Seeking Ayurvedic Alternatives for Long-term Anxiety Management - #51165

—Diagnosis Chittodvega / Manasika Vata-Pitta Prakopa —Rx: 1)Tab. Ashwagandha 500 mg – 1 tab BD after food 2)Tab. Brahmi 500 mg – 1 tab BD after food 3)Syp. Saraswatarishta – 15 ml with equal water BD after meals 4)Ksheerabala Taila – 5 drops in each nostril HS -----Advice: Nadi Shodhana Pranayama – 10 min daily Bhramari – 5 min HS Early sleep (before 10:30 pm) Avoid caffeine, excess screen exposure at night ----Note: Do not stop Nexito Plus abruptly. Taper only under psychiatrist supervision.

Hi… You can take Brahmi vati-2 BD Syp Shankhpushpi 10 ml BD Ashwagandha ksm 66 cap 1 BD Avoid taking your medicine

YOU HAVE BEEN ON NEXITO PLUS FOR FIFTEEN YEARS WHICH MEANS YOUR NERVOUS SYSTEM HAS BEEN SUPPORTED BY THIS MEDICATION FOR A LONG TIME IT IS VERY IMPORTANT TO UNDERSTAND THAT SUCH MEDICINES SHOULD NEVER BE STOPPED SUDDENLY BECAUSE THAT CAN CAUSE WITHDRAWAL SYMPTOMS INCREASED ANXIETY SLEEP DISTURBANCE PALPITATIONS AND IRRITABILITY ANY CHANGE MUST BE SLOW GRADUAL AND DONE IN COORDINATION WITH YOUR PSYCHIATRIST IN AYURVEDA LONG STANDING ANXIETY AND IRRITATION IS SEEN AS VATA PRAKOPA WITH MANOVAH SROTAS DISTURBANCE EVEN IF YOUR LIFESTYLE IS HEALTHY THE NERVOUS SYSTEM MAY STILL BE SENSITIVE AND NEED DEEP NOURISHMENT AND STABILITY AYURVEDA DOES NOT WORK AS A DIRECT REPLACEMENT LIKE SWITCHING ONE TABLET FOR ANOTHER INSTEAD IT STRENGTHENS THE MIND AND NERVOUS SYSTEM SO THAT OVER TIME WITH MEDICAL SUPERVISION THE ALLOPATHIC DOSE MAY BE REDUCED IF YOUR DOCTOR AGREES HERBS THAT ARE COMMONLY USED FOR SUPPORT INCLUDE ASHWAGANDHA FIVE HUNDRED MG TWICE DAILY AFTER FOOD TO NOURISH AND CALM THE NERVOUS SYSTEM BRAHMI OR SHANKHAPUSHPI SYRUP OR TABLET TO SUPPORT MENTAL CLARITY AND EMOTIONAL BALANCE AND JATAMANSI IN SMALL DOSE AT NIGHT FOR CALM SLEEP THESE SHOULD BE INTRODUCED ONE BY ONE AND MONITORED DAILY ABHYANGA WITH WARM SESAME OIL BEFORE BATH IS VERY POWERFUL FOR VATA RELATED ANXIETY FOLLOWED BY A WARM SHOWER PRACTICE OF NADI SHODHANA PRANAYAMA AND BHRAMARI FOR TEN MINUTES MORNING AND EVENING CAN STABILIZE THE MIND SIGNIFICANTLY ENSURE REGULAR SLEEP BEFORE ELEVEN PM AND AVOID LATE NIGHT SCREEN EXPOSURE EVEN SMALL ROUTINE CHANGES HAVE STRONG EFFECT ON VATA MOST IMPORTANT PLEASE DISCUSS WITH YOUR TREATING DOCTOR BEFORE MAKING ANY CHANGE IN NEXITO PLUS IF THEY PLAN A TAPER AYURVEDA CAN BE STARTED ALONGSIDE TO SUPPORT THE TRANSITION SAFELY WITH PATIENCE AND PROPER GUIDANCE MANY PEOPLE SUCCESSFULLY REDUCE DEPENDENCE BUT IT MUST BE DONE CAREFULLY AND NEVER ABRUPTLY

Take manasamithra vatakam 1tab bd AF Brahmi vati 1tab bd AF Shankhpushpi syrup 20ml Avoid oily spicy food meat alcohol smoking u ll get results

Hello, I hope you are taking your sessions with counselling psychologist along with nexito. Also start with practicing yogasana and pranayama everyday. To begin with take the following medicines along with nexito after 21 days of usage meet your psychitrist so that he/she can taper the nexito and gradually stop the medication (do not stop abruptly) 1. Siddarthakadi Gulika 1–0—1 after breakfast and after dinner with a cup of boiled warm water. For 30 days. 2.ahakalyanaka ghritham 1 tsp at bed time with a cup of hot milk For 30 days. Follow up on 22nd day of usage. Take care, Kind regards.

