I am a 57 year old male. Taking amlodac 5 mg, thyronorm 50 mg, lipikind f, and seroflo 125 inhaler. Bp, thyroid and wheezing are under control. The issue is anxiety. Taking prothiaden 50 mg. Once at night. Not much relief. If I take petril. 25 mg,it gives good relief. Have had these anxiety issues for many years. Keeps coming and going. Kindly advise.

Ankit GuptaPsychiatrist10yrs exp

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Dear Lybrate user, anxiety is quite a common issue faced by individuals suffering from asthma, hypertension and hypothyroidism. Prothiadin takes care of sleep but doesn't really manage anxiety to a large extent. Petril (clonazepam) is a good but temporary solution as there is chance of increase of dose requirements and loss of efficacy. You will require a thorough assessment for an underlying anxiety disorder. Apart from medications you will need lifestyle modification in terms of diet and exercise to control your hypertension. You will also need to learn relaxation exercises and breathing exercises to get the physical aspects of anxiety under control. Once your bp and thyroid are in control and you have tried various relaxation methods and the problem of anxiety persists, you can consider various long term medications of the ssri group like sertraline, escitalopram etc. But these medications need to be prescribed by a psychiatrist and have to be monitored regularly by them to ensure full benefits and least adverse effects. Therefore my advice would be to consult a nearby psychiatrist and discuss various options available both for medication and for psychotherapy.  

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