How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr. Thomas, MD Your Own Question
Dr. Thomas, MD
Dr. Thomas, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 63757
Experience:  Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
Type Your Medical Question Here...
Dr. Thomas, MD is online now
A new question is answered every 9 seconds

I asked the question. You said you needed additional detai

This answer was rated:

I asked the question. You said you needed additional details...what?
there is no other medical question on this account

I can help you
What is your medical question?
Customer: replied 3 years ago.

I have been treated for 28 years for genera anxiety disorder.lFor over 25 years I took the same amount of Xanax....then i felt It just wasn't working as well and ask a psychiatrist to in crease my dosage 1 mg per day....he increased it by two. Then I was assigned a nurse practioner who ended up reducing my dosage and substituting Gabapentin and a anti-psychotic drug I haven't felt worse in the last 25 years. I see no alternative than checking into a psychiatric ward. .

I understand.

If this is an emergency I would not even wait for that.
The treatment is not correct.

Is this your questions...what are you asking exactly?
Customer: replied 3 years ago.

Should I enter a psychiatric clinic? I want to know why my body produces excess adreline all day. Urine test, blood test? After 25 years on the same dosage, most experts agree that a slight increase in dosage is appropriate. My son is a Pharm-D, my daughter in law is a Pharm-D,,they both agree with pharmacist agrees with me. Thanks for your time

No in fact xanax is not even the proper drug for GAD, not long term.
It is a back up drug only for SSRI or SNRI medications.
And long term is has bad effects on many people such as cognitive dysfunction.
GABApentin, on the other hand, is not a reliable treatment, and is off label.

I would work only with a psychiatrist in person.

An emergency room can set you up with this follow up,and help decide if you need a brief in patient admission.

Let me know if you have further questions.

Dr. Thomas, MD and 2 other Medical Specialists are ready to help you