Hello First of all i truly appreciate you for seeking a natural solutions to manage your anxiety, this shows strength and self awareness about your health You have been taking Nexito plus for a long duration, and your anxiety is moderate and manager but it is affecting your day to day life Since there is no specific triggers and you have already made your lifestyle healthy so we can manage it very well Your condition shows of vata and pitta imbalance vata = Restlessness, irritation, overthinking, sleep disturbance Pitta= irritability, impatience and mental heat Since this condition is chronic So the treatment should be Gentle, nourishing and systematic IMPORTANT Do not stop Nexito plus suddenly Tapering must be gradual and under supervision AYURVEDIC TREATMENT PLAN Phase 1 - Stabilization( first 6 weeks) Start this ayurvedic medicines while continuing the current dose 1.Ashwagandha capsule 1 capsule twice daily after meals 2.Ksheerbala capsule 1 capsule twice daily after food 3.Kalyanka ghrita 1 tsp morning empty stomach followed by warm water 4.Jatamansi churna 1 tsp with warm milk at bed time This medicines gradual rebuild nervous strength EXTERNAL THERAPIES If possible please consult near by panchakarma center for proper plan of therapies Best therapies for you Shirodhara Calming effect on hypothalamus Takradhara if pitta is high classical Nasya with ksheerabala taila EXTERNAL CARE AT HOME 1.shiroabhynga with ksheerbala taila- do light massage on head at bed time 2.Nasya with Ksheerbala taila 2 drops in each nostrils DIET AND LIFESTYLE ✅INCLUDE - warm freshly prepared food - 1 tsp cow ghee daily -soaked almonds ( 5 daily) -Early sleep before 10:30 pm ❌Avoid - Exces caffeine -late night screen exposure - Fasting or skipping meal TAPERING STRATEGY After 6 weeks of this medication and external care Consult your physician Gradually reduce dose according to your physician Monitor sleep and irritability Also have a follow up with ayurveda With gradual ayurvedic support it is absolutely possible to reduce dependency and achieve mental balance Wishing you a good health😊 For any help you can connect with us Warm Regards Dr Snehal Vidhate

Don’t worry 🍀 practice pranayama and breathing exercise 🍀 Practice meditation 🍀 Walking 🍀 Read good books 🍀 Hearing music 🌸 Avoid food which is spicy, masala, sour, junk foods, fast foods, oily Treatments 🌸 Pada abhyanga ( mild oil massage) 🌸 Brahmi drakshadi kashayam - 15ml with boiled hot water morning and evening before food (empty stomach) 🌸 Kalyanakam ghritam - 10 ml with milk at bed time 🌸 Manasamithram gulika - 0 - 0 - 1 with milk after food 🌸 Siro abhyangam - ( head massage) - Brahmi tailam ( nagarjuna) 🌸 khirabala (101) 5ml with milk in morning after food 🌸 Avipathi choornam - 1 tspn with warm water at night after food In later phase : 1. Ashwagandharishtam + lohaasavam - each 10 ml ( total 20 ml ) morning and night after food 2. Shankhupushpa choornam with milk at bed time 💠 Ayurvedic treatments like nasyam, shirodhara, tailadhara, abhyangam beneficial

HELLO, 15 years of Nexito plus with moderate daily life affecting anxiety- Ayurvedic management must be gradual . sudden replacement is not advised. IMPORTANT FIRST STEP- DO NOT STOP NEXITO SUDDENLY After long term use, especially with clonazepam -Tapering must be slow over months -done under psychiatrist supervision -Ayurveda can be started alongside tapering Ayurveda works best when introduced gradually as the nervous system stabilizes AYURVEDIC VIEW Your pattern suggests -Vata aggravation-> restlessness, overthinking, anxiety -Pitta association-> irritability -Chronicity-> depletion of Ojas (mental resilience) TREATMENT FOCUS -vata-pitta pacification -medhya (brain tonic) herbs -long term rejuvenation -nervous system stabilization INTERNAL MEDICATION MORNING EMPTY STOMACH -BRAHMI GHRITA= 1/2 tsp with warm water =improves cognitive calmness, reduces anxiety AFTER BREAKFAST -SARASWATARISHTA= 15ml + equal water =for anxiety + irritability + mental fatigue AFTERNOON -ASHWAGANDHA CHURNA= 1 tsp with warm milk after meals =adaptogen, reduces cortisol, supports hearing NIGHT -MANASMITRA VATAKAM= 1 tab at bedtime =very effective , natural calming herb, reduces irritability EXTERNAL THERAPIES 1) DAILY OIL MASSAGE -use warm sesame oil -especially head + soles. before bath 2) NASYA= instill 2 drops of Brahmi oil in each nostril daily morning These stabilize vata deeply 3) HEAD OIL MASSAGE -with brahmi oil daily at night =reduces irritability, relaxes mind, promote deep sleep DIET- VERY IMPORTANT -warm, cooked meals -ghee 1-2 tsp daily -almonds soaked and peeled -cows milk with nutmeg at night -moong dal -rice , wheat AVOID -coffee major trigger even if unnoticed -dry snacks -excess raw salads -fermented foods -very spicy food -late night eating LIFESTYLE PROTOCOL ESSENTIAL You already have a healthy lifestyle- excellnt ADD -sleep before 10:30 pm -10 min daily alternate nostril breathing anulom vilom -5 min bhramari pranayam very effective -no screen 1 hour before bed Morning sunlight exposure is important EXPECTED TIMELINE -3-4 WEEKS-> improved sleep, slight calmness -8-12 WEEKS-> stable mood improvement -4-6 MONTHS-> suitable time to consider tapering Complete replacement may take 6-12 months Many long term anxiety patient can reduce or discontinue medication with -proper tapering -rejuvenation therapy -nervous system strengthening -strict routine But some may require very low dose maintenance. That is not failure DO FOLLOW HOPE THIS MIGHT BE HELPFUL THANK YOU

