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Panic attacks.

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Hi Sir,

my name is mudasir i am 25+ years old i was suffering from neuro problems at the age of 16 so i was given nexto10 mg tablet it did solve my problems that but i am again in same condition but worst like
1) i feel vomiting in crowed places like worship areas or buses
2) i feel pressure on my head
3) i feel heart pain some times
4) hands get cold even feets some times

i am software developer and you can understand my problem i am ready to pay your consultation fees or any fees
i have heard a lot about you on internet

Category: Psychiatrist

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Thanks for choosing Doctor Spring for posting your query. I have gone through your question in detail and I can understand what you are going through.

The condition that you are having is basically panic attacks. This is a disorder of anxiety and occurs cause of imbalance of certain neurotransmitters in the brain. especially serotonin, nor adrenaline, and dopamine to some extent. Medicines are the best options to take care of these symptoms. Paroxetine is the the most popular medicine and my drug of choice. I generally prescribe my patients 12.5 mg per day at night which takes care of anxiety symptoms. Also certain medicines like propranolol and clonazepam can be give as required when there is a panic episode or expected situation where panic attack can appear.

Also there is an option of cognitive behavioural therapy (CBT). This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness.

Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.

Wish you good health,
Kind regards
Dr. Srikanth Reddy M.D.

Patient replied :

thanks for your response kindly suggested me the medicine course how long should i take and how should i go with Paroxetine 12.5 mg only bcz i am having a lot pressure like effect on my upper head and please please i want to get out from this problem, my carrer is also suffering a lot by this issue

I prescribe paroxetine 12.5 mg at night for atleast 8-10months. If required the dose is increased to 25mg as well. Doctor spring is an online platform for the doctor advise and unfortunately I wont be able to prescribe you medicines on this platform as it is not legally acceptable.
You may meet your treating psychiatrist who can help you with the prescriptions.
Dr. Srikanth Reddy

Patient replied :

what if i take Escitalopram as nexito 10 beside paroxetine 12.5 mg at night for atleast 8-10months

Yes you may take both of them together. Nexito is a good brand drug and at 10mg, its not a high dose drug.
You will definitely do good.

Dr. Srikanth Reddy

Patient replied :

i have started with Escitalopram as nexito 10mg ,i would be taking it upto 8 months. then how should i go would i have to consult u again ?

You may consult me anytime through Doctor Spring.
Also keep your treating psychiatrist informed about the medications.
Dr. Srikanth Reddy

Dr. Srikanth Reddy
Category: Sexologist
Doctor of Medicine (MD), Psychiatry Residency Program,2001 – 2012
M.B.B.S,Mahatma Gandhi Institute Of Medical Sciences, Sevagram

Certificate Course in sex Therapy and Counselling, Sexology and Counselling, A
Sexology,Medikon Sexual Sciences, Mumbai

Training in Advanced Neurology at a leading corporate hospital (CARE hospital) in Hyderabad

Child Psychiatry Training in National Institute of Mental Health and Neuro-Sciences, Bangalore

Sex Therapy and Counsellingat MEDIKON Sexual Sciences, Mumbai.
Dr. Srikanth Reddy and 4 other Medical Specialists are ready to help you

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