Panik disorder with muscle weakness

Dear Doctor.



I am Pranab Pramanick .a patient of PANIC ATTACH as by a doctor.(24 Y age and Weight 65 kg bp 130|80
my doctor suggest me to take medicine like bellow:



                             1clonajepum .5 (half +0+1)

                             2.escitalopram 10(0+0+half) Both for 3 mounts.  

I wish to say that the prescription was very much perfect and the problems had removed.But I am still taking that medicine for 1year + as I can't withdraw. i am a student of synthetic organic Chemistry .Though i  have tried to withdraw by minimizing the douse but I failed.

A single time missing of the douse shows very harsh symptoms like bellow:

                            1.Vigorous Excitement.

                            2.Imbalance

                            3.Angry Mind

                            4.Sudden drop or raise of B.P.not badly excess. and just after taking drugs the problems get remove.

I also wish to mention that i feel muscle weakness  (legs and hands) after a quite hard physical work.



Please kindly give me some suggestions.



Yours obedient,

Pranab.



This discussion is related to disorder from sex.

[Dr. A. Srivastava]

Thank you for your question. There can be several reasons of such symptoms although without being able to examine him, I can not offer you the specific advice on diagnosis and treatment that he needs, but I would try to provide you some relevant information about his health concern.

Most likely possibility in your case could be a panic or anxiety disorder that you have faced during last event and currently experiencing. Cause of such panic disorder mostly remain unknown but in this disorder you may feel symptoms like shortness of breath, feeling of choking, pain in the chest, nausea, stomach ache, feeling dizzy, tingling or numbness, chills /hot flashes, bounding heartbeat or fast heart rate, sweating, shaking etc. even without any underlying disorder. This disorder needs to be thoroughly assessed by a psychiatrist first since this can occur repeatedly and without warning.  Treatments may include psychological and drug treatments, and depend upon extent of severity of symptoms. Most commonly psychological treatment tried is counseling, relaxation techniques and sometimes cognitive behavior therapy. ************** depends upon treating the underlying depressive illness through anti-anxiety or anti-depressant medicines.  In addition, try to rest in a dark & quiet room, meditate, have a balanced diet, regularly exercise and avoid taking unnecessary non prescription drugs to avoid recurrence of symptoms.

Hope this helps!!

[cbapi]

Thank you doctor for your advice.
I wish to mention that i can not do hard physical work or exercise like running as i feel heavy muscle weakness within just a few minutes.Though walking is not so bad for me.Also i am worried about the drugs that i am taking for a long period.i am taking clonajepum .5mg daily for a year.I am fine but is it harmful?