Panic Anxiety Disorder: Treatment and Medication Insights - Psychiatry

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Panic Anxiety Disorder


Hello, doctor.
My mother is 53 years old and experiences excessive hyperventilation every day, which is very distressing for her.
When her breathing is not smooth, she starts to feel anxious and depressed, and sometimes the symptoms last all day.
The doctor prescribed Lonazep (Clonazepam) for her to take once a day.
I would like to know if this medication has therapeutic effects or if it is just suppressive.
If it is effective, how long should my mother take it for a treatment course before she can gradually taper off? Also, what precautions should be taken with this medication? Thank you.

Shu Zhen, 30~39 year old female. Ask Date: 2020/07/31

Dr. Huang Xiaoxian reply Psychiatry


Hello Shuzhen, this medication is primarily for adjusting anxiety and panic disorders.
It is recommended to continue taking it.
If you need to adjust the medication, please discuss it with your physician before making any changes to avoid abrupt discontinuation and potential relapse.
The properties of this medication are considered mild, and a small number of individuals may experience slight weight gain.
Wishing you and your mother all the best.

Reply Date: 2020/07/31

More Info


Panic Anxiety Disorder, often characterized by sudden and intense feelings of fear or discomfort, can significantly impact daily life. Symptoms may include rapid heartbeat, shortness of breath, dizziness, and feelings of impending doom. In your mother's case, her experience of hyperventilation and subsequent anxiety suggests that she may be dealing with this disorder.
The medication your mother has been prescribed, De-Anxiu (also known as Diazepam or Valium), is a benzodiazepine that is commonly used to treat anxiety disorders. It works by enhancing the effects of a neurotransmitter called gamma-aminobutyric acid (GABA), which has a calming effect on the brain and can help alleviate anxiety symptoms. While it can provide immediate relief from anxiety and panic attacks, it is important to understand that benzodiazepines are generally considered more of a short-term solution rather than a long-term treatment.


Treatment Duration and Tapering Off
The duration for which your mother should take De-Anxiu can vary based on her individual response to the medication and the severity of her symptoms. Typically, benzodiazepines are prescribed for short periods, often not exceeding a few weeks, to avoid dependence and withdrawal symptoms. If your mother experiences significant improvement, her doctor may recommend a gradual tapering off of the medication. This process involves slowly reducing the dosage over time to minimize withdrawal effects and to assess whether her anxiety can be managed without medication.


Side Effects and Considerations
While De-Anxiu can be effective, it is not without potential side effects. Common side effects include drowsiness, dizziness, confusion, and impaired coordination. Long-term use can lead to tolerance (where higher doses are needed to achieve the same effect), dependence, and withdrawal symptoms upon discontinuation. Therefore, it is crucial for your mother to have regular follow-ups with her healthcare provider to monitor her progress and adjust her treatment plan as necessary.


Alternative Treatments
In addition to medication, psychotherapy, particularly cognitive-behavioral therapy (CBT), has been shown to be effective for panic anxiety disorder. CBT helps individuals identify and change negative thought patterns and behaviors associated with anxiety. Techniques such as deep breathing exercises, mindfulness, and relaxation strategies can also be beneficial in managing symptoms.


Lifestyle Modifications
Encouraging your mother to engage in regular physical activity, maintain a balanced diet, and practice good sleep hygiene can also support her overall mental health. Stress management techniques, such as yoga or meditation, may further help in reducing anxiety levels.


Conclusion
In summary, while De-Anxiu can provide relief from anxiety symptoms, it is essential to approach its use with caution due to the potential for dependence and side effects. A comprehensive treatment plan that includes therapy and lifestyle changes, along with regular medical supervision, can offer a more sustainable approach to managing panic anxiety disorder. It is advisable for your mother to discuss her treatment plan and any concerns with her healthcare provider to ensure she receives the most appropriate care tailored to her needs.

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