Suffering from vertigo, depression, BP. Medication not helping. Suggestions?
Patient: Hello doctor,     Iam working in desret area in oman with single status. 3 months before i suffered from panic, vertigo, unbalacing, not able to eat & sleep well.So during vacation , doctor checked the pressure & found 180/120 { high BP}. so prescribed hyper tension reducing tablet {proprancial hydrocholoride and sleeping dose at night.Also all tests including CT scan, blood count, thyroid & every thing thing is normal. finally it was concluded and cleared during vacation. When I return back from my family without sleeping dose { clonotril 0.5mg}  at night problem persist again. Now Iam taking paraxetine hydrochloride 12.5 mg for the past one week and still problem not cleared. How many days required to recover? Whether i am going in the right way? because four years before I suffered cevere vertigo & depression, That time I took nexito 10mg for one month in the alternative days and it was cleared. Doctor: while you present with both anxiety and depression symptoms , you need to be rational in the way you take medication . you need to be on longer time on antidepressant whether its nexito or paroxetine (you may need a larger dose) , taking the drug on alternate day is not going to benefit you. along with these drugs you need to see a local psychiatrist for regular monitoring . and you also can ask him for cbt or other psychotherapy for anxiety and depression. also go for regular exercising and brisk walk . regularly check the B P so as to see if the rise was organic or just due to anxiety