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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Severe Anxiety?

I have been going through severe anxiety for 8 years.when it first started I used paxil which was a life saver.I stayed on it for 3 years with no problems.I went off because I was feeling good then 6 months later anxiety was back and I was a mess literally could not function.I got back on paxil and it worked great only 10mg did the job.I got off again a year ago and once again full severe anxiety.got back on paxil and once again worked.about 2 months ago I started drinking heavily and while still taking paxil 10mg my anxiety is back and it s bad I quit drinking and went to my doc who just increased to 15mg but for 2 weeks now no relief and I have lost my job and my life feels ruined.I m in severe anxiety all day.my question is why isn t the paxil doing the job should I increase again?
Thu, 17 Jul 2014
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Psychiatrist 's  Response
hii dear

alcohol can worsen your anxiety due to GABA inhibitions
so better to avoid it
in alcohol there is less absorption and metabolism occurs of certain drugs like paxil
if required than take 25 mg for initial period to control your symptoms and add clonazepam .5 mg sos as and when required

apart from medicines'

do meditations
exercise
take proper sleep
healthy diet
avoid smoking and drinking
stress free activities
do your hobbies
music
do pleasurable activities
all of this will help to handle daily stress and anxiety
but medicines are must and say no to alcohol
be safe
get well soon
thank you
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What Is The Treatment For Severe Anxiety?

hii dear alcohol can worsen your anxiety due to GABA inhibitions so better to avoid it in alcohol there is less absorption and metabolism occurs of certain drugs like paxil if required than take 25 mg for initial period to control your symptoms and add clonazepam .5 mg sos as and when required apart from medicines do meditations exercise take proper sleep healthy diet avoid smoking and drinking stress free activities do your hobbies music do pleasurable activities all of this will help to handle daily stress and anxiety but medicines are must and say no to alcohol be safe get well soon thank you