Hello, I am taking libotryp ds in the night and serta 50 in the morning for anxiety, sleep disorder and ibs diarrhea currently. I am patient of anxiety and depression since ong time it is on and off. Today I was very stressed and anxious in the morning so suddenly I felt like nausea, headache and dizziness which went away after 2 hrs automatically. Right now only headache is there. I normally take dolokind plus for headache and this works well for me. Still anxious while writing. On medication since 2016 with various medicines like libotryp, lonazep, pari cr plus, tryptomer, serta, parox 25, nexito forte, mirtaz 7.5. Kindly suggest.

Dr. Saranya DevanathanPsychiatrist52yrs exp

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Dear lybrate-user, there are non-tablet methods to manage anxiety. They are jacobson's deep muscle relaxation exercise, various therapies, yoga, pranayama, mindfulness, etc. Please learn and practice one of them under supervision initially and later on your own. In 3-6 months time you will learn these symptoms are like passing clouds and wait for them to disappear - knowing fully well that they will be back! the first 2 methods are taught by psychiatrist or clinical psychologist.  

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Hello you have been on various medicines but none of them have been tried on its maximum dose. Start taking that 1 medicine which you had best response on and then take it to maximum strength. Discuss this with your psychiatrist. Maintain sleep hygeine and do regular exercise for 20 min a day.  

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Dr. Tejaswi T PPsychiatrist6yrs exp

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Anxiety disorders can have on and off symptoms. Previous dosages and duration of treatment are important before considering any change in medications or advise. You would need a detailed evaluation and assessment regarding underlying anxious and depressive cognitions. So, I would suggest a detailed evaluation by a psychiatrist before taking any further action.  

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