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Well, although valdoxan is a good drug for sleep but as your doctor rightly pointed out it is not meant for anxiety / panic attacks , but as of now you may continue it for a week or two but not longer than that because it causes acidity , and is not recommended for too long a duration..
And i would like to tell you that the temperature did not have any effect on lexapro , the thing is that for an adult 5 mg dose is too less and substandard , it is merely a starting dose or a maintainence dose and nothing more than that and this explains why your anxiety and panicity returned after 1 month of its use because you were never put on the much desired and effective therapeutic dose of lexapro that is 10 -- 20 mg / day .
So ask your doctor to raise the dose of lexapro to 10 mg in morning ..
Im addition to above changes .. ask your doctor to prescribe you ambien cr ( zolpidem ) at night for your sleep and this is a safe drug at that with no dependence quality to it..
So, kindly make the changes as mentioned here and maintain on this for atleast 3 months and i am sure this will control your anxiety and panic attacks effectively with no relapse to be seen again..
I hope this helps..
Wish you all the best..
Yes it is acidity of stomach .. and it could have caused acid reflux..
ambienc cr ( zolpidem controlled release ) should be taken at a starting dose of 6.25 mg dose and taken half hr before bedtime ...and the dose could be increased to 12.5 mg bedtime.
The drugs i have mentioned are available at all pharmacies and clinics in singapore, so do not worry about their availability .. and anyways i have mentioned their generic name along with the brand name , so if this particular brand is not available any other generic could be taken in its place..
Till your next meeting with your doctor .. i would suggest the following changes to adopt to..
1) well, ideally you should raise the dose of lexapro to 10 mg / day , in two divided doses of 5 mg dose in the morning and 5 mg dose of lexapro in the evening , but , since you do not have approval from your doctor till your next meeting , so i think this will not be right to proceed onto..
2) So, what you can do here is that you shall stop valdoxan ... and instead if you have enough xanax , you can take xanax 0.25 mg in the morning and 0.5 mg xanax at bedtime ...This will take care of your anxiety along with morning dose of 5 mg lexapro and also it will induce sleep thereby managing your insomnia .
This shall see you through the time till you meet your doctor next..
3) you stay off valdoxan since you have acid reflux and it will only exaggerate with the use of this drug..
4) well, you may take naps but just fpor 15 minutes twice till afternoon , but 2 hrs of naps would only further create problems in your daily schedule and once you become accustomed to this schedule you will find difficulty in coming back to normal schedule once your doctor puts you on the suggested changes..