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What is Xanax?

Anxiety disorders are estimated to affect approximately 18% of the population in the United States. While everyone is nervous or has anxiety at some point in their life, those who have an anxiety disorder have issues that are more complicated than the average person. Their condition may cause problems at work or home impacting relationships and virtually every aspect of their lives. 

There are many different anxiety disorders, but a few of the most common are panic disorders, social anxiety or generalized anxiety disorders. While each condition is different, some of the same symptoms may overlap. Panic, sleep problems, shortness of breath, heart palpitations, nausea, dry mouth, and numbness or tingling in the hands and feet are just a few of the physical symptoms that can be present.

A combination of environmental and genetic factors is believed to be one of the causes of anxiety disorders, but this is just a theory. Researchers also think that these disorders are influenced by how the brain regulates fear. Neurons in the brain are overactive during periods of high anxiety. Regulation of this issue has been the topic of many studies, and several medications have been successful in helping individuals deal with chronic anxiety. Xanax is one such medication. 

Call EzCare Medical Clinic in San Francisco to speak with a licensed anxiety doctor today! Schedule your appointment here – get xanax.

 

What is Xanax prescribed for?

Xanax is an anxiety prescription medication that is designed for people with anxiety or panic disorders. Although it is an effective medication, it isn’t typically a first-line treatment option like Prozac since it is meant for short-term use only. Although it isn’t as common, Xanax can also be prescribed for individuals who are suffering from alcohol withdrawal or insomnia. 

Buy Xanax San Francisco

How does Xanax work?

Gamma-aminobutyric acid (GABA) is an amino acid that is produced in the body and acts as a neurotransmitter in the central nervous system. It limits nerve transmission and prevents nervous activity. It is believed that GABA controls fear or anxiety when neurons are overexcited. Xanax and other medications like it, act on the brain’s GABA receptors causing the release of the chemical. 

When taking Xanax bar as prescribed, the sedating effect it produces can calm your body’s response to anxiety or stress. Many patients have described feeling “normal” after taking their first dose which is a testament to how powerful this drug can be. Speak with a doctor to see if xanax is the right solution for you. Call EzCare Anxiety Clinic at 415-966-0848 to schedule your appointment.

 

What are the side effects of Xanax?

Xanax is a psychoactive drug that is intended to affect the brain. However, there are physical xanax side effects that can be caused by this medication. Although the results are usually short-term, damage can be done to other organs if Xanax is abused. Temporary conditions such as slowed breathing, heart palpitations, chest pain, sweating, blurred vision, and upset stomach with or without changes in bowel movements can be experienced.  Most often, patients report that symptoms are mild, but occasionally, severe effects can be seen. As with all medications, everyone will respond differently. 

Because damage can be done to organs if Xanax is used for long periods, it is often recommended that individuals not take this drug for longer than a month. In addition to the physical effects of Xanax, providers should be aware that patients can develop a dependency and once removed can experience severe withdrawal symptoms. 

Another unwanted side effect of long-term use of Xanax is the potential for overdose. Xanax tends to build up in the body. Unfortunately, this can lead to an accidental overdose. Patients who have too much in their system can lapse into a coma unless medical attention happens quickly.

Additionally, Xanax is a drug that is highly sought after on the black market. While most doctors start patients out slowly and build the individual up to a safe level, those not under a doctor’s care often take too much. Xanax dosing maxes out at 3mg per day. Each tablet can take up to an hour to have an effect and can last from five to 12 hours depending on the formulation of the drug and take four or five days to be expelled by the body. Individuals who are self-medicating or who have not been prescribed Xanax may not be aware of its potency and take an unsafe amount leading to accidental overdoses. Xanax anxiety symptoms treatment

How to get Xanax in San Francisco

Xanax is a powerful medication that can be an effective treatment for individuals who live in San Francisco Bay area and experiencing severe or chronic mental health issues. If you are considering treatment for anxiety speak with our anxiety doctors about Xanax as a short-term solution. Be sure to tell the doctor about any other medications you are currently using. As with all medications, Xanax can interact negatively with other drugs used both recreationally and those that were prescribed. Your doctor will monitor your overall health to help prevent any complications.  If you live in San Francisco and experiencing anxiety and believe that Xanax bar can help you, please feel free to visit us at 1884 Market Street and speak with a licensed anxiety doctor to get xanax prescription today. Call us at 415-966-0848 to get help or schedule your consultation here – Anxiety Appointment.

