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Good afternoon, we have set an anxiety-depressive disorder with panic attacks, I take a serenate today it will turn out exactly a month like.

Help me figure it out, it's important.
Good afternoon, we have set an anxiety-depressive disorder with panic attacks, I take a serenate today it will turn out exactly a month like. Started with 25 mg. at night there were strong side insomnia, diarrhea, tinnitus, severe anxiety, etc.P. Reduced to 1/4 in the morning for a week and added phenibut, after 4 days sleep appeared and the condition improved, then with the doctor raised by 25 mg. drank for 2 weeks, watched how he reacted.To. there was unstable stool, tinnitus and severe dry mouth, after the stool returned to normal, the doctor decided to increase it to a whole pill. I took a whole (50 mg) on ​​this Wednesday, insomnia appeared and I decided to reduce strong emotional arousal to 25 mg., By coincidence, and maybe as a result of constant dry mouth, on the day of taking 50 mg in the evening, a filled tooth cracked and began to hurt, on Thursday evening, against the backdrop of all this and insomnia, there was a strong panic attack. By Friday evening, the state did not stabilize. On Saturday morning, when I woke up, the pulse jumped strongly, lying down 120 beats if you stand up 130-150 and the pressure rises, if you lie down the pressure 130/90 if you get up and walk around it can be 160/110, 145/120, tinnitus, slight pain in the head dry mouth, thirst. They called the doctor and looked, by the time of arrival the temperature rose to 37.7, told about the drug, but the doctor did not attach much importance, examined, revealed the onset of inflammation in the throat, suggested a sore throat, said to expect a therapist tomorrow. Now I have a difficult situation, but I cannot contact my doctor. Now in the morning I had tachycardia all day and at night the pulse did not drop below 100 beats, at night it was possible to sleep for 1.5 hours and in the morning again if you get up that pressure, tachycardia in a supine state 105 beats, if you get up or sit down, then 130-140, temperature 37.4 Question: the tooth hurts, the gum is covered with plaque, it most likely needs to be removed, how long does the serenate take out and can I use painkillers and do anesthesia in the dental? Is my condition similar to serotonin syndrome? It turns out that everything was superimposed at once, side effects of the drug, a fractured tooth and a sore throat, and where it is impossible to figure out what. A therapist should come to the house, I don't know if he can figure out the situation. help me please.
doctor, drug, reception A guest: Psychiatrist-psychotherapist. Neurologist. Forensic psychiatric expert. Hello!
Remove a sore tooth, and eliminate the inflammatory process. Anesthesia is not contraindicated for you. And you will figure it out with pressure and pulse a little later, when you get rid of inflammation!
doctor, drug, reception A guest: Psychiatrist, psychotherapist - g. Donetsk. Hello! 
Serenat's tooth treatment does not interfere in any way. No, this is not serotonin syndrome - it is a consequence of the incorrectly chosen tactics in treatment (I mean the regimen of taking the drug, its dose, cover therapy).
doctor, drug, reception A guest: Psychotherapist, Psychiatrist, Psychologist g. Moscow Hello, this is not serotonin syndrome. You can treat and remove a tooth with anesthesia. After that, you need to discuss your condition with your doctor and adjust the treatment.
doctor, drug, reception A guest: Cardiologist, Candidate of Medical Sciences. You can treat a tooth, anesthesia can be.
doctor, drug, reception A guest: Dorothy Berman, Psychiatrist, psychiatrist-narcologist, psychotherapist Hello Sergey.
You can use anesthesia while taking the drug.
You are not describing the signs of serotonin syndrome. These are the moments of adaptation to the drug. It is necessary to increase the dose more gradually and under the guise of a tranquilizer.
doctor, drug, reception A guest: psychotherapist, psychiatrist-narcologist, forensic psychiatric expert of the Federal State Budgetary Institution "Federal Medical Research Center for Psychiatry and Narcology" (ex. them.V.P.Serbian) Ministry of Health of Russia 8 (495) 998-83-88

Question: the tooth hurts, the gum is covered with plaque, it most likely needs to be removed, how long does the serenate take

-- T1 / 2 - 26 h to calculate complete elimination - little information


and can I use painkillers and anesthesia in the dental?

--- Yes . No contraindications described.

Is my condition similar to serotonin syndrome?
--- not worse

It turns out that everything was superimposed at once, side effects of the drug, a fractured tooth and a sore throat
--- What are the side effects?

What effect do you expect from an Antidepressant?? After what time?
Join psychotherapy.


The basis of pathological fears (phobias), hypochondriacal thoughts, panic attacks, mental pain is deeply hidden anxiety (a signal of internal conflict).
It is a defense mechanism in the conflict between unacceptable impulses of the unconscious and the suppression of these impulses.
Anxiety is caused internally and is associated with external objects only to the extent that there is a stimulation of internal conflict.

With the help of a psychotherapist or psychologist, you can realize a psychological problem, see ways to solve it, work out a psychological conflict.

The purpose of psychotherapeutic influence is to resolve the conflict or change the attitude towards a conflict situation.

