system
How can panic attacks be managed?
human
Hi I am 30 years old male. I have suffered from worst panic attack three years back and I am on medication doreme, lonazep & betacap from last three years with dosage increase or decrease. I tried to change doctors but at the end it became worse. Now my situation even after taking medicine I don t feel well. Cannot do to work. Feel tired and restless. Always panicy when in public place or catching public transport for which I take etizolam to ease. But this has resulted into constant dependency. Even after having medicine I am unable to go out or not confident enough to be in group and always feel like sleep at home as if I am sick. Current situation I am going through is. Constant Heart palpitations (ECG result Tachycardia) with left shoulder pain which comes and goes. Neck and head pain in left side from when i got my first panic attack. Uneasiness and tiredness. Constant gastro followed by bad headache to anxiety attack Lack of energy even after sleeping for 12 hours. Please suggest if I need to change treatment. Regards
gpt
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The symptoms you are having are occurring due to persistent anxiety only. This means that the medicines are not able to control the symptoms and there is need for re-evaluation. You are on Dosulepin, Loazep and Betacap. If on these medicines you are not seeing improvement then please talk to your doctor again. For persistent anxiety and panic attacks SSRIs like Escitalopram, Fluoxetine, Fluvoxamine etc can be tried. Visit a psychiatrist for proper treatment. This will help to control your anxiety. Hope I have answered your query. Let me know if I can assist you further.