 


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Anxiety and Stress

The world that we live in can be very fast-paced and often stressful. Although some people seem to be able to work through those types of situations without much difficulty, others have a harder time. Anxiety or the feeling of worry, or unease about something that has an uncertain outcome is entirely normal. Unfortunately, individuals can become so focused on those troublesome things that they are unable to move on. Many of these people may suffer from an anxiety disorder. This is a term used to describe a group of mental illnesses whose distress can prevent someone from living a healthy life. Worry and fear are often constant and can be disabling.

Types of Anxiety Disorders

Types of Anxiety Disorder

There are several different types of anxiety disorders; panic disorder, social anxiety disorder, generalized anxiety disorder, and specific phobias. While each condition may share the same general symptoms, what triggers their reaction can be quite different.

Common anxiety disorder symptoms:

  • Panic, fear, and uneasiness
  • Sleep problems
  • Inability to stay calm
  • Cold, sweaty, numb or tingling hands or feet
  • Shortness of breath
  • Heart palpitations
  • Dry mouth
  • Nausea
  • Tense muscles
  • Dizziness

While researchers don’t exactly know what causes an anxiety disorder, they believe that they are the result of a combination of issues, including genetics or faulty circuits in the brain that controls fear and other emotions. Individuals who have symptoms should consult their doctor to rule out medical illnesses that could be causing the symptoms. Unfortunately, no lab tests can accurately diagnose an anxiety disorder.

Anxiety treatment options

Typically, anxiety disorders are treated with therapy, medication, or a combination of both. While talk therapy can help individuals articulate their anxiety, most practitioners prefer individuals to begin treatment with an appropriate medication designed to lessen the severity of symptoms or to prevent them altogether.  Two of the most common types of medications for anxiety is Cymbalta and Paxil.

Cymbalta Prescription

Cymbalta is a selective serotonin and norepinephrine reuptake inhibitor (SSNRI) antidepressant that affects the chemicals in the brain that may be unbalanced in people who have depression as well as those who have a generalized anxiety disorder. While some medications of this type are not suggested for children, Cymbalta has been approved for anyone over the age of seven but must be used with caution.

Paxil Prescription Medication

Paxil is a selective serotonin reuptake inhibitor (SSRI) that, like Cymbalta, affects specific chemicals in the brain. Paxil can be used to treat depression, anxiety, or other disorders as well as improving mood. Unfortunately, it can have more unwanted side effects than other medications that work as it does.   

Cymbalta vs. Paxil

Cymbalta vs Paxil

While both medications have been proven to be very effective, some people or their physicians may prefer one over the over. The following chart highlights some of the things that should be considered before taking either medication.

Paxil

Cymbalta

Pros Pros
   
Available in generic Available in generic
Taken once a day May help alleviate nerve pain from diabetes and other forms of chronic pain
  Has several uses which may be suitable for individuals with multiple conditions
   
Cons Cons
   
More likely to increase the risk of some sexual dysfunction than other antidepressants Not recommended for heavy drinkers or have liver or kidney problems
May not be appropriate if you are elderly or have dementia Can increase high blood pressure
Can cause a higher risk of suicidal thoughts and behaviors in adolescents and children Can cause a higher risk of suicidal thoughts and behaviors for patients under 24 years old

 

How to get a Cymbalta or Paxil prescription in San Francisco

Cymbalta or Paxil prescription medication in San Francisco

Although occasional anxiety can be a normal part of life, those who find that they are dealing with the effects on a routine basis or that it impairs day to day living should seek the advice of a qualified medical practitioner such as those at EZCare Clinic. During your initial consultation, the experienced staff will work with you to determine the root causes that contribute to your anxiety and will design a treatment regimen that will include medications to ease or prevent symptoms and therapy or counseling. With the addition of counseling, patients can learn effective coping techniques that can help with any future issues. At EZCare Clinic, our goal is to treat the whole patient.