An important role in psychotherapy is played by teaching relaxation and emotional self-regulation.

Medicines for neurotic disorders are used in special cases. They usually have a short-term effect (that is, complaints and symptoms may return after the end of the antidepressant or antipsychotic drug).

The psychotherapist must be in the state of the territorial IPA. Consider the option of working with an Internet specialist (via video chat, by correspondence). In Moscow, you can find psychological help for free:
.wikipedia.org / wiki / Relaxation

Literature:
Levchenko Yuri Nikolaevich:

EXPERIENCE, PRACTICAL SKILLS AND KNOWLEDGE - CANNOT BUT HELP, JUST BY DEFINITION.

"Getting rid of phobias, depression and panic attacks"

Andrey Vladimirovich Kurpatov:
5 saving steps from depression to joy
21 true answers. HOW TO CHANGE ATTITUDES TO LIFE
How to get rid of anxiety, depression and irritability
With neurosis in life
Happy by choice. 12 Steps to Mental Health
A remedy for depression
The remedy for fear
Remedy for vegetative dystonia
"The domestication of fear" by Vladimir Levi;
"Fears, anxieties, phobias ... How to get rid of them? "Dmitry Kovpak;

"Get Rid of Fear" by Yuri Shcherbatykh;

BRIAN M. ALMAN PETER T. LAMBROU "SELF-HYPNOSIS" chapter "Fears, Phobias, Anxieties How to get rid of them?"GUIDE TO CHANGE YOURSELF.

A.V.Popov "FEAR (PHOBIA) AND ANXIETY: HOW TO LIVE WITHOUT THEM?"

https: // www.youtube.com / watch?v = uEptCkqbmkY

Hall opinion Sergei 24.12.2019 18:48
Thanks to everyone for the answer, I went to the attending psychotherapist, they said that it was impossible to refuse the drug and that I was just very suspicious and it was my own fault that it all turned out that way) That maybe the wrong tactic was chosen for her, I didn’t say. We decided to start again from half a week and switch to a whole week, if suddenly side effects appear, add teraligen for the night. Tell me, can I start with 1/4 instead of 1/2 and gradually increase the dose? The doctor said that 1/2 would be normal, but two times already at the beginning of the admission I dropped out for 4 days due to such treatment. The doctor is sure that he is doing everything right. Should I follow the chosen scheme or should I better discuss the nuances and medications used? I repeat, the doctor is sure that he does everything right and does not pay attention to my hints that something is wrong. I began to apply relaxation methods and partial methods of cognitive-behavioral psychotherapy independently from books, unfortunately I was not told about such methods either, I had to figure it out myself. I don't want to say anything bad about a doctor, a doctor of the highest category, but still there are doubts.
Sobol Andrey Arkadievich 24.12.2019 21:21
one. What does it mean "dropped out" for 4 days?
2. What is used in cover therapy?
3. Psychotherapy should be done under the guidance of a specialist psychotherapist.
Sergei 25.12.2019 07:17
one. At the first appointments, due to a poor state, there was no opportunity to work, I did not understand at all, and the work was associated with mental work + plus insomnia was extremely difficult to endure, I had to take a leave of absence at work for a couple of days until the side effect disappeared.
2. Phenibut 250 mg was used. afternoon and evening. Now we decided to add teraligen at night only if strong side effects, in particular insomnia, are repeated during administration.
3. Yes, I understand that, but my attending physician does not want to lead this process.
Sobol Andrey Arkadievich 25.12.2019 07:50
Find an opportunity to discuss your condition with another specialist.
Sergei 24.12.2019 19:09
Sergey Evgenievich, the side effects when taking are: insomnia, after increasing the dosage, it does not pass for about five days, without the drug, sleep is normal, a state of some kind of emotional arousal, in the first days anxiety increases, headache, as well as an incomprehensible sensation in the head, tinnitus , severe dry mouth is sometimes added to gastrointestinal disturbances in the form of pain and unstable stool, on the second day after increasing the dosage, there is tachycardia up to 130 strokes, but usually lasts no more than 4 hours. “What effect do you expect from an Antidepressant?? After what time?»I expect that the manifestations of the disease will gradually decrease in order to gradually reconfigure, if I may say so, my thinking, to work out the alarmingly suspicious nature and errors in thinking that led to this state. The effect for at least 2 months to be. When taking the drug for a month, in principle, partial improvements were. I gradually apply relaxation methods, I began to get to know them myself before taking the drug, although the attending physician did not speak about them.

IS IT NECESSARY TO PERFORM AN MRI CONTROL OF THE BRAIN IF IN 2015 THERE WAS AN OPERATION TO REMOVE THE BILATERAL FALK OF THE MENINGIOMA OF THE ANTERIOR THIRD OF THE LARGE SICKLE PROCESS ANNUALLY?

Será monitoreado, si es necesario, se llamarán a otros especialistas, ellos harán toda la investigación necesaria (hay más oportunidades en el territorio del hospital que en el policlínico).

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