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Home > Dulane 40 MG Capsule > Health Feed

Dulane 40 MG Capsule Health Feed

Asked for male, 35 years old from Ernakulam

I have been suffering from generalized anxiety disorder from the age of 14 since 2002. My father suffered a heart attack and was admitted to icu. I was in a movie theatre watching a movie and was brought to hospital to see him. That incident triggered my anxiety disorder. The burning sensation / butterflies in the stomach will not go away. That makes my mood worse and impair cognitive functions. Studies and exams became nightmare for me due to this problem. I was treated by a clinical psychologist initially. He trained me progressive muscle relaxation and guided imagery. I did that with some success but my problem worsened and another clinical psychologist trained me deep relaxation with jpmr and diaphragmatic breathing. But my problem never went away and I continued with my studies somehow. Completed 12th and joined b.tech. But I could not pass b.tech papers. The doctor I was seeing was against psychiatric medications and my parents were also not interested in that. In 2011 due to some personal issues my problem worsened and I decided to see a psychiatrist. He prescribed me escitalopram and when it started working I saw a huge improvement. I cleared all my back papers. Then I joined a job and I did pg in mechanical engineering. When I tried to stop medication, the problems came back with a vengeance also the same medicine will not work. Doctors tried different medicines to find the one that works. Also psychiatrists did not advise any psychological therapy. escitalopram worked again and I felt better again. I got married and was leading a good family life. But the medicine stops working sometimes and I am helpless when they do and the symptoms return. Psychiatrists have tried ssri like escitalopram, sertraline, fluoxetine, fluvoxamine, snris like venlafaxine, desvenlafaxine, duloxetine, then other meds like benzodiazepines, buspirone, propranolol, quetiapine, amisurplide etc. I tried even ketamine infusion and that made me feel worse. The only medicines that worked for me are escitalopram and duloxetine. But in those duloxetine stops working very soon and escitalopram stops working in 2-3 years. Now I am in a situation where escitalopram has stopped working. Is there any way to make it work again or any better medicines out there? I have heard stories of people who are on antidepressants on for a very long time. But I am not able to go past 3 year with relapse. I need serious help to live without this problem affecting my life. What should I do to go on antidepressants for a long time with out relapse? I have not tried therapies like cbt, mindfulness, act etc will I be able to manage my problem with psychological interventions like those? All my bad feelings come from my gut area. Is there any underlying biological reason for my disorder? I am willing to spend all my money to recover from this problem. I am inviting suggestions from all the experts in Lybrate who could help me recover from this debilitating problem.

Mr. Rajendran90%(812 ratings)

M.Sc.,

Psychologist•Chennai

Better take hypnotherapy If you are interested I will treat you without therapy cost no need to worry

1092 people found this helpful

Health Query

Hi, my complaints appeared 2 years ago as giddiness in my head. After a while, my complaints such as a swaying sensation in my head, imbalance, headache and neck pain, the need to hold my neck upright, started to become regular every day. First, I went to the emergency room, a brain tomography was taken, it was clean, I was told that it might be stress because it was my exam period, and betaserc was given. Then I went to neurology, brain mri was done and it came out clean. Afterwards, I was examined in the physical therapy department, neck mri and x-ray were taken, it was found that the neck was flattened, and exercise and muscle relaxant cream was given. My complaints continued for several more months. When I went to neurology again, mri was done again, it was clean, essential tremor was suspected. Since I also have dizziness and imbalance, neck doppler was taken and it came out clean. Blood tests and thyroid tests were also clean. Then I went to a pain specialist, there was a nerve block in my neck, but my problems continued. Later that pain specialist referred me to psychiatry, saying that the problem was the excessive tension of my neck muscles and psychological. I used antidepressants for 6-7 months. While I was using duxet, my complaints were almost gone, but later, when I was allergic to the drug, I switched to another drug and my complaints came back with other drugs. In this process, excessive jaw pain was added to my complaints. My complaints did not go away with psychotherapy and psychiatry. I started ozone therapy, neural therapy and acupuncture treatment at the complementary medicine center. Even though there are 4 sessions now, my pain still continues in the same way. My current complaints are headache, jaw pain, drowsiness and feeling of being in a dream, fainting when standing still but not fainting, imbalance, facial pain, inability to sit upright at the table, increased pain when sitting, floating objects in the eyes, tension as if my neck is being pulled down, floating in my eyes objects. My complaints start 1 hour after waking up every day and continue with varying intensities until I go to bed. I do not see any benefit from painkillers or muscle relaxants, only when I drink alcohol my complaints go away. What would you recommend me to do? Thanks in advance.

