Conversation: The conversation between human and AI assistant.
[|Human|] I suffer from anxiety disorder. I take 90mg duloxetine and 20mg ecitlopram. i a have been taking this combination for over 2 years.my panic attacks are coming back , i felt suicidal earlier in the week, i have had 3 heavy nose bleeds in the last week and feeling dizzy, nausea and upset stomach and excessively sleeping.
[|AI|]  His understand your concern. In clinical review and practice duloxetine 90 mg is used to treat depression. In anxiety or panic it has minimal role in such high doses. Escitalopram is very useful to prevent panic attack.2nd thing need to consider side effects of these Chat Doctor. My advice is to consult your doctor and get help. If you have still panicked attack after taking medicines then need to evaluate further change medicine if needed. But it can only possible after evaluation by psychiatrist. Get well soon. Still if you have a query then feel free to ask. . Thank you.