I have been suffering from severe anxiety and fear for 4 years. I was previously taking Paroxetine (25-40mg), Oliza (2.5mg), and Provanol Forte (0.5mg), which worked for two years before my symptoms returned. For the last 5 months, I have been on Escitalopram (10mg twice a day) and Oliza (2.5mg), which worked initially, but my anxiety has relapsed again. Since my current medicines have stopped working, what medication or treatment approach should I follow now?

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I have been suffering from severe anxiety and fear for 4 years. I was previously taking Paroxetine (25-40mg), Oliza (2.5mg), and Provanol Forte (0.5mg), which worked for two years before my symptoms returned. For the last 5 months, I have been on Escitalopram (10mg twice a day) and Oliza (2.5mg), which worked initially, but my anxiety has relapsed again. Since my current medicines have stopped working, what medication or treatment approach should I follow now?

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I have been suffering from severe anxiety and fear for 4 years. I was previously taking Paroxetine (25-40mg), Oliza (2.5mg), and Provanol Forte (0.5mg), which worked for two years before my symptoms returned. For the last 5 months, I have been on Escitalopram (10mg twice a day) and Oliza (2.5mg), which worked initially, but my anxiety has relapsed again. Since my current medicines have stopped working, what medication or treatment approach should I follow now?

Asked by Female, 34 · 10 days ago

Veda Maddala

M Pharmacy

10 days ago

It is common for anxiety medications to lose effectiveness over time, a phenomenon known as tachyphylaxis. Since your symptoms relapsed on two different SSRIs (Paroxetine and Escitalopram) alongside Oliza, you should consult your psychiatrist to explore alternative options. Potential approaches include: 1. Switching to a different class of medication, such as an SNRI (like Venlafaxine) or adding an agent like Pregabalin. 2. Integrating Cognitive Behavioral Therapy (CBT), which is highly effective for long-term anxiety management and preventing relapses. 3. Adjusting your current medication regimen under strict clinical guidance. Please do not change or stop your medications without your doctor's supervision.

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I have been suffering from severe anxiety and fear for 4 years. I was previously taking Paroxetine (25-40mg), Oliza (2.5mg), and Provanol Forte (0.5mg), which worked for two years before my symptoms returned. For the last 5 months, I have been on Escitalopram (10mg twice a day) and Oliza (2.5mg), which worked initially, but my anxiety has relapsed again. Since my current medicines have stopped working, what medication or treatment approach should I follow now?

Answered 10 days ago