I have anxiety and sleepiness for month ,doctor prescribed me ciplar 20 mg 2 time, and clonazep0. 25 mg ,but I have a doubt that ciplar 20 is hypertension medicine and I don't have high bp at all then why doctor prescribe me ,please help me I am very afraid for this please?

Mr. Saul PereiraPsychologist51yrs exp

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Ciplar is used for both anxiety, relieve tremors, and may be hypertension. Please continue to use these medicines unless advised otherwise. The drowsiness could be an effect of the medication or you could be in a mild depression too. You have not mentioned your age, but if you are young, the prognosis is good. 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. Sometimes, fear may have originated in childhood and your body, more than you brain, remembers the emotion and will react with heightened fear even for the slightest provocation or stimulus. Sometimes, you may not even need a stimulus! these matters can ideally be resolved in therapy only, and exclusively. 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. Saranya DevanathanPsychiatrist51yrs exp

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Dear lybrate-user, many medicines relieve the symptoms of many diseases. Sometimes in different doses. One can not label a drug as bp tablet just because it is prescribed to reduce hypertension. Some tablets are anticonvulsant, meaning they control fits. But we use them as mood stabilizer in bipolar disorder. Don't worry - ciplar will not lower normal bp. Take it. It reduces palpitations, heart going fast that makes you become more anxious.  

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Just ciplar and clonazepam are not treatment for anxiety disorder you should have been put in antidepressant as well ciplar reduces hyperactivity of sympathetic nervous system which occurs in anxiety. So its given in anxiety.  

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Dr. Tejaswi T PPsychiatrist5yrs exp

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Yes you guessed it right. It is a beta blocker which is usually used as an anti-hypertensive. But, it is a drug which decreases the sympathetic hyperdrive which is a common phenomenon in any anxiety disorder. In your case, it helps in decreasing sweating, shaking of hands, dry mouth and rapid breathing if at all you are facing such problems.  

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