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 Bill Your Own Question

Bill
Bill, LCSW, Consultant, Expert Witness
Category: Mental Health
Satisfied Customers: 3705
Experience:  35 years treating individuals, couples, families with mental health and substance abuse prob's
48585111
Type Your Mental Health Question Here...
Bill is online now
A new question is answered every 9 seconds

Ive been on avanza 15mgs now for 5 weeks for treating anxiety..after

Resolved Question:

Ive been on avanza 15mgs now for 5 weeks for treating anxiety..after 2-4 weeks i felt a massive boost like i was back to my old self. The side effects i had were the vivid dreams and night sweating which went away.. lately i feel like im coming back down in my mood and my old symptoms are returning.. loss of apetite (i am eating) and my mouth is dry again..ive gone from feeling 100% better to now only 50% better.. i guess its a start but im now experiencing constant ringing in my ears. is this another sympton of anxiety? ive never had any suicidal thought or anything like that but i am getting frusrtated as i thought i was on the improve. im a very light sleeper and was on aropax but i couldnt sleep for the life of me so we decided to switch to avanza..should i increase my dosage to 30mgs? will i feel like a zombie due to the larger dosage? im also a smoker, roughly about 10 cigarettes a day..
Submitted: 1 year ago.
Category: Mental Health
Expert:  Bill replied 1 year ago.

Bill :

Hello- Thank you for asking the question. I have over 30 years of experience working with individuals, couples and families & am happy to reply.

Bill :

I am sorry to hear about this problem.


 


Avanza is a medication that can be increased to between 30 and 45 mg per day as long as you have Doctor approval.


 


The fact that you have been taking 15 mg is most likely why you have had some regression in the way that you feel and there should be no complications by increasing this (again--unless your prescribing doctor feels otherwise.)


 


The ringing in your ears is also a side effect of the medication which should reduce in time. This is also the same


with the anxiety.


 

Bill :

The increase of this medication should reduce the anxiety.


 


 

Bill :

If you are to increase the dosage and don't start to feel better in a few days, Contact your Doctor.


 


Complete information for you to review on this medication is here:


 


http://secure.healthlinks.net.au/content/msd/pi.cfm?product=mkpavant

Bill :

I see you are in chat- Do you have additional questions for me now?



If so, please type

Customer:

Just more concerned really..I honestly thought 15mgs was enough to treat to anxiety but i guess theres no harm in increasing my dose to 30mgs. im seeing my gp tomorrow and ive taken a couple days off work just in case and i have the weekend to see how i go.. im just scared that what if this medication doesnt work but it should be ok.. the ringing in the ears has only started the past 2 days

Bill :

This is an antidepressant that typically is found to work best in people when using between 30-45 mg per day. As you noted, you found a "boost" and that is what is suppose to happen however, if you then started to feel down again, it is an indication that you need a higher dosage and then you should feel better again.

Bill :

Here is a great article about Depression in Men:


 


http://www.justanswer.com/mental-health/771vc-type-question-herei-really-turned-letting.html


 


You will also find support and information at:


 


 

Bill :

I trust these links will add benefit to your treatment, Talk to your GP and I think you will be fine.


 


Sound good?


 

Customer:

Thanks Bill.

Bill :

You are most welcome



Please Leave Positive Rating so that I receive credit for my time

Bill, LCSW, Consultant, Expert Witness
Category: Mental Health
Satisfied Customers: 3705
Experience: 35 years treating individuals, couples, families with mental health and substance abuse prob's
Bill and other Mental Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education