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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Nervousness And Panic Attacks

I was given conversyl and bisopropol for my high blood pressure. I should also mention I have suffered with panic attacks for 40 yr now. and take xanax for that. My panic attacks have increased dramtically since being on the HB meds and I had to go off. I am still nervous and edgy. How do I wean myself off this stuff.?
Fri, 8 Aug 2014
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Psychiatrist,  's  Response
u have high blood pressure and associated anxiety disorder in terms of panic attacks.
conversyl and bisoprolol are drugs for lowering the blood pressure as wellas they have additional benefits for congestive heart failure.

u have said that u r taking only xanax for your panic attacks. actually xanax is benzodiazepin alprazolam and it does not benefit your illness, it will only calm you. for better treatment response u shud take antidepressant medication sertraline. start with 50 mg once a day at night and increase the dosage after 15 days to 100 mg at night..stop alprazolam [xanax], instead u shud start klonopin [0.5 mg] twice a day. if after starting klonopin u feel more sedation during the day time u can reduce the day time dosage to 0.25 and increase the night time dosage... the effect of the sertraline will be achieved after 20 to 30 days.. u shud wait at least 30 days for treatment response before changing the medication but u shud keep in mind that the dosage of sertraline can be increased upto 200mg once a day in case there is no treatment response..

u shud take these medications regularly for 6 to 8 mnths and after decrease the dosage as per expert's advice...
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Suggest Treatment For Nervousness And Panic Attacks

u have high blood pressure and associated anxiety disorder in terms of panic attacks. conversyl and bisoprolol are drugs for lowering the blood pressure as wellas they have additional benefits for congestive heart failure. u have said that u r taking only xanax for your panic attacks. actually xanax is benzodiazepin alprazolam and it does not benefit your illness, it will only calm you. for better treatment response u shud take antidepressant medication sertraline. start with 50 mg once a day at night and increase the dosage after 15 days to 100 mg at night..stop alprazolam [xanax], instead u shud start klonopin [0.5 mg] twice a day. if after starting klonopin u feel more sedation during the day time u can reduce the day time dosage to 0.25 and increase the night time dosage... the effect of the sertraline will be achieved after 20 to 30 days.. u shud wait at least 30 days for treatment response before changing the medication but u shud keep in mind that the dosage of sertraline can be increased upto 200mg once a day in case there is no treatment response.. u shud take these medications regularly for 6 to 8 mnths and after decrease the dosage as per expert s advice...