Hello
Thanks for posting your query at DoctorSpring.com
I have gone through your question in detail and I can understand what you are going through.
Now that all tests and examination have come normal, and that your doctor also suspects it to be anxiety, it could very well be a panic disorder. This is a disorder of anxiety and occurs cause of imbalance of certain neurotransmitters in the brain. especially serotonin, nor adrenaline, and dopamine to some extent. This needs to be treated or else it will impair your day to day functioning and may get worse with time. Medicines are the best options to take care of these symptoms. Paroxetine is the the most popular medicine and my drug of choice. I generally prescribe my patients 12.5 mg per day at night which takes care of anxiety symptoms. Also certain medicines like propranolol and clonazepam can be give as required when there is a panic episode or expected situation where panic attack can appear.
Also there is an option of cognitive behavioural therapy (CBT). This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness.
Hope this helps,
In case if you have any further query, do let me know.
Kind regards
Dr. Srikanth Reddy
Patient replied :
than you ver much for your reply
my question is can my family doctor discribe this medicin or has to be specialist
and when i start to take the new medicine do i need to stop my pill graduall and then take the new one because i heard these kind of medicine has to be stop gradual
and for how long i need to take paraxetine
and does paraxetine cause dizziness
and my big question is,, is the faint cause this panic or my body was ready to this condition ,,,,,many thanks
i did all test from blood test to MRI to my head all was normal .
Hello,
Your family doctor can also prescribe this, but, it is better you see a specialist for dose adjustments.
Yes, you have to stop prochlorperazine gradually and then start with the paroxetine. You may have to take these medicines for 8-10 weeks, though remission may be achieved in 4-8 weeks.
Hope it was helpful
Thanks
Patient replied :
Hello. Thank you for your replay it was great help. Could you please recommend a clinc in london that can help with my condition or offers the services you recommended it would be very appreciated.
Kind Regards
Fatima Shah
Hello,
Unfortunately I am here in India and I am not aware which clinic in London can help you with this.
I apologise for that.
Regards.