Side Effects of Panic Disorder Medications - Psychiatry

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Side effects of panic disorder medications?


Hello, Dr.
Hsueh.
In mid-January of this year, I experienced a recurrence of panic disorder that I had 20 years ago.
I am currently seeing a doctor regularly at the hospital, and the doctor has prescribed medications: Ulotar, Anpan, and Minter.
As of now, the dosages for these medications are Ulotar (2 mg), Anpan (0.5 mg), and Minter (10 mg).
I take them together before bedtime, specifically 1.5 tablets of Ulotar, 1 tablet of Anpan, and 1 tablet of Minter.
I go to bed at 10 PM, but I wake up 2 to 3 times during the night to use the restroom.
However, I wake up between 4 and 5 AM feeling a tingling sensation throughout my body and muscle soreness in my legs, making it difficult to fall back asleep.
Could you please advise if this phenomenon is a side effect of the medication?

Taipei Lao Cheng, 70~79 year old female. Ask Date: 2024/03/22

Dr. Xue Gengming reply Psychiatry


I recommend that you discuss the above situation further with your attending physician.
Wishing you good health.
Thank you!

Reply Date: 2024/03/22

More Info


Hello! Thank you for your question regarding the side effects of medications used for panic disorder, specifically the medications you mentioned: Ulozidine (悠樂丁), Anpaning (安柏寧), and Minterz (敏特斯). It’s important to understand how these medications work and their potential side effects, especially since you are experiencing some concerning symptoms.

Understanding the Medications:
1. Ulozidine (悠樂丁): This medication is often used for anxiety and panic disorders. It is an anxiolytic that helps to reduce anxiety symptoms. Common side effects may include drowsiness, dizziness, and fatigue. Some patients may also experience withdrawal symptoms if the medication is stopped abruptly.

2. Anpaning (安柏寧): This medication is typically used to treat anxiety and panic disorders as well. It can also cause sedation, which may lead to sleep disturbances. Side effects can include dry mouth, dizziness, and in some cases, increased anxiety or agitation.

3. Minterz (敏特斯): This medication is often prescribed for sleep disorders and can help with anxiety as well. Side effects may include daytime drowsiness, dizziness, and potential dependency if used long-term.

Your Symptoms:
You mentioned waking up several times during the night to use the restroom and experiencing a tingling sensation in your body, particularly in your legs, along with muscle soreness. These symptoms can indeed be related to the medications you are taking, but they may also be influenced by other factors such as your sleep hygiene, hydration levels, and overall health.

1. Frequent Urination: This could be a side effect of the medications, especially if they have a diuretic effect or if they are causing you to drink more fluids. It’s also possible that anxiety itself can lead to increased urination.

2. Tingling Sensation and Muscle Soreness: These symptoms can be side effects of anxiety medications. Some patients report experiencing peripheral neuropathy or muscle tension as a result of anxiety or as a side effect of certain medications. Additionally, if you are experiencing disrupted sleep, this can lead to muscle fatigue and soreness.

3. Sleep Disturbances: The combination of medications you are taking may contribute to sleep disturbances. While they are intended to help with anxiety and promote sleep, they can sometimes lead to a paradoxical effect, causing restlessness or early morning awakenings.

Recommendations:
1. Consult Your Doctor: It’s crucial to discuss these symptoms with your prescribing physician. They may consider adjusting your medication dosages or switching to alternatives that may have fewer side effects.

2. Monitor Your Hydration: Ensure you are adequately hydrated, but try to limit fluid intake before bedtime to reduce nighttime awakenings.

3. Sleep Hygiene: Establish a calming bedtime routine, avoid screens before bed, and create a comfortable sleep environment to improve your overall sleep quality.

4. Consider Therapy: In addition to medication, cognitive-behavioral therapy (CBT) can be very effective for panic disorder and may help reduce reliance on medications.

5. Keep a Symptom Diary: Documenting your symptoms, medication intake, and any other factors can help your doctor understand your situation better and make informed decisions about your treatment plan.

In conclusion, while the medications you are taking can help manage panic disorder, they may also contribute to the symptoms you are experiencing. It’s essential to have an open dialogue with your healthcare provider to find the most effective and tolerable treatment plan for your needs. Thank you for reaching out, and I wish you the best on your journey to recovery!

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