[38M] Experiencing anxiety, fatigue, and night sweats

Patient Description

A 38-year-old male presents with symptoms of anxiety, fatigue, difficulty walking, impaired cognition, and panic upon waking. These symptoms began gradually since last weekend, coinciding with a three-day lapse in taking his prescribed Lexapro (10 mg daily). Additionally, the patient reports night sweats, particularly affecting the upper body, which started two weeks ago, and a lack of appetite, though no weight changes have been noted. The patient is also on Hydrochlorothiazide/lisinopril (12.5 mg daily) for blood pressure management. There is no recent alcohol or recreational drug use, no known allergies, and no family history of psychiatric illnesses reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Lexapro Withdrawal: Since you mentioned running out of Lexapro (an antidepressant) for three days, it's possible that you're experiencing withdrawal symptoms. These can include anxiety, fatigue, sleep disturbances, and changes in appetite. Restarting your medication as prescribed by your doctor should help alleviate these symptoms over time.

    • Treatment typically involves resuming the medication as directed by your healthcare provider. It's important to consult with them before making any changes to your medication regimen.

  • Anxiety or Depression: The symptoms of low energy, difficulty concentrating, and panic attacks can also be associated with anxiety or depression. These conditions can sometimes cause physical symptoms like night sweats and changes in appetite.

    • Treatment may include medication, therapy, or a combination of both. It's important to discuss these symptoms with a healthcare professional to determine the best course of action.

What you can do

  1. Resume Lexapro: If you haven't already, try to resume taking Lexapro as prescribed. It may take some time for your symptoms to stabilize.
  2. Consult a Healthcare Professional: It's important to speak with a healthcare provider about your symptoms, especially since they may be related to medication changes. They can provide guidance and adjust your treatment plan if necessary.
  3. Practice Relaxation Techniques: Techniques such as deep breathing, meditation, or gentle exercise may help reduce anxiety and improve sleep.
  4. Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and share this information with your healthcare provider. This can help them better understand your condition and make informed decisions about your care.

What you should look out for

  • Seek Immediate Help: If you experience severe symptoms such as suicidal thoughts, severe panic attacks, or any other concerning changes, seek immediate medical attention.
  • Monitor Your Symptoms: If your symptoms persist or worsen despite resuming your medication, contact your healthcare provider for further evaluation and management.

Remember, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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17 d ago

People Also Ask

What are the common withdrawal symptoms of Lexapro?

Common withdrawal symptoms of Lexapro can include anxiety, fatigue, sleep disturbances, dizziness, irritability, and changes in appetite. These symptoms can vary in intensity and duration depending on the individual.

Can anxiety or depression cause physical symptoms like night sweats?

Yes, anxiety and depression can cause physical symptoms such as night sweats, changes in appetite, fatigue, and difficulty concentrating. These conditions can manifest both mentally and physically.

How long does it typically take for Lexapro to stabilize symptoms after resuming it?

It typically takes a few days to a couple of weeks for Lexapro to stabilize symptoms after resuming it. However, this can vary depending on the individual and the duration of the lapse in medication.

What are some effective relaxation techniques for managing anxiety?

Effective relaxation techniques for managing anxiety include deep breathing exercises, meditation, yoga, progressive muscle relaxation, and gentle physical activities like walking or stretching. These techniques can help reduce stress and improve overall well-being.

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