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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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I Am Having Medication For Depression For 18 Years, Is There Any Side Effects?

i am having medication for depression for 18 years,i am having clonazepam and amitriptylene,recently my doctor wanted to change my medication but it didn t suit me...now i am not able to adjust in my old dose.i feel rapid palpitations and cold body,feet,i had done ECG ,Echo and TMT 2 yrs. back all were normal,only i could not walk for long in TMT,i had fatigue..pls suggest if my heart is ok
Sat, 22 Jan 2011
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Psychiatrist 's  Response
it seems that your cardiac parameters were normal 2 yrs back. you need to go for preliminary cardiac eveluation again. if they are normal then your doctor can think of venlafaxine or desvanlafaxine starting from low dose along with low dose of clonazepam during daytime & higher dose at night time. these molecule better control fatiguability component. gradually omit daytime & later night time clonazepam.
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Ayurveda Specialist Dr. Rajesh Lakhanpaul's  Response
in Ayurveda we offer shiro dhara with bala or brahmi tail it gives soothing effect whole body massage with medicated slightly hot oil gives good relaxation. Go for meditation sittings also and start enjoying company and music.
If you have will to shun medicines you can be normal without medicines also.
Dr. Rajesh Lakhanpaul
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Ayurveda Specialist Dr. Sanjay Singh's  Response
root cause of ur problem is that emotion which is creating depression when u erase ur emotion with the help of sanjeevani kriya u get inner feeling of joy automatically

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Anonymous's  Response
thank u doctor for the suggestion,i am going to see a cardiologist tomorrow.My psychiatrist had prescribed had prescribed venlafaxine and mitrazepine and reduced amitriptyline and clonazepam but i had problems with the reduced dose of amitriptyline and clonazepam as i am taking them for very long...n i requested him to put me on the previous medicine.But nowadays my doc is out of country n i am having problems with doses.

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I Am Having Medication For Depression For 18 Years, Is There Any Side Effects?

it seems that your cardiac parameters were normal 2 yrs back. you need to go for preliminary cardiac eveluation again. if they are normal then your doctor can think of venlafaxine or desvanlafaxine starting from low dose along with low dose of clonazepam during daytime & higher dose at night time. these molecule better control fatiguability component. gradually omit daytime & later night time clonazepam.