DR ELLIE CANNON: I am anxious however not depressed – so why is my GP providing antidepressants?

I hold getting bouts of utmost nervousness – a panicked feeling that washes over me each few months, every time lasting simply a few days. The GP urged I take antidepressants, however that appears a bit pointless provided that my signs aren’t fixed and I do not really feel unhappy or low. What ought to I do?

Antidepressants are sometimes prescribed for nervousness, in addition to melancholy, alongside remedy.

There may be sound scientific proof that the tablets will help ease the signs of many nervousness problems, together with the commonest: generalized nervousness dysfunction. That mentioned, if signs crop up solely sporadically, it’s proper to query whether or not taking each day treatment is the precise choice.

All drugs include unintended effects and these need to be weighed up towards the advantages, which can be restricted with an occasional downside.

If episodes are short-lived – often lasting solely a few days – treating it would rely on how a lot the issue impacts a affected person’s life.

Antidepressants are sometimes prescribed for nervousness, in addition to melancholy, alongside remedy

Medications to treat for occasional anxiety include a beta blocker called propranolol reduces the heart rate and blood pressure, stopping the panicked feeling

Drugs to deal with for infrequent nervousness embrace a beta blocker referred to as propranolol reduces the center price and blood strain, stopping the panicked feeling

Remedy for nervousness or panic is commonly cognitive behavioral remedy (CBT), which teaches sufferers find out how to acknowledge ideas and alter behaviors related to tough feelings. It arms sufferers with cognitive instruments they’ll use to handle panic when it strikes.

There are drugs to make use of for infrequent nervousness. A beta blocker referred to as propranolol reduces the center price and blood strain, stopping the panicked feeling. You should utilize this as and whenever you really feel anxious, and take it as much as 3 times a day.

If the episodes trigger very extreme signs, a physician might think about using a benzodiazepine drug like lorazepam or diazepam – to be taken often.

We attempt to not use these as they trigger dependancy and unintended effects, however they’ll provide momentary aid from excessive signs.

My husband, who’s 84, has been recognized with cardiac amyloidosis. His medical doctors have urged he go on a drug trial, however we’re not certain what to do as data on this situation is restricted. Are you able to assist?

Amyloidosis is what occurs when a protein referred to as amyloid builds up in elements of the physique the place it should not. When it builds up within the coronary heart, it is called cardiac amyloidosis and impacts how the center capabilities.

It’s thought-about a uncommon situation however will be very severe, resulting in organ failure. The build-up of amyloid may cause the center to stiffen and thicken.

Extra from Dr Ellie Cannon for The Mail on Sunday…

If this occurs, it does not pump effectively, inflicting tiredness, breathlessness and swollen ankles.

We all know that treating amyloidosis early, earlier than an excessive amount of harm is finished, is essential.

Sufferers could also be provided trial remedies, the place genetic materials or antibodies are used to stop the build-up of the troublesome protein.

The earlier sufferers get entry to this remedy, the much less harm is finished.

Docs provide chemotherapy for some sorts of amyloidosis.

If you’re being provided a trial, you have to be given as a lot data as doable in regards to the remedies – the possibility of them working and the dangers.

No remedy is assured to assist somebody, however medical doctors often solely provide one thing they really feel is worth it.

Over the previous yr or so, I’ve had a sore hip. It has been extra uncomfortable than painful. I am 65, so presumed it was arthritis. A few month in the past the ache turned so extreme that I used to be incapacitated. I might hardly stroll and could not sleep for ache. An X-ray confirmed it to be reasonable osteoarthritis. My GP has urged train and painkillers, and I’m cellular once more. Why did it flare up and may I anticipate it to take action once more?

Plenty of issues may cause hip ache – arthritis is considered one of them. Osteoarthritis of the hip may cause low-level discomfort and flares up the place the ache feels notably dangerous.

Flare-ups will be triggered by sure actions, a protracted stroll or for seemingly no motive. Like different persistent joint issues, these episodes are widespread and it isn’t at all times clear why they occur. However over time, a transparent set off may grow to be apparent, and you’ll know what to keep away from.

Even when somebody does have arthritis, an acute episode might not simply be arthritis, however one thing else.

Do you’ve gotten a query for Dr Ellie?

E-mail DrEllie@mailonsunday.co.uk or write to Well being, The Mail on Sunday, 2 Derry Avenue, London, W8 5TT.

Dr Ellie can solely reply in a common context and can’t reply to particular person instances, or give private replies. In case you have a well being concern, at all times seek the advice of your individual GP.

X-rays give us image of the bones, and what could be improper with them. However the hip is an advanced joint with a lot of different elements, together with ligaments and fluid sacs.

If there is a matter with considered one of these parts, it will not at all times be clear from an X-ray.

Acute ache could also be from a sprain inside the hip. That is doable in somebody who could be very lively – particularly in the event that they interact in repeated, intensive workouts.

One other potential offender is bursitis – irritation of the fluid sacs that cushion the joint. This could occur in people who find themselves very lively because the hip is over-used and irritated, or from a fall or damage.

Ache is often triggered by strolling and it will get worse whenever you lie down.

Docs would suggest painkillers and relaxation. If the ache continues, different scans reminiscent of an MRI may very well be helpful, in addition to an evaluation by a physiotherapist.

Is your reminiscence failing? Remember to inform me!

Whereas deciding what to jot down about this week, I thought of mentioning the very fact I might just lately been hit by dreadful reminiscence issues.

There are simply whole blanks. Names of individuals I’ve identified for ages, movies I’ve seen, and even phrases for issues – all gone.

Oddly, my husband, pals and a good few sufferers are complaining of precisely the identical factor.

While deciding what to write about this week, I thought about mentioning the fact I'd recently been hit by dreadful memory problems

Whereas deciding what to jot down about this week, I thought of mentioning the very fact I might just lately been hit by dreadful reminiscence issues

After which, horror of horrors, it dawned on me that I might written about this weird mind fog just some weeks again, however I might forgotten about it.

Is it Covid? stress? Age-related cognitive decline (it should not be, as I am in my 40s). I actually do not know.

Have you ever been struck by inexplicable, uncharacteristic reminiscence difficulties?

I might like to listen to your tales – and theories in regards to the causes. Write to me at DrEllie@mailonsunday.co.uk.

Assist remains to be at hand tomorrow

Most individuals will probably be glad of tomorrow’s financial institution vacation in honor of the late Queen, however I do know there’s concern on the variety of sufferers who will see NHS appointments cancelled.

Many will little question have been ready for months.

Even when we needed to open our doorways tomorrow, it might be tough when different assets we depend on are shut. However for those who want medical assist, do not panic.

And of course, if you're really stuck, there is always A&E

And naturally, for those who’re actually caught, there may be at all times A&E

Examine your surgical procedure’s web site for out-of-hours cellphone numbers and native pressing care clinics and, in fact, do not hesitate to name 111 in an emergency.

It’s also price checking whether or not any native pharmacies are open. As I’ve usually mentioned, pharmacists are extra educated than GPs about many issues.

And naturally, for those who’re actually caught, there may be at all times A&E.

No matter you do, do not put an pressing well being concern on maintain.


Leave a Comment