Psychiatry & Psychology--General/interaction

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Hi doctor I'm currently on 25mg paxil CR for treatment of panic disorder, the aropax works weLl but it gives me insomnia even though I take it at Midday. I have a history of allergies so at times I need an anti histamine my physician recommends me taking the 1st generation anti histamines as it would help with my sleep problem and take care of any night time allergies I've tried most of them such as atarax etc (they made me very tired the next day) I'm told to try phenergen its old but I'm feeling very much drowsy now as its night time here the only problem is most litreature has a contradiction for the usage of phenergen and paxil CR can you please advise? Secondsly I used to be on inhaled fluticasone propionate, my doctoe now wants me to use seretied its has a steroid and a long acting bronco dialated, I feel anxious on it sometimes and I get up in a shock while I'm asleep what's your advice?

Answer
"...most literature has a contradiction for the usage of phenergen and paxil CR can you please advise? No, these are fine together at typical dosages.

"Secondly I used to be on inhaled fluticasone propionate, my doctoe now wants me to use seretied its has a steroid and a long acting bronco dialated, I feel anxious on it sometimes and I get up in a shock while I'm asleep what's your advice?"  You need to tell this to your doctor and see if there is another medication you can use.  Yes, this can be a side effect of the medication, but you cannot stop this medication without your doctor's advice.  The side effect is annoying, but not dangerous.

Psychiatry & Psychology--General

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Daniel S. Harrop, M.D.

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Dr. Daniel S. Harrop received his B.A. and his M.D., both from Brown, and his M.B.A. from the Edinburgh Business School, Scotland. Board-certified in adult and geriatric psychiatry, he is a past president of the R.I. Psychiatric Society and a member of the Committee on Medical Quality of the American Psychiatric Association and the Committee on Continuing Medical Education of the R.I Medical Society. He serves as a consultant to four of the top five major medical management companies, including OptumHealth/United Healthcare, Magellan Behavioral Health Services, ValueOptions and APS Healthcare, and maintains a private practice in Providence, R.I. He also serves as chief psychiatric consultant on the Medical Advisory Board at the R.I. Workers Compensation Court. He was formerly on the faculty at the medical schools at both Brown University and Harvard University.

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