1.Manasmithra vatkam 1 tab twice daily with milk after meals 2.Ashwagandha capsules 1 cap twice daily with milk after meals 3.Brahmi vati 1 tab twice daily with water after meals 4.Saraswatarishta 20 ml with 20 ml water twice daily after meals 5.Ksheer bala 101 oil- 2 drops in each nostril once in the morning Supportive Practices— - Pranayama: Anulom Vilom and Bhramari daily for calming the nervous system. - Abhyanga (oil massage): Warm sesame or Brahmi oil massage before bath, 2–3 times/week. - Diet: Favor warm, light, sattvic foods (milk, ghee, fruits, whole grains). Avoid excess caffeine and spicy foods. - Sleep hygiene: Fixed bedtime, avoid screens late at night, use calming rituals (herbal tea, meditation).

Hey, Since you have been taking med for 15 years it is important you understand that you should not stop this medicine at once. Take- Brahmi vati 2 tablet twice a day Saraswatarista 30ml twice a day with half cup water. Tab blissful sleep 2 tab before sleep For 15 days. Then reduce your tab nexito dosage by- taking it on alternate days. In the same way again after 15 days , reduce it to once in three days. Add- Abhyanga (Warm oil massage) with ksheerbala taila Nasya with anu taila Meditation + Pranayama (Breathing practices like Nadi Shodhana)

avoid spicy food and milk and milk produts take i have suggest best personl medicine kerla ayurveda take brahmi 1-0-1 tab triphala 1-1-1 after food do nasya with ksheerbala thailam 5 drop each nostril night time take ashwagandha leyam 2 time 1 tsp with warm water do yoga and ashan folowp after 15 days

Take Manasamitra vatikam 1-0-1 Ashwagandhadi lehyam 0-0-1 tsp with warm milk Saraswathi aristha 4-0-4 tsp with equal water Practice pranayama meditation Continue allopathic as advises

In case of mental conditions you can fight over it only if you are willing to. ??? Anulomvilom and Bhramari Pranayam will help. But you have to do it early in the morning only. ? Donot get yourself into any addictions. ? Donot drink tea or coffee or aerated drinks. ? Reduce screen time… No screen in darkness and 1 hour before you sleep. Consume audio form of data rather than visuals before you sleep. Filter the content of data you consume… Let it be spiritual or positive… ?? Drink a glass of buffalo milk daily before you sleep; it will help you get a sound sleep. ?? 100 steps after both meals are must. ?? Eat only home cooked food… Avoid outside food, packed and processed food. ?? Prefer natural liquids like fruit juice, coconut water, lemon juice, kokum sharbat over packed ones. ?? Medication: ?? Panchendriya Vardhan Tailam 2 drops in each nostril early in the morning empty stomach. Cap. Memorin(S.G.Phytopharma) 2 caps twice a day before food. Syp. Prasham 4 tsp at bed time with lukewarm water. Tab. Manasmitra Vatak 2 tabs at bed time

✓Medicines Brahmi Vati (plain – without gold) – 1 tablet (250 mg) twice daily after meals Saraswatarishta – 10–15 ml + 30 ml warm water twice daily after meals Ashwagandha capsule – 250–500 mg night with warm water Jatamansi Churna – 250 mg night with warm water ✓Daily Must-Do 10 min Anulom-Vilom + 5 min Bhramari pranayama morning & evening (reduces anxiety fastest) Warm sesame oil head & foot massage 5–10 min nightly Continue your healthy lifestyle = add 10 min legs elevated before bed (calms nervous system) Find yourself a nearby Panchakarma centre and go for Shirodhara with Takra (buttermilk) for 7 days. Regards Dr Gursimran Jeet Singh MD Panchakarma