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Home > Duleve 20 MG Capsule > Health Feed

Duleve 20 MG Capsule Health Feed

Asked for male, 35 years old from Ernakulam

I have been on antidepressants for past 11 years for anxiety disorder. I was on escitalopram for last 3 years and it stopped working. My current psychiatrist started me on buspirone, clomipramine, fluvoxamine and clonazepam. I got some improvement and reached the doses buspirone 10 mg 1-0-1, fluvoxamine 100 mg 1-0-1, clomipramine 75 mg 0-0-1 and clonazepam 0.25 1-0-1 I was having intolerable side effects and I missed one dose of clomipramine and problems started again. I told my psychiatrist that only escitalopram and duloxine had worked for me. Then he stopped buspirone and clomipramine and reduced fluvoxamine dose to 100 mg once and started escitalopram at 20 mg directly and duloxetine 20 mg two times and clonazepam 0.25 3 times. I am having a weird mood and not able to control my negative thoughts after that switch. Was it a correct method to stop 2 medicines abruptly and starting 2 other meds at high doses?

Ms. Sheetal Agrawal91%(171 ratings)

Post Graduate Diploma in Counselling, MA...read more

Psychologist•Pune

Hello Lybrate user,
happy to hear that you r taking medicine for the anxiety problem. According to the current symptoms psychiatrist started the new medicine. It will take some time to get relief from symptoms which you are currently going through. After 1 week if still you r having the same problem then need to consult with the Dr. & let him know about your current symptoms.
Thank you, have a great day and have a speedy recovery.

95 people found this helpful

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

Asked for male, 44 years old from Vadodara

I am 40 years old and having diabetes type 2. I am on medication and due to that it seems to be in control. But I am always having fatigue, giddiness. I am always afraid if I am alone. Sometimes I feel as if I am fainting. What does it all mean?

Dr. Surbhi Agrawal94%(20256 ratings)

PDDM, MHA, MBBS

General Physician•Nashik

Probably you are getting hypoglycemic attacks. Kindly consult privately for personalized assessment and management.

2041 people found this helpful

Health Query

I am 65 years old male with blood pressure and diabetes, I am having un easy irritation unfriendly in nature, not actually pain but uncomfortable sursurahat, in hindi we can say uneasy gudguddi in legs which doesn't allow me to sleep sometimes in left leg and in right leg or sometimes simultaneously. I can't explain the situation which makes my legs un bearable un easyness not pain as it doesn't allow me to sleep and my legs always I have to beat or rub on muscles or heat it with warm water, I have been doing all sort of leg exercise also and taking medicines for vitamin d and magnesium. Please suggest as it a long problem from last 20 years but since last 1 year it has made me uncomfortable in having sleep at night time and help me out of this situation please. Me. I am taking medicine pramipex 0.125 mg -3 nos and duzela 30 mg -1 no. At night respectively.

Dr. Deepa Verma90%(4157 ratings)

BPTh/BPT

Physiotherapist•Mumbai

Hi
looks like you have restless legs syndrome (rls)
kindly rule out iron deficiency, diabetes. It can also be due to peripheral neuropathy alcohol and sleep deprivation.
Treatment
* begin a regular exercise program, *establish a regular sleep patterns, and *eliminating or decreasing the use of caffeine, alcohol, and tobacco, may be helpful. *leg massages
*apply hot baths or heating pads or ice packs to the legs
do reply for detail treatment plan.
Wishing you a good he...more

638 people found this helpful

Asked for female, 26 years old from Delhi

I am 27 years old, female,suffering from GAD. My centre of head pains a lot, that is centre of partition between hairline. And the hole at the back of skull also. From the front of head to back and back of right and left side of head. And it's a sharp pins and needles sensation and also burning pain at the mid brain, plus pain in the central nerve of spine, I have taken nexito 5 mg, 10 mg, for an year and then tryptomer 10 mg for 6 months then duzela 20, afterwards I discontinued it. Can you please suggest what medicines I need to take to be able to tolerate this pain and continue with my life. I am not able to focus at a task for a long time. The nerves of spine and mid brain and of central nervous system pains a lot. Earlier I consulted a psychiatrist and afterwards a neurologist. But now it's increasing. Please help.

Dr. Nilesh M. Bhandari93%(233 ratings)

MD, DNB (Medicine) DNB ( Neurology)

Neurologist•Pune

Definitely your symptoms seems to be of somatic disorder with GAD. Keep proper followup with your neurologist / psychiatrist for dose optimisation and counselling regarding lifestyle modification!
Regards.

75 people found this helpful

Asked for male, 62 years old from Delhi

I am 62 years. I have problem of lumber & cervical spondylosis. Recently I have done mri and the opinion is: a. Straightening of the spinal curvature with degenerative and osteoporosis changes and disc bulge at c3-c4, c4-c5 and disc herniation (protrusion) at c5-c6, c6-c7 level. B. Straightening of the lymph-sacral spinal curvature with disc bulge at l1-l2, l2-l3, l5-s1 level and disc herniation (protrusion) at l3-l4 and l4-l5 levels. Please correlate clinically. Later I consult my ortho. Surgeon and neuro surgeon and the medicines prescribed were gabapin nt 400 duzela m20 etoshine 90 mg when I am on medicines, I feel better and after 2-3 days I feel again pai ing and the pain comes from back tl front near ribs. What should I do? Please advise.

Dr. Vinu Raj88%(17 ratings)

MBBS, MRCS (UK), FRCS - Trauma & Orthope...read more

Orthopedist•Bangalore

As per your scan, there is wear and tear of your spine. There is no nerve compression seen. This is most likely to cause you a lot of backpain, which is what you are having. You will need to have this treated with regular painkillers. Unfortunately, you will need to continue painkillers for a long time. You will also need to have proper physiotherapy for strengthening you back along with the painkillers.

29 people found this helpful

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, 55 years old from Ludhiana