instruction: hello doctor I am suffering from panic disorder for the past four months initially when I got my first panic attack I just suffered without taking medical help since I am frightened to take medicine this made matters worse and I started to have almost regular panic attacks followed by mild depression a month later I am a 37 year old healthy male with no diseases I used to regularly jog or workout in the gym I eat a healthy mostly homemade vegetarian diet in limits I never drank alcohol or smoked I was happy with my life and had no regrets but after I got my first panic attack I got so scared that I started to research internet furiously and overthink a lot this made matters even worse for me and finally I consulted my local go he prescribed me with stalopam 10 my at night and 5 my clonafit twice a day I was afraid to take them and finally after my panic was getting bad enough to cause insomnia reluctantly with gas persuasion I started to take the medicines I took stalopam daily but disregarding my go I took only 5 my clonafit at night as I heard it can cause addiction initially for two to three weeks I felt a little depressed every now and then but the panic attacks intensity decreased immediately though I got the attacks they were not scary after the first month the depression too became better then I halved the clonafit and started to take only 25 my at night it has been now two and a half months and I am feeling a lot better though some days I get anxiety episodes it is not disturbing and depression too has gone so I requested my go to stop it accordingly he asked to me take my stalopam with 25 clonafit for 30 days and stop completely do you think it is right on my part or would it be advisable to continue the standard dose 10 my for a few more months until anxiety completely disappears
output: hello it is good to know that you are feeling better and the medication have been helpful regarding your query about medication it is advisable to continue stalopam 10 my escitalopram for at least six months even if you are feeling better stalopam is an sari selective serotonin reuptake inhibitor which is effective in treating anxiety disorders panic symptoms and depression if you are not experiencing any side effects stalopam is safe to continue for a longer term clonafit clonazepam is meant for short term use I agree with your plan to take 25 my at night only cut down to half the dose again for four weeks and then stop it can be used sparingly as needed if you feel anxiety is high you also need to consider managing any underlying issues which precipitated this panic attacks was there anything stressful happening in your life during this period share any difficult feelings with a trusted family member or friend if needed consider counseling develop self help interventions to manage stress and prevent relapse of anxiety regular exercise helps cut down on coffee tea and alcoholic drinks take up yoga if feasible I hope this helps