i am 47 year old men i am suffering from general anxiety disorder .i am feeling thartharahat sweating blurd vision ,stomuch fullness , i diagnosed fatty lever grad 1 in 2017. i am taking paroxetin cr 12.5 since 2012 with chlonazipam 0.5 od now i want to tapper medicine(pexep cr 12.5) but after 5 days to stop the medicine i feel a vibration in haead and body. sir i am wraping tobaco paste gudakhu from 20 years now i want to stop medicine and tobaco paste kindly help me.
Hiyou have probably - SSRI with benzodiazepine with nicotine use diaorderthere are 2 modes of therapy1. Substitutionhere we substitute tobacco with a nicotine lozenge 4\u00a0mg twice or thrice a day and add bupropion extended release 150\u00a0mg to act on both craving and anxiety2. De addiction with admission an indoor therapy where we stop all the substances and get the addiction done with iv fluid and other medicinal support thank u