Hi my age is 25 m suffering from anxiety from last year m under medication m taking zapiz 0.5 mg at nyt bt I want to get rid of ds actually I dnt knw d reason of ma anxiety I feel dizzy sometimes palpitations is d main problem please suggest me wat to do.

Dr. Sathya PrakashPsychiatrist13yrs exp

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Hi, Thanks for writing in; welcome to the forum. Zapiz contains clonazepam and it can be addictive - both physically and psychologically. It is not recommended to be take for more than 4-6 weeks. What will happen eventually when you try to stop it is the original anxiety problem plus an additional problem of getting rid off addiction to zapiz. The correct treatment for an anxiety disorder is to treat it with psychotherapy alone or in combination with non-addictive medicines such as SSRIs, TCAs, atypical anti-depressants and so on. SO in your specific case, we will have to gradually reduce the zapiz and stop it. The rate of reduction will depend upon the severity of the anxiety as well as the duration for which you have taken it. In addition, based on a detailed evaluation, we will have to decide whether one of the above medicines is needed or we just manage with psychotherapy. In any case, exercise, proper sleep, yoga, meditation and breathing exercises are helpful and need to be done. So I suggest that you start these general measures if you are not already doing them and then meet a good psychiatrist in your area to sort out the medicine and therapy. You should be much better soon. Do not worry! Take care! 

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