr. Dr. Chintan Solanki (35 minutes later)
Brief Answer:
Consult your local physician for medications

Detailed Answer:
Dear XXXX,

I can understand your situation. But if you can get zolpidem, which is mostly prescribed by a doctor who can prescribe antidepressant and anti anxiety, you can consult physician who has given zolpidem for immediate help and prescription.

Do not take any medicine for sleep without prescription.

I am suggesting treatment if I were your treating doctor but you must consult doctor for written prescription. If you suffer any side effect, that prescribing doctor can help.

You should be given escitalopram (Nexito) 10 mg in the morning (for depression and anxiety), clonazepam (clonotril/lonazep)0.25 in morning and noon(this will act as anti anxiety drug) and clonazepam 0.5 to 1 mg at night(for sleep). These are medicines with the least side effects.

So please consult your doctor, discuss what I have narrated and start the medicines. Ask your doctor to refer you to some psychiatrist for complete evaluation, diagnosis and treatment when possible.

Hope I have answered your query, I will be happy to answer for more if more questions.

Regards,
Dr.Chintan Solanki.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Dr. Chintan Solanki (52 minutes later)
Sir,
I have one more question i am taking one or two zolpidam 10 mg tab from last 7days irregularly and i was not prescribed for it by any doctor but i am not takking it from yesterday is this safe to suddenly stop takking this or i reduse it doses i was takking this as it was prescribed to one of my sister who was having same problem of anxiety sir i am realizing that it was my mistake that i shld consult doctor before takking it so plz advice shld i stop takking it and or shld i substitute with any other medicine since i am not takking it frm yesterday is it bcoz of this i am experiencing this situation bcoz i have never experience such a depressed mood before plz advice sir
doctor
Answered by Dr. Dr. Chintan Solanki (9 minutes later)
Brief Answer:
Yes you can stop , no need to worry

Detailed Answer:
Thanks for question.

Yes , you can stop zolpidem without any discomfort. It is not given for anxiety. It is given for initiation of sleep.It is short acting medicine without any withdrawal feature. It is ok if you have not consulted doctor in that case.

You can have a cup of warm milk before 15 minutes going to bed.

And please consult any local doctor and start the treatment as I mentioned earlier.

Hope I have answered your query. If still any query there, I will be happy to answer. If not, you can close the discussion and if feasible give your feedback so I can improve service. In future you can contact me directly if you wish with this link: http://bit.ly/drchintansolanki

Regards,
Dr.Chintan Solanki.


Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Dr. Chintan Solanki (57 minutes later)
Respected sir,
Can you suggest me any doctor or hospital in sambalpur jharsugudda or XXXXXXX as i do not know any psychatrist there these location is nearest to my job location
doctor
Answered by Dr. Dr. Chintan Solanki (1 hour later)
Brief Answer:
Click on following link and search contact of any of them

Detailed Answer:
Hello,

I am not able to suggest specific name. But I have searched psychiatrists in all three districts you mentioned from our site. And luckily I found all 3 districts have psychiatrists.

You need to click following links. You will find the name of psychiatrist along with their clinic address. If they have not mentioned the address you can search their address on internet by their name and then consult.

http://doctor.healthcaremagic.com/doctors/Psychiatrists-in-Sambalpur/L18906S35

http://doctor.healthcaremagic.com/doctors/Psychiatrists-in-Jharsuguda/L18912S35

http://doctor.healthcaremagic.com/doctors/Psychiatrists-in-Jamshedpur/L19188S35

Hope I have answered your query.


Regards,
Dr.Chintan Solanki.
http://bit.ly/drchintansolanki
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Dr. Chintan Solanki (18 hours later)
Sir,
Is homesickness is cureble aur i shld take it as permanent disability and manage my life with one eye on this disease bcoz whenever it attacks suicidal thoughts appears in my mind and i start takking mylife nonwoethy is it depression in the last stage.shld i apply for leave and start treatment bcoz if i work i have to remain alone is it feasible to take psychic medicine whille living alone i am asking this question bcoz i feel comfortable and happy living in home since signs appear while i go out to distant cities.
Regards
Navjeet
doctor
Answered by Dr. Dr. Chintan Solanki (2 hours later)
Brief Answer:
of course it is curable

Detailed Answer:
Dear XXXX,

You are likely in severe depression. But it is not like that you have to pass whole of your life like this. Your home sickness as well as depression can be treated for your sure. Just you need professional help.

You have never consulted psychiatrist that is why you are thinking like this. I request you to not to act on death wishes or ideas. Young people like you should understand that treatment is available for your problem and seek help as soon as possible.

Normally it is not necessary that medicines for psychiatric disorder can not be taken while residing alone until patient has severe death wishes and doubt that patient can attempt by taking overdose.If psychiatrist feels that it is okay, he allows to take patient medicine on his own or else initially indoor hospital treatment is given for stability of mind.

Yes if you feel you can take short leave and consult doctor. If doctor says you need to take rest ,then continue more leaves otherwise start work with treatment.

So please consult psychiatrist soon.

I hope i have answered your query feel free to ask if any more.

Best of luck,
Dr.Chintan Solanki.

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
Answered by
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Dr. Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2407 Questions

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Suggest Treatment For Anxiety

Brief Answer: Propranolol, but consultation of psychitrist is must for treatment Detailed Answer: Hello, Thanks for writing to us. For immediate relief I suggest propranolol 20 mg with some food/milk. It can help to reduce /stop your anxiety. In some countries it is available over the counter or You can get this medication with local doctor prescription. Other medicine is clonazpam 0.25 mg mouth dissolving preparation which you can put in your mouth (no need to swallow) for fast action. But it wont be available without prescription. Anxiety is just the symptom. There are many psychiatric disorders in which anxiety is one of the symptoms. You need to consult a psychiatrist for detail history and mental status examination which will help to diagnose your problem and then treatment. If you have more query , please revert back to me with more detail about your problem of home sickness and fear of loosing job and other stress/worries/symptoms and any related history if you feel it is important. Hope I have answered your query, I will be happy to answer more. Regards, Dr.Chintan Solanki.