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Dr. Keane
Dr. Keane, Therapist
Category: Mental Health
Satisfied Customers: 1375
Experience:  Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
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, since almost a weak I am feeling short of breath and

Customer Question

Customer: hi DR
JA: Thanks. Can you give me any more details about your issue?
Customer: since almost a weak I am feeling short of breath and a lot of burping and belching I am on seroxat 20 and the level of oxygen is 99. Blood pressure is 120/80 and pulse is 73 I have IBS and I was little stressed lately. I do not have any flu or cough
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Submitted: 1 year ago.
Category: Mental Health
Expert:  Dr. Vikas replied 1 year ago.

Hello, Thanks for your query.

Kindly mention the diagnosis for which you are taking Seroxat? Was it prescribed by a psychiatrist?

Since when you are taking Seroxat?

Do you have any significant medical history? Currently taking or in hast have taken any medicines?

Do you consider yourself physically fit?

Any history of consuming excess of alcohol, tea, coffee, smoking or any other thing you would like to mention?

Any other symptoms you would like to mention other than those you have mentioned above?

Kindly elaborate the symptoms you have mentioned. Timing, duration, frequency, precipitating, aggravating and relieving factors if any for these symptoms.

Please reply to my queries so that we can discuss further.

Customer: replied 1 year ago.
seroxat was prescribed by a psychiatrist. I am taking 1 tablet of 20 since almost 4 years. I am always stressed. My blood tests almost two months ago were excellent. I had also almost six months ago an endoscopy and colonoscopy and all is normalI smoke, and I have GERD(reflux) for which I am taking Nexium 40I sleep well, eat well but I have IBS also as mentionned previously. Belching and burping is easing bit the shortness of breath
Expert:  Dr. Vikas replied 1 year ago.

Thanks for your reply.

You have mentioned that you are taking this medicine since last 4 years and you are also experiencing significant stress.

It is a common clinical finding that patients who have been taking Paroxetine (Seroxat) for a long duration may start experiencing relapse of their symptoms after a certain time period. Assuming that you are physically fit, all of your investigations are normal, and since you are also under stress, it is possible that these symptoms could be because of anxiety and Seroxat at the current dose is not able to control these symptoms.

GERD is also worsen by stress symptoms.

Usual dose range of Paroxetine is from 20 - 50 mg per day and since you are on a comparatively low dose, a simple solution could be to ask your doctor to slightly raise the dose of Seroxat by 10 mg and see it if helps. Your doctor can also consider the option of adding a low dose of Clonazepam .25 mg in the mean while for controlling these symptoms till increase in dose of Seroxat start showing its effect.

Please also try to quit smoking totally.

I hope, it helps, please feel free to discuss further if you have any other query.

Kind regards

Vikas

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