Hello doctor this is goutam here, I am 29 years old, I have some anxiety, mania and dizziness problem from childhood, 4 years ago a neurologist suggest me some regular blood check up and brain mri, blood report all are ok bp also ok 115/75 but in mri there is some small spot in left basal ganglia, so he suggested me clopitab75 for three month, betacap tr 40 (propranolol) in morning and zaptra 12.5 (paroxetine+clonazepam), in bed time, on that time my anxiety and depression level was high. After three month he stopped clopitab 75 but for depression he suggested me to continue betacap and zaptra, after one year of treatment I felt good, depression anxiety goes down, but there was some problem also like concentration, confusion, memory problems, fickle mind some time palpitations, from last 4 year I am taking those medicine, now I take zaptra in alternative days from last 2 month and from last 6 month betacap tr reduce 40 to 20, how can I get rid off from those medicine? I don't eat to get addicted, and I don't know is there any major side effects effect on brian o heart now that is my main tension. Please try to help me doctor. My english is weak please excuse me, thank you in advance doctor.
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Has there been further mris done? What has your doctor told you? Additionally are you taking up counseling to manage your behaviour, low concentration, confidence etc? Both line of treatment should run in parallel for overall results. Psychiatric meds do have side effects but they should not be stopped without consultation with your Dr. If you are finding improvements and your Dr. can confirm that then gradually the dosage can be reduced and subsequently stopped. But it is very important to go for counseling to be able to sustain the withdrawal symptoms that you might face once the medicines are stopped. Evaluate yourself as well how are you now as compared to 6 months ago or a year ago. See what positive changes have happened and what are your limitations. Are you able to lead a normal life and are your able to cope with whatever challenges you are facing in your life, or you need to turn to your medicines for support? A healthy lifestyle along with a healthy vibrant mind (brain) shall allow you to live a better life, so focus there. I am sure you shall be fine and better equipped if you follow the recommendation I gave.
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