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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Poor Concentration And Anxiety

I am on 40mgs of Prozac. I have been for 6mths. I have notice my axiety is increased and I can't handle stress at my job. I ended up in the E.R. two weeks ago dehydrated and my blood pressure was 200 over 90. The had to give me 2 I.V.'s and said my sodium was really low. I keep having tightness in my cheast and can't sleep over 3hrs. a night. I don't know what to do??? I feel depessed! And can't concentrate well and forgetting things.
posted on Thu, 13 Mar 2014
Twitter Wed, 14 Jan 2015 Answered on
Twitter Wed, 14 Jan 2015 Last reviewed on
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Psychiatrist,  's  Response
Hello thanks for asking from HCM

You have anxiety and poor concentration. You are taking Fluoxetine 40 mg per day since last 6 months and were then landed up in ER for high blood pressure. Now you have tightness in chest and you are not able to sleep properly. Still issues related to depressed mood, poor concentration and forgetfulness are persisting. Fluoxetine is a SSRI drug and it helps you in anxiety and forgetfulness. But even with medicines your symptoms are persistent. In such case there is need for reevaluation. For poor concentration medicines like Modafinil, Armodafinil etc can be added to prescription. These medicines help to maintain day time alertness and improves concentration.

Vitamin B12 supplements also help to reduce the anxiety and depression. The supplements help to augment actions of antidepressant drugs and improve overall clinical outcome. Relaxation exercise also will help to augment actions of drugs and will relieve anxiety. Continue to take your medicines and if symptoms persist then visit a psychiatrist for prescription of these drugs.

Thanks, hope this helps you.
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Suggest Treatment For Poor Concentration And Anxiety

Hello thanks for asking from HCM You have anxiety and poor concentration. You are taking Fluoxetine 40 mg per day since last 6 months and were then landed up in ER for high blood pressure. Now you have tightness in chest and you are not able to sleep properly. Still issues related to depressed mood, poor concentration and forgetfulness are persisting. Fluoxetine is a SSRI drug and it helps you in anxiety and forgetfulness. But even with medicines your symptoms are persistent. In such case there is need for reevaluation. For poor concentration medicines like Modafinil, Armodafinil etc can be added to prescription. These medicines help to maintain day time alertness and improves concentration. Vitamin B12 supplements also help to reduce the anxiety and depression. The supplements help to augment actions of antidepressant drugs and improve overall clinical outcome. Relaxation exercise also will help to augment actions of drugs and will relieve anxiety. Continue to take your medicines and if symptoms persist then visit a psychiatrist for prescription of these drugs. Thanks, hope this helps you.