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  5. I have been diagnosed with panic disorder and depression, and am currently taking Depsonil 25 Tablet and Clonazepam 0.5 mg at night as prescribed by a psychiatrist. However, I still experience difficulty concentrating in crowded places and feel the urge to escape. Do I need a change in medication?

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I have been diagnosed with panic disorder and depression, and am currently taking Depsonil 25 Tablet and Clonazepam 0.5 mg at night as prescribed by a psychiatrist. However, I still experience difficulty concentrating in crowded places and feel the urge to escape. Do I need a change in medication?

Asked by Male, 50 ยท 18 days ago

It is quite common for symptoms like discomfort in crowds, poor concentration, and the urge to escape to persist for some time even after starting treatment for panic disorder and depression, as medicines like Depsonil (imipramine) often take a few weeks to show full benefit and Clonazepam mainly helps with short-term anxiety relief; this does not necessarily mean your medication is wrong, but your dose may need adjustment or you may benefit from adding therapies like cognitive behavioral therapy (CBT), which is very effective for panic symptoms in crowds, so instead of changing or stopping medicines on your own, it is best to follow up with your psychiatrist, explain your ongoing symptoms clearly, and let them decide whether to adjust the dose, continue the same plan longer, or modify treatment safely.
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  1. Medication Review: Consult your psychiatrist to evaluate if the current dosage of Depsonil and Clonazepam is optimal or needs adjustment.

  2. Symptom Management: Discuss your continued symptoms of difficulty concentrating and desire to escape in crowded places with your psychiatrist.

  3. Potential Adjustments: Consider asking about alternative treatments or adding therapies like Cognitive Behavioral Therapy (CBT) alongside medication.

  4. Safety Measures: Do not alter or stop medication without professional guidance to avoid withdrawal or adverse effects.

Follow up promptly with your healthcare provider for personalized recommendations.

Answered 18 days ago

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