I am 58 years old male getting treatment for anxiety and depression. I am taking daxid 100 twice daily lamotrigine 50 t/ d quton 25 1 in night I get excess tremor in my hands but less when avoid daxid and lamotrigine. Please advise.

Dr. Shashank RaikwarPsychiatrist5yrs exp

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Sir, for dosage readjustment please seek help of your psychiatrist, he will modify or add drugs depending on your longitudinal profile of illness.  

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Dr. Saranya DevanathanPsychiatrist50yrs exp

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Dear lybrate-user, please decide whether tremors are better or anxiety depression is better for your quality of life. Depending on your residual symptoms, you can reduce daxid dose to 50 mg or even stop. Lamotrigine is a long term mood stabiliser. It can not be avoided. Please find out from your psychiatrist whether you are suffering from bipolar depression.  

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Mr. Saul PereiraPsychologist50yrs exp

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Your are being treated for a fairly serious condition and I recommend that you seek the help of a counselor too. There are certain adaptations that will suit you during the elation phase and there are certain behaviors that are required during the depressed phases. In the meantime, you can do certain things that will give you benefits anyway. Emotional therapy will alleviate a lot of the problems faced in this condition because it is a mood disorder. You need to particularly look at your levels of anger both for its reasonableness and to express it in appropriate manner. I suspect that much of this anger may have origins in early childhood that you may never be aware of now. Talk to your parents and explore that angle. This information will help the counselor too. Also you will need to check whether there is any genetic factor involved. You must exercise regularly, eat healthily and sleep normally too. If your motivation and cooperation is good much can be achieved. You must have a time-structured schedule filled with interesting and reasonable activities and it must be monitored for compliance and delivery. The reason I say this is that many times you will be inclined to have grandiose notions and confidently believe that you can do without the medication. This will set you back many months in the treatment and delay and sabotage the recovery: forewarned you are forearmed. If this combination of medication with therapy is maintained for at least three years without any episodes or breakdowns, it is possible to taper the medication in consonance with the doctor. 

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