instruction: hello doctor I cannot get any sari medicine to work anymore after 25 years I have anxiety only from morning to mid afternoon doctor put me on oxcarbazepine 300 my daily for anxiety but this seizure medicine is making me dizzy and very tired and off balance my head feels weird I just weaned completely off zoloft three days ago what new family of medicines do you suggest for me to try for my anxiety lately I can get it under control for four to five hours taking ith of a 25 my of xanax I take a sliver tablet of 25 my three to four times a day or maybe once anxiety ends every day at around 4 am each day and I sleep fine too
output: hello considering your age it will be difficult to try a low dose of tea tricyclic antidepressant but if nothing works that is always an option apart from an sari selective serotonin reuptake inhibitors there is always sari serotonin norepinephrine reuptake inhibitor like venlafaxine which is pretty effective for anxiety also instead of oxcarbazepine you could try a low dose of may be 200 my of sodium valproate also there are some dietary supplements like theanine 200 my which can be taken two times a day or on sos basis finally instead of xanax alprazolam you can try tofisopam which is a different type of benzodiazepine with lesser addictive potential no sedation or impairment in work performance also consider doing deep breathing exercises daily and when you have an anxiety attack do more repetitions of deep breathing also consider starting with yoga meditation progressive muscle relaxation or other types of calming exercises