If you live in the San Francisco area, make an appointment with EZCare Clinic today. Our staff of caring and knowledgeable professionals have the experience necessary for all your healthcare needs. From routine medical issues to weight management, or mental health concerns and everything in between, EZCare Clinic is dedicated to providing our patients with a comfortable, non-judgmental environment that promotes whole body healing based on proven methodologies, medications and support services. Although an appointment is preferred, walk-ins are accepted Monday thru Sunday from 11 am to 7 pm.

 


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The use of emotional support animals (ESA) has been a hot button topic in recent years. Thanks to wide-spread abuse, individuals who suffer from debilitating mental or emotional disabilities may find themselves in a situation where they need to know their rights under California and Federal law.  Understanding the basic rules governing service dogs or support animals will allow you to be better prepared should any issue arise.

What is an emotional support animal?

While many people confuse support animals with service animals, it is important to note that they are different. A service dog provides the owners with a particular trained skill such as a visually impaired individual or someone that is blind or needs assistance with physical activities require a service animal. In contrast, animals that provide a therapeutic response would be considered a support animal.  A dog or other common domesticated animal that provides support to a disabled individual through companionship, affection, non-judgmental regard, or as being a distraction from issues can be an emotional support animal. Before an animal is deemed as an ESA, a diagnosis of a mental or emotional disability that significantly limits one or more of the daily major life activities must have been made by a qualified mental health professional. Animals that can be used for support may include other species; however, cats and dogs are the ones that typically come to mind. If the disabled person’s need is exclusively limited to a residential setting, any legal species of any age could qualify as an emotional support animal including cats, dogs, mice, rabbits, birds, hedgehogs, and ferrets. These animals are subject to the community’s species regulations, registration requirements, vaccination rules, and prohibitions. However, neither the federal government, the state of California or the city of San Diego requires any type of specialized training for an emotional support animal including basic obedience.

Types of protections for Emotional support animals

ESA Protections

The federal government enacted several measures designed to protect individuals who use service dogs or support animals. As well as adherence to the federal measures, California and San Diego have supported additional rules to govern ESAs.

 

Travel

Traveling can be an anxiety-producing task for anyone. For those who have severe emotional or mental illnesses, it can be debilitating. The Air Carrier Access Act (ACAA) under the Department of Transportation (DOT) protects the rights of individuals using emotional support animals. Guidelines mandate that the animal is allowed to travel in the cabin along with their disabled handler for free. DOT rules for air travel allow for stricter regulations than compared to other accommodations. “Unusual” animals such as snakes, reptiles, rodents, spiders and ferrets are not allowed due to safety concerns. In addition to these limitations, many air carriers have decided to require additional information before allowing travel with emotional support animals. Widespread abuse and the issues associated with them have necessitated that air carriers require proof from a licensed healthcare professional stating your mental health disability and the need for a service animal. This letter must be dated less than one year prior to traveling and follow a specific format. Contact should be made with the carrier well in advance of travel so that travelers have an adequate amount of time to gather all pertinent information. It is also recommended 48 hours prior to air travel; additional contact is made to ensure that there are no last-minute complications that would hinder your travel plans.

While the DOT has a separate policy for air travel, other forms of transportation (mass transit buses, commuter rails, ferries, etc.) is only required to make accommodations for individuals who use service animals and do not make a distinction between them and ESAs. The local provider is allowed to treat ESAs as pets under the same pricing policy, or they are allowed to ban them entirely. Additionally, neither the ACAA nor Americans with Disabilities Act (ADA) protections cover ESAs in any type of transient lodging. Those wishing to travel with ESAs must be prepared to seek pet-friendly accommodations while traveling. Locations can also legally charge a pet-fee for emotional support animals, limit the types of animals and place additional requirements as they see fit.

