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Good morning, I am Dr Ruff, thank you for contacting us today
I am sorry to hear that you are experiencing this.
Moving to Escitalopram was a good move, you will still have occasional panic attacks. This may still improve over time.
Medication alone unfortunately will not resolve your problem, therefore you need to consider psychological therapies such as Cognitive Behavioural Therapy as well.
In addition to this I would consider Beta blockers to take when you are feeling increasingly anxious.
If after utilising counselling for a few months, then I would consider changing medication then, however at 4 weeks, it is reasonable to trial an increase dose of Escitalopram as well at this point.
Excellent. This is indeed a risk, however you are now on the second drug you have tried, I would try increasing it first and then review. Otherwise you are not giving them long enough. But be aware you will still have bad days.
You should notice the most difference within about 2 weeks, but the drug can take 4-6 weeks to become fully effective.
Okay, that sounds reasonable. Of course this is possible. But you alternative is to stop it and take a third one, when I think it is less likely the drug making you worse, but the nature of what you are suffering.
I think if you were to increase it, it causes problems, then you are certain it is not the drug for you. I see this a lot where someone gets reviewed after being on 4-5 different types.
No sorry, I think if the drug was going to cause problems, you would have had more frequent attacks from week 1, not week 4. Therefore I do not think this is the drug making your symptoms worse, but you just having a panic attack.
Yes, at 4 weeks, I think this is a reasonable time to try and increased dose. You can wait a few weeks long if you are more comfortable with this.
All the best with this, I hope that you feel better soon.