Medical

Have Medical Questions? Ask a Doctor Online!

Ask a Doctor,
Get an Answer ASAP!

Medical
This answer was rated:

I am going to see a GP tomorrow for anxiety. In 2010 I was

Hi there I am going to...
Hi there
I am going to see a GP tomorrow for anxiety. In 2010 I was diagnosed with an anxiety disorder - well not formally diagnosed but I suffered a massive break down and had non stop panic attacks and even ended up in hospital. For the better part of six months I was in a terrible anxious state - since then because of the many physical symptoms I have been hypochondriac. I saw a counsellor who helped teach me how to manage my symptoms.
The anxiety has happened on and off since 2010 but to a much lesser degree. However, my hypochondria started when I was 13 as I remember clearly being obsessed with my health and being anxious to the point I thought was surely dying of some disease as young as 30.
I have had a really stressful year this year and have given myself what seems to be gastritis which won't heal even on medication. I had similar in 2010. This has started my hypochondria and it's affecting my daily life. I constantly obsess about it and I am nervous and anxious all day long, constantly checking constantly looking for answers and even when I get some I keep on going. I just can't seem to stop myself. I have had one or two panic attacks recently.
My question is, do you think medication is helpful at this stage. I have been told by a friend that I may be OCD - I remember severely anxious period in 2006 when I was travelling and I was gripped by fear that I would hurt someone ... irrational crazy fears that paralysed me and this would come on and off. But hasn't been my major concern of late. I am just unable to function properly and be focused, I cry easily and stress out all the time. I am totally depressed by this and can't seem to keep a clear head and get a grip on things. I have moments where I feel ok but they don't last.
I was told by my friend who is a psychologist that I might want to think about getting on an SSRI but I have some questions.
1) Is it appropriate in my case (I don't want to think that I have to come to depend on drugs)
2) Are there any side effects (I am concerned especially with my stomach problems)
3) Will I ever be able to get off them or will i become dependent on them
4) I have read some horror stories of people having such a difficult time getting of SSRIs
5) What is the likely impact on libido because this is something I do not want to lose, though my anxiety is already having an impact on this.
I would like some recommendations on whether it is appropriate to go on meds and what else can I do. I can't seem to control my over reactions to things.
Show More
Show Less
Ask Your Own Medical Question
Answered in 41 minutes by:
9/24/2013
Vakul Aren
Vakul Aren, Doctor
Category: Medical
Satisfied Customers: 4,313
Experience: MBBS,DTM&H,38 years of experience
Verified
Welcome to Just Answer. I will try and help you with the query.Use of antidepressants ,specifically SSRIs and SNRIs,in Generalised Anxiety Disorder is usually successful.This along with counselling ,including Cognitive Behavioural Therapy(CBT) and other similar techniques like biofeedback may help the most.I would suggest that it would help if you are assessed for GAD and panic disorder and a trial of SSRIs like Desvenlafaxine or Paroxetine done.You may in addition need benzodiazepines like Clonazepam or lorazepam till such time the full thereupeutic effect of the SSRI is evident.This initial phase may last upto 3-4 weeks,if a side effect causes a major problem with a SSRI drug,another compound may be tried.Atypical antidepressants have also been used in such cases with success.Once the drug has been successful along with stress reduction techniques in normalising matters,a very gradual reduction in the dose is started. This will help in tapering off the SSRI with minimal problems.Libido is definitely affected but not to the extent which is seen while affected by the anxiety and stress.Rare cases of horror stories do occur,but they are more due to a rapid withdrawal rather than any other problem.Stress reduction methods like regular exercise,spending time with family and friends,listening to music and pursuing ones hobbies help .
Ask Your Own Medical Question
Customer reply replied 4 years ago

Thank you for your answer. Can you please advise if:

1) I have lexotan 3MG (I usually break it into half and take 1.5mg) - I feel very sleepy on it and cannot work or function. The last time I took it a few days ago, my anxiety was severe and it over-rode the effect of lexotan I suppose because I felt like maybe it was going to give me a panic attack? I assume lextoan is a benzodizepine.

2) Is Desvenlafaxine similar to prozac? and will these SSRIs be tough of my stomach I am very very worried about it aggravating my stomach condition (assumed gastritis based on symptoms only and on nexium 40mg 1 x day - no improvement = hypochondria). I don't want to start on a medication for it to make my sotmach worse.

3) I am worried about a reaction to an anti-depressant because my ex partner was on it and she turned blue and had to stop it immediately. I don't remember what it was called.

4) I understand the stress reduction techniques but when I'm anxious I have no motivation to pursue hobbies or even do anything because I feel like there's something physically wrong wtih me and then mentally and then physically. I am hoping going on meds will help this.

Thank you for your reply.

Lexotan is a benzodiazepine which helps in anxiety,its use is limited to short term use,2-3 weeks after which it may not be of much use.Gastritis is rarely reported by patients but may be seen in the occasional patient.Reactions to the Desvenlafaxine are rarely serious and should not be a problem.The drugs will help in clearing up the anxiety and stress along with life style changes may reignite your passion for your hobbies in due course of time.
Vakul Aren
Vakul Aren, Doctor
Category: Medical
Satisfied Customers: 4,313
Experience: MBBS,DTM&H,38 years of experience
Verified
Vakul Aren and 87 other Medical Specialists are ready to help you
Ask your own question now
Ask Vakul Aren Your Own Question
Vakul Aren
Vakul Aren
Vakul Aren, Doctor
Category: Medical
Satisfied Customers: 4,313
4,313 Satisfied Customers
Experience: MBBS,DTM&H,38 years of experience

Vakul Aren is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

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 feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

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 MollPretoria, 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!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, 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.