Employment

Working With An ESA San Diego

As in all fifty states, employers in California are required to make reasonable accommodations for employees with disabilities. While the federal government has created a gray area when it comes to including those who use emotional support animals, California has decided to include support animals in the workplace an appropriate accommodation. Although the federal government only requires employers to have fifteen or more employees before they are subject to this law, California and San Diego make the law a requirement once the employer has a minimum of five employees.

Employers also have some protections under California law. If the accommodations would cause “undue hardship” exemption from the law might be warranted. Examples of “undue hardships” could be exuberant cost or the nature of the accommodation, the size and number of employees of the facility and the employer, the type of operation or how providing the accommodation would affect the facility and the employer. In addition to protections against undue hardships, employers have a right to expect any support animal to be free from offensive odors, has been housebroken, well behaved and not endanger the health or safety of anyone in the workplace including the handler.

Housing

The Department of Housing and Urban Development under the Fair Housing Act (FHA) has mandated that tenants or potential tenants have rights regarding emotional support animals. Reasonable accommodations designed to ensure that people with disabilities have equal protection to use and enjoy an apartment or house are strictly enforced.

Reasonable accommodations, as in employment laws would be a change or exception to a policy that would prevent a disabled individual from performing one or more functions related to life such as working or living independently. Tenants who live in San Diego and require an emotional support animal cannot be denied the right to live with their ESA unless the animal poses a threat to the safety of others or would cause significant damage to the property of others. While some landlords may believe that speculation or fear of an animal is justification for not adhering to this law, the decision must be based on factual evidence of a specific animal’s conduct.

Because the laws regarding emotional support animals are fairly new, many property owners do not know or understand the guidelines set forth by the federal or state government. If you have received your first ESA letter and are unsure of what to do next, there are few basic rules that you should remember. Additional requirements for individuals with ESAs is prohibited. For example, property owners are only entitled to the ESA letter from a qualified healthcare professional and are not entitled to any additional information or demands. Contact with the professional is limited to verifying that the letter is valid and does not include any specific medical information including but not limited to medications or course of treatment. In fact, directly contacting the healthcare professional is not advised. If a property owner or landlord suspects the information provided is fraudulent, such verification should be handled by legal representation.

ESAs cannot be required to wear identifying tags or garments nor can owners be assessed fees or deposits normally required for individuals with pets no matter what species or breed.

Property owners do have certain protections under the laws just as employers do. Though they cannot demand deposits or fees for emotional support animals, they can legally charge the tenant for repairs if the property has been damaged by the animal.

Unfortunately, public places are not required to admit emotional support animals regardless of the requirement to admit service animals. Many places in San Diego are friendly to emotional support animals however, there are just as many who do not understand their purpose. Being prepared to discuss the benefits of ESAs with misinformed businesses and individuals could help you advocate for yourself and others. Please keep in mind that although emotional support animals have numerous protections, it is imperative that ESA owners respect laws that are designed to protect others as well.

How to obtain an Emotional Support Animal in San Diego

If you feel you would benefit from an emotional support animal and live or work in San Diego, the first step would be to consult your licensed mental health professional. To legally qualify you must be certified as emotionally disabled by a licensed psychologist, therapist, psychiatrist or other properly licensed or certified mental health professional. Once diagnosed and it is determined that you would benefit from an ESA in California, a letter from that provider can be issued that outlines your specific mental or emotional disability and your need for that animal can be issued. It can take some time for this process but once completed you the benefits you will receive from your animal is worth the wait.

Give us a call at EZCare Clinic at (415) 966-0848; we’re open 7 days a week, from 11:00 am to 7:00 pm PST. Or you can click here to schedule an appointment online to get your ESA today.


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