I was taking fluvoxamine 50 mg and clonoplazam 0.25 mg and today my doctor did final tapering of my doses to recital plus for 15 days and escitalopram& etizolam tablet for 10 days and then he said you can stop it. Please tell me is it safe? Do I get any withdrawal symptoms after taking this medicine can I successfully do tapering and get relief from panic disorder symptoms.

Dr. Sartaj DeepakPsychiatrist11yrs exp

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I couldn't understand why you are shifted to escitalopram and clonazepam/etizolam just for the purpose of tapering. Tapering could have been done with fluvoxamine and clonazepam only! though there are chances of withdrawal especially with abrupt tapering or stopping clonazepam or etizolam but in your case the dose of clonazepam or etizolam is already low to cause any significant withdrawal on stoppage. One more thing I couldn't understand, when touyare already shifted to escitalopram, why to stop escitalopram and clonazepam/etizolam simultaneously? You can continue escitalopram and stop etizolam first, so that you get a cover which protect you from re-emergence or relapse of panic symptoms. I hope you are consulting a psychiatrist only!  

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Dr. Saranya DevanathanPsychiatrist51yrs exp

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Dear Priya, It is nice that you and your doctor are managing to taper the drugs and stop. You will not get any withdrawal with this regime. But if you are unable to face any stress using all the strengths that you have in and around you, you may get into anxiety disorder. Learn to relax and make all stresses as growth opportunities in this corona days. 

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