I was on nexito plus for 2 weeks only for my symptoms of anxiety, palpitations & sleepless ness. The symptoms reduced considerably & on next consultant nexito plus was switched over to nexito 5 mg & the symptoms returned in 2 days time. Do you feel it prudent to continue with nexito plus for a couple of weeks more before switching over to nexito 5 mg or wait the symptoms to recede gradually with nexito 5 mg.

Mr. Saul PereiraPsychologist50yrs exp

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No, I think you will have to consult your doctor ands understand his reasoning as to why he switched the medication. If he has good reasons and that includes that over a period of time things will stabilize, then you need to be patient. My advice to you anyway is to seek the help of a counselor and work on your issues therapeutically too. The combination of medication and therapy will not only hasten the recovery but will also enable a reduction on medication over a period of time and your ample cooperation. Anxiety has all to do with fear and your inability (or so you would tend to think) to handle the same. Fear is based on looking too much into the future and imagining things that usually do not tend to happen (usually 90% of your fears will not happen). You need to change your perception of the fearful stimulus then you can change your response to the fear. The first one is the best and will preempt the need for the second. If you are already far gone into the reaction mode, then you need both responses to counter the attack. The way we see things in life (like half empty or half full glass) is very dependent on our attitude. Attitude may have developed over many years but fortunately can change in a matter of sustained choices made and acted up on now. Accordingly, you choose to see things as either threatening or as an opportunity. The opportunist will be positive and work with the situation to make good out of it. The individual who sees it as threatening, will, out of fear, try to avoid/run away from the situation or react with anxiety. Yes, self-belief does impact it too, but you can see that prior to that, perception will tarnish the belief system too. Here, you can see that all the resolution lies in just changing your perception/attitude, even if it is against odds. Changing your response, despite the perception, is building up of your reserves and resources to handle any contingency that life throws up at you. And life throws up situations quite regularly and heavily. For this you need to develop a fit mind and body: the former, by meditation and mind exercises; and the later, by exercises and proper diet. You need good sleep too. Included in the development of the mind is the handling of emotions, in your case, fear. These changes will give you a handle on life and your perceptions and responses. Prayer is really powerful, if you are a spiritual person. Repeat some personally framed affirmations that are geared to calming you down and building confidence. Do a personality development course too. Anything that develops you personally will be of great assistance in building resilience.  

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Dr. Vasu BonuboyinaPsychiatrist6yrs exp

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Hello lybrate-user, nexitoplus contains 5 mg of escitalopram and 0.5 mg of clonazepam. When you use any tablet containing clonazepam for more than two weeks you may get withdrawal symptoms and these withdrawal symptoms almost mimic like anxiety symptoms. Hence I advise you to separately take nexito 5 mg and clonazepam 0.25 mg which is a half of the dose which you had taken earlier. And you can stop clonazepam 0.25 mg after two weeks.  

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Dr. Nisheet M PatelPsychiatrist9yrs exp

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Yes, you should continue nexito plus for few more weeks before decreasing dose. 

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Dr. P K SukumaranPsychiatrist56yrs exp

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Better to continue for two months and then slowly reduce by two more months.  

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