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Dr. Vikas
Dr. Vikas, Psychiatrist
Category: Mental Health
Satisfied Customers: 2208
Experience:  MBBS ; M.D Psychiatry, MS. Health Informatics
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Can u plz come on chat sir, i have something to talk about

Customer Question

Can u plz come on chat sir, i have something to talk about urgently.
Submitted: 1 year ago.
Category: Mental Health
Expert:  Dr. Vikas replied 1 year ago.

Dr Vikas :

Hello

Dr Vikas :

I will not be able to answer your question right now.

Dr Vikas :

so I am opting out

Customer:

sir,then how can i put forward my question

Customer:

my money has already been deducted

Customer:

??

Customer:

hello sir

Customer:

hope you are fine

Customer:

Sir, I saw a very reputed Psychiatrist here and for all of my problems (

Schizophrenia especially the negative symptoms, Severe OCD and

GAD and Depression ) he has given me C.B.T. plus the below

mentioned meds : I am taking these since last 1 week along with the

C.B.T.

1) Aripiprazole 30mg daily at night
2) Trihexyphenadyl 2mg daily in the morning
3) Clonazepam 0.5mg---0.5mg-----1mg

Sir, I am facing severe GAD n Depression now but my other psychotic

problems r under control.
Now Sir, do u think I need an extra medicine too for my deteriorating anxiety n depression.

Customer:

In that case, which will be the best drug for augmenting

Customer:

Kindly help me sir

Expert:  Dr. Vikas replied 1 year ago.

Ajoy,

As we have discussed earlier also, you need to stop asking same questions from different experts / psychiatrists (You mentioned earlier that you are in financial trouble because of this). Just have faith in your treating psychiatrist.

Regarding your question, for GAD and Depression, you are not taking any antidepressant so just discuss with your doctor about adding an antidepressant like Desvenlafaxine in a dose strength of 50 mg per day. Desvenlafaxine can control your anxiety and depression symptoms effectively.

Kind regards

Vikas
Dr. Vikas, Psychiatrist
Category: Mental Health
Satisfied Customers: 2208
Experience: MBBS ; M.D Psychiatry, MS. Health Informatics
Dr. Vikas and 2 other Mental Health Specialists are ready to help you
Customer: replied 1 year ago.

Dear Sir,I m short of funds and thats why unable to ask a New question.


Sir, I have changed many doctors, sir my present doctor has prescribed me the following :


 


1) Paroxetine cr 37.5 mg ( 1----x------x )


2) Aripiprazole 20 mg ( x------x------1 )


3) clonazepam 0.5mg ( 1---1----1 )


 


But sir, i cannot go out of home out of crippling anxiety and heavy sweating.I have social phobia. Kindly help.


 


Regards.

Expert:  Dr. Vikas replied 1 year ago.
Don't worry, just ask your doctor to increase the dose of Paroxetine by 12. 5 or 25 mg and this should be helpful. Your doctor can also consider the option of increasing the dose of Clonazepam. For example, he can increase the dose by 1 mg three times a day initially till your anxiety symptoms are under control.
Customer: replied 1 year ago.

sir, increasing the dose of clonazepam has been tried...sir is duloxetine a better choice for my condition ?

Expert:  Dr. Vikas replied 1 year ago.
First step should be to increase the dose of Paroxetine and see if it helps. You should wait for 2-3 weeks to see the effect.
Customer: replied 1 year ago.

Ok Sir, Thanks a lot....sir, just one last question, can we consider the introduction of propranolol and pregabalin ?

Expert:  Dr. Vikas replied 1 year ago.
no need of doing that right now in my view.

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