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Hi I was diagnosed with panic disorder and mild depression in 2011 post which I was on medication of paxidep 75 mg and olean 7.5 mg. Gradually moved to serta 25 and paxidep 25 mg and finally was on paxidep 25 mg for a good 3.5 years when I hardly faced any problem. Then I weaned to 12.5 of paxidep and moved to escitalopram 10.5 with an sos of clonazepam. I was initially doing well on escitalopram when problems of panic attack started reoccurring and doctor moved me back to 12.5 mg of paxidep as that medicine worked best for me. I was fine on it for a month but started experiencing mild anxiety again and now since 2 dys I am on paxidep 25 mg. My problem is I worry a lot, have irrational fears and when a thought is stuck in my head it remains stuck. And mostly I worry about health. When I am in the best of health I can take a lot of stress. But recently someone said I must be suffering from bipolar disorder and that is worrying me a lot. Do you think my symptoms are that of bipolar or general anxiety. I dint have any manic episodes or deep depression when like the first time. I keep researching all the time. Also I want to know how long would it take for me to adjust to increased dose of paxidep, since I am experiencing drowsiness, loss of appetite, nausea, and break in sleep in the night.
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Dear Suryatapa, You have an anxiety disorder. Mild depression is common in patents with anxiety disorder. There is no features of bipolar disorder in your case so bipolar disorder is highly unlikely. You can take paxidep in night time to avoid daytime drowsiness. You can take other medicine for improvement in sleep. It will take min 2 week to get improvement on high dose of paxidep. All d best
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