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Suggest Treatment For Panic Attacks While On Klonopin
Question: i have been on klonopin 1mg bid for panic attacks and past few months i just feel very emotional, crying, sad, scared, nervous, just feel bad!! im on zoloft also! whats wrong with me!! i just want to feel better! could it be the klonopin or im 46 could it be my hormones and maybe premenapauseal!!
Brief Answer:
I think zoloft is either ineffective or notin appropriate dose
Detailed Answer:
Hello,
Thanks for using healthcaremagic.
Although it is not possible to speculate exact reason for feeing bad but the symptoms are clearly indicative of clinical depression. The reason for feeling low could be hormonal changes or the panic disorder itself presenting with depression..
Klonopin generally do not result in secondary depression and I think this is unlikely cause. Having said this I feel klonopin should not be used for long term and you need to discuss same with your doctor.
I also feel that Zoloft is either ineffective or in suboptimal dose range. In my view there should be change of antidepressant if you are already taking maximum possible dose of Zoloft( 200mg).
I hope this helps you.
if you have more questions feel free to write back to me.
Thanks and regards,.
I think zoloft is either ineffective or notin appropriate dose
Detailed Answer:
Hello,
Thanks for using healthcaremagic.
Although it is not possible to speculate exact reason for feeing bad but the symptoms are clearly indicative of clinical depression. The reason for feeling low could be hormonal changes or the panic disorder itself presenting with depression..
Klonopin generally do not result in secondary depression and I think this is unlikely cause. Having said this I feel klonopin should not be used for long term and you need to discuss same with your doctor.
I also feel that Zoloft is either ineffective or in suboptimal dose range. In my view there should be change of antidepressant if you are already taking maximum possible dose of Zoloft( 200mg).
I hope this helps you.
if you have more questions feel free to write back to me.
Thanks and regards,.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I am on Zoloft 100mg! All these symptoms I have now feel different than when my first panic happened and I get better but now in I want to cry for no real reason, I'm irritated easily, mood swings, uti every other month, scared feeling!!
Brief Answer:
There is scope to increase zoloft
Detailed Answer:
Hello,
Thanks for reverting back to me.
Since 100 mg of Zoloft is not sufficient I think you can increase dose of zoloft to 150 mg after discussing with your doctor. In case that too is not effective dose can be further upped to 200 mg after two weeks of 150mg.
I understand that depression and panic disorder are two different entities but high risk of developin another after initial diagnosis of one.
I hope this clarifies further.
Thanks and regards.
There is scope to increase zoloft
Detailed Answer:
Hello,
Thanks for reverting back to me.
Since 100 mg of Zoloft is not sufficient I think you can increase dose of zoloft to 150 mg after discussing with your doctor. In case that too is not effective dose can be further upped to 200 mg after two weeks of 150mg.
I understand that depression and panic disorder are two different entities but high risk of developin another after initial diagnosis of one.
I hope this clarifies further.
Thanks and regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I've also made an appointment to got my hormones checked!!!! Could it be that too with continuous utis
I've been checked by a urologist for stones and none were found !! I have no sex drive and vaginal dryness just to name some !!
I've been checked by a urologist for stones and none were found !! I have no sex drive and vaginal dryness just to name some !!
Brief Answer:
UTI quite possible and more frequent with hormonal imbalance
Detailed Answer:
Hello,
Thanks for follow up.
The presence of vaginal dryness and lack of sex drive indicate toward lack of estrogen which is part of perimenopausal events. Since the hormones affect the Ph of urogentital tract the infection rates dramatically increases with hormonal imbalance.
I hope this assists you.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may 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.
UTI quite possible and more frequent with hormonal imbalance
Detailed Answer:
Hello,
Thanks for follow up.
The presence of vaginal dryness and lack of sex drive indicate toward lack of estrogen which is part of perimenopausal events. Since the hormones affect the Ph of urogentital tract the infection rates dramatically increases with hormonal imbalance.
I hope this assists you.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may 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.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Could that be making my mood swings and feelings worse!! I've always some depression but this feels so different in just so not my self!! Hormonal changes
Brief Answer:
Yes that too possible
Detailed Answer:
Hello,
Thanks again for follow up.
Perimenopausal hormonal changes are one of the most common contributor to development/relapse of depression during these years. If we go for statistics women during Perimenopausal period have almost 1.5 times increased risk of depression in compare to other age group women.
Although the depression during this period is not different but sometime presents with increased severity and that could be the reason for feeling different.
I hope this assists you further.
Thanks and regards.
Yes that too possible
Detailed Answer:
Hello,
Thanks again for follow up.
Perimenopausal hormonal changes are one of the most common contributor to development/relapse of depression during these years. If we go for statistics women during Perimenopausal period have almost 1.5 times increased risk of depression in compare to other age group women.
Although the depression during this period is not different but sometime presents with increased severity and that could be the reason for feeling different.
I hope this assists you further.
Thanks and regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks so much for you're help!!! Just really feeling lost right now!!
Brief Answer:
There is always hope
Detailed Answer:
Hello,
Thanks for follow up.
I understand your dilemma and feeling of being lost but I must tell you that there is always hope no matter how the condition is.
Please talk to your doctor for increasing dose of Zoloft as there is good possibility of efficacy for Zoloft in perimenopausal depression.
The another best option is Pristiq which is available in dose strength of 50 and 100 mg.
I hope this assists you further.
Thanks and regards.
There is always hope
Detailed Answer:
Hello,
Thanks for follow up.
I understand your dilemma and feeling of being lost but I must tell you that there is always hope no matter how the condition is.
Please talk to your doctor for increasing dose of Zoloft as there is good possibility of efficacy for Zoloft in perimenopausal depression.
The another best option is Pristiq which is available in dose strength of 50 and 100 mg.
I hope this assists you further.
Thanks and regards.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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