Hello,
Thanks for choosing Doctor Spring for posting your query. I have gone through your question in detail and I can understand what you are going through.

The condition that you are having is basically panic attacks. 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. 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 I am able to answer your concerns.
If you have any further query, I would be glad to help you.

Wish you good health,
Kind regards
Dr. Srikanth Reddy M.D.

Hello
I prescribe paroxetine 12.5 mg at night for atleast 8-10months. If required the dose is increased to 25mg as well. Doctor spring is an online platform for the doctor advise and unfortunately I wont be able to prescribe you medicines on this platform as it is not legally acceptable.
You may meet your treating psychiatrist who can help you with the prescriptions.
Regards
Dr. Srikanth Reddy

Hello
Yes you may take both of them together. Nexito is a good brand drug and at 10mg, its not a high dose drug.
You will definitely do good.
Regards

Dr. Srikanth Reddy

Hello
You may consult me anytime through Doctor Spring.
Also keep your treating psychiatrist informed about the medications.
Regards
Dr. Srikanth Reddy