Ask a Doctor and Get an Answer to Your Medical Question ASAP
Hello, my name is***** thank you for your question. I am a qualified MD with 18 years’ experience.
Please provide some more information so that I can provide you with a better informed answer.
What is your age and sex?
How long have you been on the propranolol and mirtazapine?
Please provide this info and I will help you further with my answer.
You may get a message asking for a phone call, that is not sent by me but generated automatically by the website, you can ignore it if you choose.
***********485 male 47 year old I was sexually abused when I was a child I think this is what’s caused it
Good evening, we do not have anything to do with the payment and can only provide advice. Asking for additional services such as a phone call is charged for. Messaging should not be any more expensive as far as I am aware.
Please email the help desk if you have any concern about this.
Would you still like advice?
Of course, I will certainly try, I am Dr Ruff
How long have you been taking propranolol and mirtazepine? Have you also had any form of psychological intervention for this?
Hi, please see the questions I had just asked
So the best option for anxiety if propranolol doesn't help would be an SSRI (Citalorpam, Escitalopram, Fluxoetine, Sertraline, Proxetine). These have good evidence, doesn't really matter which one.
However they should be used alongside pyschological therapies such as CBT.
If these do not help, then Pregabalin is licensed for the use in generalised anxiety disorder and therefore this may be appropriate for you
That would be worth trying then, especially if you have already used SSRIs with little or no benefit.
Pregablin works well in Generalised Anxiety Disorder so definitely worth discussing this with your own doctor and ask if they would prescribe it for you. I would however suggest your come off your mirazepine after though.
Diazepam is indeed highly addictive, the more you use it, the less effective it becomes - going down this route helps initially but is likely to make life much harder for you in the long term
This type of medication has to come from your registered GP as it is also a medication of misuse. No out of hours provider would be able to do this for you sorry
You would not be able to get this tonight, so I would speak with your GP in the morning
No I cannot sorry
I am a doctor, you thought correct. Please refer to my prior comment.
Okay, if you kindly review my suggestions re your management of anxiety by clicking on the stars, I will assist you in getting a prescription.
I have given you advice and a suggestion of a management plan which you, nor your GP has provided for you. I have better things to do than have my time wasted. Please read the details of the website before using it. I wish you, and your GP, good luck with dealing with this
The medication I have suggested is a control drug, which cannot be issued over the internet like this. Your GP will be able to help you with this. If want to resolve this privately, I can assist you with this.
Otherwise call your GP to discuss. Best of luck
Sorry, I could find your reference number. I can assist with this if you like, I do require you to accept/rate my response to you first please, let me know once you have done this and I can assist you in contacting your doctor.
Good evening, I can email if this is still of some help?
Hello again, I hope you were able to get assistance from your doctor. If not, please let me know if you need support with this.
Thank you for getting back in touch. Diazepam is certainly going to make you feel more relaxed. I am pleased to hear they have been engaging.
It is a good dose, if sedating, your could drop it to twice a day and see if the symptoms are just as controlled at that dose?
My only concern is that Diazepam is short acting and will stop being useful as soon as you stop them. Did you ask them about pregabalin?
Pregabalin: Generalised anxiety disorder
Initially 150 mg daily in 2–3 divided doses, then increased in steps of 150 mg daily if required, dose to be increased at 7 day intervals, increased if necessary up to 600 mg daily in 2–3 divided doses.
This is one of its licensed uses. Diazepam can cause a tolerance, which means the same dose will become less effective after weeks, but Pregabalin does not do that, therefore it is far better is a long term medication, more so given you have tried many options already
Hello again, I didn't receive a phone call request sorry, therefore you should have never been charged £34. I do not have anything to do with billing, I only get to receive your questions. If you see the FAQ page, there will be a link for you to contact customer services. I can request this for you but would need to complete this question first for it to allow me to do that.
If you can accept my answer/provide a rating, along with your email address or your doctors contact details, I can then provide an email suggesting the above and also request customer services check the details for a refund.