ElanorTracy, 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.

JulieLockesburg, 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 StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Board Certified Physician

51,780 satisfied customers

Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.

Dr Basu

Dr Basu

Experienced Specialist

20,746 satisfied customers

MD

Dr. David

Dr. David

Board Certified Physician

224 satisfied customers

Treat children/young adults, former chief resident, multiple publications

Dr. D. Love

Dr. D. Love

Doctor

17,463 satisfied customers

Family Physician for 10 years; Hospital Medical Director for 10 years.

Dr Chip (M.D.)

Dr Chip (M.D.)

Doctor

14,592 satisfied customers

20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.

< Previous | Next >

Related Medical Questions
Failure to ejaculate...no problem with erection, no alcohol
Failure to ejaculate...no problem with erection, no alcohol consumed, just no payoff...what's wrong? … read more
The Physician
The Physician
Emergency Room Physician
MSc. Pediatric Emergency Medicine, MD.
940 satisfied customers
What are the recommended dosages of Tryazodon. Amneodarone,
amneodarone, bupropion, CandidaTe Sodium, potassium, Simvastin. … read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
17,463 satisfied customers
I have a huge family history of depression. I was a critical
I have a huge family history of depression. I was a critical care/ ICU nurse for 30 years, seen lots of trauma. am retired now for 5 years. Still work eery night in my dreams. I feel sooo sorry and ba… read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
17,463 satisfied customers
How are you? I have been on antidepressant since June 2016
Hello, how are you? I have been on antidepressant since June 2016 and I am feeling OK. When is the right time to start reducing the amount till zero. … read more
Dr. Sohaib
Dr. Sohaib
Fellowship in Medicine
3,334 satisfied customers
Is there something I can take for tinnitus. About a year.No
Is there something I can take for tinnitus JA: How long have you been dealing with the ear issue? Have you had any colds or flus recently? Customer: About a year.No colds or flu JA: Anything else in y… read more
Dr Josh
Dr Josh
Doctor
B.A.M.S.
6,458 satisfied customers
Is it harmful to take 2 anti depressant pills? The only one
Is it harmful to take 2 anti depressant pills? JA: What medications do you take daily? Are you allergic to any medications? Customer: The only one I take right now is Cimbalta JA: Anything else in you… read more
Richard Han
Richard Han
Pediatrician
Post-Doctoral Degree
525 satisfied customers
I have benn on antidepressants for a couple of years now. I
I have benn on antidepressants for a couple of years now. I don't have insurance anymore and had to stop taking them. I am so dizzy headed what do I do now? Venlafaxine 150 mg twice a day. … read more
Doctor John MD
Doctor John MD
Urgent Care and Sports Medicine Doctor
Doctoral Degree
751 satisfied customers
I have popping in both ears. no pain just a popping noise.
I have popping in both ears. no pain just a popping noise … read more
Dr Josh
Dr Josh
Doctor
B.A.M.S.
6,458 satisfied customers
I have been pretty sick for three months they finally
Hi I have been pretty sick for three months they finally diagnosed me with pasinusitis , I need to have a few things surgically done with my sinuses to clear up situation. Unfortunately they can't fit… read more
Dr.Saleem
Dr.Saleem
Consultant Cardiologist
Doctoral Degree
762 satisfied customers
I was recently prescribed antidepressant to treat my
Hi, I was recently prescribed antidepressant to treat my symptoms of sadness, anger ,tinnitus and multiple physical pain of unknown cause after I discovered that my husband was cheating on me. I have … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
14,592 satisfied customers
This is emergency question, i have taken antidepression and
This is emergency question, i have taken antidepression and it seems doesnt work for me. I masturbated alot in my life.. after i ejaculated... i almost fell down. My pain get worse and I don't know wh… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,892 satisfied customers
I have been on an antidepressant for many years and
I have been on an antidepressant for many years and hormones, due a catch 22... I don't have insurance, I have exhausted all my refills and trying to use herbal supplements until I can get to a dr nex… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,675 satisfied customers
Is there an antidepressant that doesnt effect you in heat?
Is there an antidepressant that doesnt effect you in heat? What I mean is when I work outside and its any temp over 70 i get winded and feel weak … read more
Dr. Captain
Dr. Captain
Physician
Doctoral Degree
563 satisfied customers
I am looking for an antidepressant to take in lieu of
I am looking for an antidepressant to take in lieu of lithium. Lithium is awesome but it gives me tremors and I can't function like that. … read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,675 satisfied customers
I have questions about my antidepressant, I'm taking Lexapro
I'm taking Lexapro now and it isn't working so switched me to Effexor idk if I can take it bc i read a lot on the Internet about it causing heart problems and sudden death … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,091 satisfied customers
My mother is 82 years old, she takes antidepressants, anti
My mother is 82 years old, she takes antidepressants, anti anxiety, sleeping pills. Is it safe to give her Allegra (for runny nose due to allergies)?… read more
Dr. Scott
Dr. Scott
Doctor
1,018 satisfied customers
Is lexapro a good antidepressant, I requested my dr to order
Is lexapro a good antidepressant, I requested my dr to order an antidepressant. Is it good for any type of neuropathy as well.… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,675 satisfied customers
Saw ad on TV about antidepressant EXKRID, VET with
I am VIETNAM VET with Specialist Dr Robban Sica for last 20 + years. I have been taking Wellbutrin 150mg over several months on 3 ocassions in the last 10 years. I have consult with my Dr on 16th to review my lab results. I have addison's and multiple alergies since 1977. Lost my wife to cancer Aug 20,2014. several … read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,675 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x