Depression and panic attacks are highly treatable, and many people achieve complete, long-term recovery. Nexito 15 (escitalopram) is typically continued for 6 to 12 months after you feel better to prevent symptoms from returning. Your ongoing symptoms?like poor sleep, tiredness, body aches, hopelessness, and weight loss?suggest that your condition may not be fully managed yet, or you might be experiencing adjustment effects after stopping alprazolam. Please do not worry; this is common. I highly recommend discussing these symptoms with your doctor, as they can safely adjust your treatment plan to help you feel much better.

The medications you are taking, such as Nexito 5 (escitalopram), Lasper, and Mettler, are generally prescribed for conditions like anxiety or blood pressure, rather than acute pain relief. Pain behind the ear can stem from several common, treatable sources, such as a mild ear infection, jaw joint (TMJ) strain, dental issues, or localized nerve irritation. Because it has lasted a week, I gently recommend visiting a doctor or an ENT specialist for a quick physical exam. They can safely identify the cause and help you find the right relief.

It sounds like you are dealing with very distressing symptoms, and I want to reassure you that there is help. Nexito (escitalopram) is highly effective for managing travel anxiety, panic in enclosed spaces, and related physical symptoms. Amitriptyline is excellent for improving sleep quality and can help calm unusual nerve sensations, such as the vibrating feeling you experience during movement. Together, these medications work well to balance your nervous system and bring relief. Please continue to take them under your doctor's close supervision, as they can take a few weeks to show their full, beneficial effects.

While your medications, Met XL (metoprolol) and Nexito (escitalopram), can sometimes cause side effects like fatigue, shortness of breath, or mild memory lapses, symptoms like frequent urination and borderline blood sugar suggest other underlying factors, such as metabolic changes. To safely evaluate all of these symptoms together, I highly recommend consulting an Internal Medicine specialist. They can look at the whole picture, run standard blood tests, and coordinate any medication adjustments. Please continue taking your prescribed medications as directed until you see a doctor.

Finding the right treatment is a journey, and you have excellent options. When you speak with your doctor, you can discuss switching to another generic medication, such as a different SSRI (like sertraline) or an SNRI (like duloxetine). They might also suggest adjusting your dosage or timing to help with sleepiness. Additionally, highly effective drug-free approaches like Cognitive Behavioral Therapy (CBT) are wonderful for managing severe anxiety and panic attacks. Please consult your physician before making any changes; they will safely guide your transition.

While daily medication like escitalopram helps manage symptoms, there is no permanent pharmaceutical cure for performance anxiety. However, highly effective long-term solutions exist. For situational stage fright, doctors often prescribe beta-blockers (such as propranolol) to be taken only on an as-needed basis before a performance, rather than daily. The closest to a permanent solution is Cognitive Behavioural Therapy (CBT) or exposure therapy. These therapies retrain your brain's response to performance pressure, often allowing patients to eventually manage anxiety without any medication. Please consult your doctor to discuss safely tapering your daily medication and exploring these highly effective, drug-free strategies.