Dr. Sreepada Kameswara Rao93%(35798 ratings)

DHMS (Diploma in Homeopathic Medicine an...read more

Homeopathy Doctor•Hyderabad

Your current complaints are------- headache, jaw pain, drowsiness and feeling of being in a dream, fainting when standing still but not fainting, imbalance, facial pain, inability to sit upright at the table, increased pain when sitting, floating objects in the eyes, tension as if my neck is being pulled down, floating in my eyes objects. -----very effective treatment is available in homoeopathy for this chronic problem. Homeopathic treatment is painless and safe. No side effects. You need compr...more

Health Query

Dysthymia, chronic anxiety neurosis (panic), chronic insomnia suffering from 21 years. 10 days back doctor prescribed me serta 50, bupran150 mg, arip10 mg, clonotril 0.5 mg, tryptomer25 mg. Now from 10 days no interest in sex, erectile dysfunction due to serta. I am afraid of bupran150 because I have monthly twice take 180 ml brandy. Is seizure, liver damage with bupran? Can skip the bupran? Is bupron taking take alcohol monthly twice? Even arip10 mg, clonotril, tryptomer, I have no very well sleep. Mirtaz is more sedation. escitalopram side effect me loose stool, stomach upset. venlafaxine, paroxetine no sexual feelings, I take duloxetine, olanzapine, divalproex 500. So now I am diabetes, grade 2 fatty liver. So duloxi discontinued. So doctor prescribe serta, bupran, arip, tryptomer. Sir/ madam can I take vortixitine instead of serta, bupran. Is it is very effective other than ssri, snri I mean serta, bupran. Can I take zyprosyn instead of arip. I have no very well sleep these medications.

Dr. Prof Jagadeesan M S94%(13332 ratings)

MD - Psychiatry

Psychiatrist•Chennai

Different people respond differently to different drug combinations. Working with you psychiatrist will help in finding the right balance between control of the symptoms and tolerable side effects if any. Wishing you good luck in finding the ideal combination at the earliest. Good luck.

Asked for male, 40 years old from Anantapur

I am 39 male. I am suffering from chronic depression, anxiety's neurosis+ soft mania. Last 18 years. I used some scars, snris .due to side effects I discontinued. I have also l5_s1 slliped disc and overactive bladder. But now no back pain .when heavy work back pain will be appear. 15 days back I consult psychiatrist he gave me morning tab duloxetine 20, night divalproex500, oleanz 2.5 mg for 15 days. I taken these medicines. After 15 days consult same doctor and told to him I am sleeping problem, snoring,no freshness after sleeping and disturbance sleep. He gave me morning tab modalert100 mg, night divalex 500 mg, oleanz 2.5 mg. My doubt is how to reduce my major depression and anxiety neurosis without scars, ndris. Is modafinil effect in major depression and anxiety neurosis. please advise any medication for my problem. Can I take modalert for my depression laziness. For overactive bladder urologist gave me mirabeg25 (morning. Solifenacin10 mg (night).

Dr. Satheesh Nair S88%(468 ratings)

Doctorate in Clinical Psychology, Mphil ...read more

Psychologist•Trivandrum

Hello
I recommend Psychotherapy for the same in addition to medicines.If you can take it systamatically for a period of time you wil be able to reduce medicines gradually
Bye take care

1093 people found this helpful

Asked for male, 57 years old from Belgaum

I am 56 years old male undergone Angioplasty five years back due to severe attack and was put two stents. I was alright for first 15 days and thetesfter, I have been suffering from pain at my chest continuously. at times, pain is like pinching, sometimes stabbing like and sometimes hammering like. I am not able express the exact nature of pain and particular point. I have undergone many tests viz, ECG, Echo, Xray, TMT etc. Several times with famous Csrfiologists, reports are negative. But pain still persists 24/7 through the yesr. Doctors have prescribed many medicines to get rid off the pain like Zerodol, Dulane, Xykaa, Amunarite, but in vain. Further, I have been taking clopitorva 20 mg a tablet each every dsy snce Angioplasty as prescribed by Doctors. During April end this year, to clear the doubt, Doctor suggested to undergo Angiography test which I underwent in very famous KLE Hospital, Belgaum (I reside in the same city in Karnataka) and report is normal. L. Further, I approached Apollo Hospital at Bangalore last month and they have suggested various blood tests like Vitamin. D, calcium etc. But all the tests are within normal. When all the test reports are normal, why the pan remains that too intolerable. I am living in fear day in and day out. I am totally frustrated due to unexplsinale, intolerable pain. I walk around half an hour daily. I do not get good sleep, due to which I am developing weakness. I am vegetarian and take good diet. My BP is normal and am not diabetic. Please suggest proper solution.

