### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi Dr. I realised that i have certain psychiatric problem in 2005 and started with Feliz S 10, Mirtaz 7.5 and Clonotril 0.5. Was asked to take for 2 years and I was fine after that. But the symptoms came back in a worse manner just 6 months later. Again, I was put on Nexito 10mg and clonotril 0.5. Later, the medicine was changed to Fludac 20mg and then to Nexito 10 mg back again from last 1 month. I feel better for some time during medication , but if medication is off, then i return to same panic, depressed and anxiety disorders. What could be a long term solution? I am 31 and married. Thanks for your answers!

### output:

Hello Welcome to Chat Doctor The medicines Felix S 10 or Escitalopram, mirtazapine 7.5 and control 0.5 are given in Depressive episode mixed with anxiety. You were given these medicines for about 2 years, so I assume that you had episode of depression. When symptoms reoccurred you were given Next or Escitalopram 10 and then fluoxetine 20. Both are of same group SSRI. Long term solution of your problem? Depression is an episodic illness, it tends to occur in intervals or in episodes. So if you responded to medicines and then relapse of disease occurred there is no surprise. You have to continue the medicines for long at least 2 years and also go for Cognitive Therapy for early response. Once you achieve pre morbid level then maintain the condition by Cognitive Therapy. Don't afraid of medicines as they are very safe Chat Doctor.  So visit a psychiatrist for opinion and continue medicines again. Thanks