My psychiatrist has prescribed me etizolam pro 20 and paroxetine for my anxiety .kindly please help me know whether these medicines have any interaction because I searched on the internet and in the interaction report it was written that they had moderate interaction, after reading it, I am not able to take my medicine and I do not want to ask my doctor so please help me out with an answer as soon as possible. Thank you.

Dr. Kinshuk KarmakarPsychiatrist24yrs exp

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When a doc has prescribed you 2 medicines, it is in the best interest of your problem. You searched the internet because you have no trust in your doc. If you have any side effects (all medicines have) that is troubling you, then you can ask your doctor to change it. Till then, have some faith in your doctor, please.  

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Dr. VineethPsychiatristyrs exp

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Hi, generally its safe to take these medications together. Etizolam pro has etizolam + propranolol which are to reduce your anxiety in short term, which can be slowly tapered and stopped over a period of 1-2 months usually. Paroxetine is the long term medication you will have to continue. Paroxetine can increase the blood levels of propranolol, but this is not usually dangerous. Only if you have conditions like asthma or copd or heart conditions like arrhythmia, then you have to be cautious about this interaction. Otherwise it's a perfectly safe combination to take.  

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Dr. Mahendra SinghPsychiatrist3yrs exp

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Paroxetine will increase the blood levels of etilam pro. So you might have desired effects of etilam pro without any need to further increase in dose. You don’t have to worry about this interaction.  

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Mr. Saul PereiraPsychologist52yrs exp

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By interaction you mean side-effects, it is true. All psychotropic drugs have side-effects: some less and others more. However, it is not reason enough to not take it! the side-effects do disappear in time if you exercise and do other therapies parallelly. Please consult your doctor always and don't feel embarrassed because it is your health and your treatment. 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. Anirban DattaPsychiatrist5yrs exp

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Clinical interaction is minimal, and also avoid looking into internet for your queries, mostly it will misguide you.  

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