Dr. Prem Chand90%(2810 ratings)

MBBS, Craniosacral Balancing, Quantum To...read more

Pain Management Specialist•Panchkula

All your complaints need mind management. After mind management your mind will come to know that these problems will not occur again & mind being used in stress will be converted into professional progress or any other aspects of life which mind comes to know in 1st meeting. (3 to 4 hrs. Online)
You can contact us on Lybrate. More details about the treatment on our profile/personal statement column.

Asked for male, 39 years old from Bangalore

Good evening sir. I am ramesh age 40. I am a pharmacist and rural doctor. I am suffering from dysthymia, anxiety neurosis, short temper and angry (soft mania) last 18 years. I consult psychiatrist and tried ssris, snris.due to side effects every 3 months I discontinued the medicines. I have also overactive bladder, l5-s1 slipped disc, gynecomastia,abnormal triglycerides, cholesterol, my weight is 83 kgs, stomach is 38 inches. But no sugar, b.p. No heart problems, thyroid.4 months back psychiatrist gave me duloxetine20, oleanz 2.5 mg,divalproex500 mg. Due to sexual side effect I discontinued. I try paroxetine, mirtazapine,desvenlafaxine, venlafaxine many more. According lancet journal2020 I know very effective and tolerable antidepressants simuntenuosuly agomelatine, amitriptyline,escitalopram, mirtazapine,paroxetine, venlafaxine.my favorite drug is escitalopram. But I taking escitalopram I got stomach upset and loose stool .is loose stool is dangerous. How many weeks overcome this problem sir. Is olanzapine or quetiapine safe for my body. I fear lithium horrible side effects. Jam live in village .here no psychiatrists. I lose my business. I am very very lazy, severe procrastinator, no hope, no energy insomnia, nightmares,etc, etc. For overactive bladder can I take tab mirabegron with antidepressants, tab solifenacin with olanzapine, quetiapine.psychiatrist gave me tab modafinil for my lazy. Sir I request you to which antidepressant, and which antipsychotic ,mood stabilizer is effective for my problems. Last 2 months I have no take ssris, snris.i am a pharmacist no problem to you. please sir give treatment guideline for me.

Dr. Prakhar Jain93%(109 ratings)

MD - Psychiatry, MBBS Bachelor of Medici...read more

Psychiatrist•Mumbai

Hi, by the list of medications I can understand that you have tried a lot of medicines. Still your problem is not resolved. Since you are near to bangalore the best way I could suggest is visit nimhans bangalore and consult a psychiatrist and a therapist for your current problem you might need more of therapy and a different kind of antipsychotic which works for dysthymia. The medicines which you have mentioned are antidepressants and does not necessarily work in dysthymia.

347 people found this helpful

Asked for male, 66 years old from Patna

Sir, duvanta 30 ko ek 65 years old aadmi ko lagatar kitne month tak lena chahiye yadi hip me pain ho or l4, l5 bone me problem ho gaya hoga ho?

Dr. Jayasree Ramesh89%(590 ratings)

MBBS, MD - Physical Medicine & Rehabilit...read more

Orthopedist•Mumbai

Duloxetine is an antidepressant and is given for pain also .It has been prescribed for periods like 6 weeks.
If there is a problem in l4. l5 only this medication alone will not help.

146 people found this helpful

Asked for male, 63 years old from Mumbai

I am a male, 63 years of age. I am diabetic since the year 2003. As I had severe burning sensation in the right foot big toe, my diabetic specialist prescribed duzela m 30, to be taken daily at night which i, have been taking regularly, since last many years. I have been taking 1 capsule daily after dinner. Can I reschedule my dose from night to afternoon, to be taken after lunch?

Dr. Prabhakar Laxman Jathar92%(20239 ratings)

MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad

Hello, Thanks for the query.
Usually Duloxetine is given at night because it may produce slight drowsiness So better to continue at night..

Asked for male, 36 years old from Hyderabad

HI, I have sciatica pain and numbness from left hip to bottom leg kindly suggest medication & stretches.

Dr. Ajay Panwar

DM - Neurology

Neurologist•Warangal

MRI of L-S Spine will help in diagnosing and treating it well. A short course of Non steroidal anti inflammatory drugs like Naproxen may be taken to reduce pain. Antineuralgic drugs like duloxetine may be required as well.

16 people found this helpful

Asked for male, 46 years old from Latur

What are the possible remedies for urinary incontinence bcz of lax pelvic floor muscles in women of older age due to multiple births .question for urologist and gynaecologists.

Dr. Amit Tuli92%(1771 ratings)

MBBS Bachelor of Medicine and Bachelor o...read more

Urologist•Ludhiana

Of course you must be knowing about kegels exercises. Sometimes duloxetine 20 mg twice daily also helps but if nothing works then we put propene tapes around urethra surgically to support it so that urine leakage stops.

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