Conversation: The conversation between human and AI assistant.
[|Human|] I had a total hysterectomy at age 38, I have been taking premerin for 20 yrs. I am very concerned about health risks. I have tried a few times to get off this medication. having severe mood swings, crying jags, anxiety, headaches, severe dry eyes, mental confusion, other symptoms on a reduced dosage. after months of those symptoms I went back to the 1.25 mg. dosage. and all those symptoms stopped. it works, but is very expensive. I don t want to take it. is there any alternatives?
[|AI|]  His understand your concern. I guess you have generalized anxiety that affect in all area. Anxiety with low mood can affect daily routine more and should be treated. Premerin is estrogen supplement. You have done hysterectomy, so it produced mix anxiety depressive symptoms and estrogen supplement is useful. I prefer low dose of SSRI like Escitalopram 5 mg or tab sertraline 25 mg along with Mizoram 0.5 mg to control both anxiety and mood swings. But it is necessary to evaluate 1st before start these medicines. Take regular sleep. Eat healthy food and antioxidant. DO exercise and meditations. Avoid smoking and alcohol.If you require than consult psychiatrist. Get well shorthand you.