I have anxiety disorder doctor prescribed me cipralex 10 mg daily morning and due to physical symptoms of anxiety he prescribed petril md 0.5 1/2 tablet at night I have been taking cipralex for 27 days and I took petril md for 18 days and I went to review with psychiatrist and he said I have to continue cipralex and petril md 0.5 for another 30 days slowly he will be taking me of petril md I took 1/2 tablet these days now he is saying petril 0.5 is not high dose what should I do?

Dr. Saul PereiraPsychologist48yrs exp

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You should follow doctor's advice. If you are ever doubtful, go for a second opinion and clear your doubts. Doctors ill take a few weeks to determine what dose and medications suit you. when they reach that level, it is considered the optimum dose suitable for you and may retain you on that dosage until required. Even when weaning you off of your medication, they will reduce it gradually so that you don't have any adverse reaction. You have not been dealing with your fears for a long time, perhaps. All unexpressed feelings will find some other way of expressing itself in the body. These will lead to psychological problems of various kinds. You need to be trained in dealing with emotions and retain it as an ongoing process in life. Meet a counselor and get some guidance in this regard. In the meantime, please follow an exercise regiment, eat well and keep good company. Make your last meal, as far as possible, a pure carbohydrate meal. Eat early and make it a small meal too. Avoid all foods that cause flatulence. Sleep on your left ear most of the night. Every time you feel fear talk to someone about it. Do some deep breathing, with your left nostril shut, and you will immediately calm down. If it gets too much, place your index finger on your shut lips and puff up your cheeks tightly with air and hold it for some time. The back pressure of the air will press the vagus nerve at the rear of the throat and immediately reduce the heart rate to calm you down. I am only suggesting this because you say the anxiety is mild. 

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Dr. Jagadeesan M.S.Psychiatrist15yrs exp

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Sometimes you might be having anxiety more than expected to be controlled by the medications, so it is wise to follow his advise (he seems to be prescribing well), and after few weeks/ months he will make the changes. All the best.  

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