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Need to increase dose of escitalopram?
I am 23 yrs old Male 90kg weight and BMI : 30 currently on a Somatic Symptom Disorder Treatment and Health related Anxiety.
My physician recently started medication Escitalopram 5mg and Etizolam 0.25mg in the night and Petril MD 0.25mg SOS. It's my 13th day of the treatment and have experienced 2 episodes of panic attack within this treatment. Also, I am experiencing early awakes in my sleep after 4-5 hours and slightly increased anxiety after starting this treatment. My physician has asked me to continue this same treatment for 4 weeks and after 4 weeks he might increase the dose.
Do I need to increase my dose of escitalopram to 10mg OR any other change in medicine OR continue the same treatment?
Also, During the panic attack my BP spikes to 160+/100 and 90-100 Heart Rate, it causes headache and pressure during the attack in head. Whereas normally it range between 130-140/80-90 and 65-60 Heart Rate everyday.
Answers (10)
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Please consult a psychiatrist physically. For high b.p, and fluctuations in Heart rate, get ECG and cardiac echo done. Share results.
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Hello,
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Follow advise og you treating doctor. U can use petrol m sosas advise.
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Continue for 4 weeks and will decide the dosage after 1 month
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Dr. Vinod Kumar Verma
General Physician
9 yrs exp
Gurgaon
-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as -
-Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
• keep positive attitude to fight any disease and any problem of your life .
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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