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Dr. Erik Messamore

Psychiatry
OH
25 years experience male

About

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Psychiatry

Languages spoken

English

Doctor Q&A

61 Answers
8 Agrees
The number of answers this doctor has agreed with.
A 36-year-old male asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Ask re: alternatives: If your current medications are associated w unwanted side fx, you should discuss your concerns w your doc. Regular exercise is assoc with reduced se... Read More
A 36-year-old member asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Many things: Mania can happen on its own, with no apparent cause aside from the underlying illness. Nonetheless, several possible triggers are known and include: ... Read More
A 24-year-old female asked:
Dr. Erik Messamore
Psychiatry 25 years experience
No worries: There are no significant interactions between citalopram and metoprolol. It is a commonly-seen combination. Propranolol is in the same class (beta blo... Read More
A 39-year-old female asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Possible, but...: As you probably already know, this is not the classical picture for panic attacks. On the other hand, it is possible that the symptoms you describe ar... Read More
A 43-year-old member asked:
Dr. Erik Messamore
Psychiatry 25 years experience
May improve odds: It's VERY unlikely that meds alone will succeed. Medication can help improve odds of success at working a comprehensive (and personalized) program to ... Read More
A 32-year-old member asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Requires expert care: Withdrawing from clozapine may come with *many* potential consequences. I hope you have someone with sufficient expertise to help with the process. T... Read More
A female asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Both are amphetamine: Both Procentra and Dexedrine (dextroamphetamine) are d- (or dextro-) amphetamine. Their differences are essentially cosmetic (packaging, labeling, for... Read More
A 20-year-old male asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Psych fx of Tramadol: Tramadol is not a selective serotonin reuptake inhibitor. It cannot be directly compared to Zoloft (sertraline). In addition to activating some types... Read More
A 49-year-old male asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Unknown territory: The first thing to keep in mind is that Brintellix and Zoloft (sertraline) have some notable differences in their mechanisms of action. Even though bo... Read More
A 20-year-old male asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Self-cleaning: First of all, congratulations on quitting! That is among the most awesome things you can to for your health - seriously! Your lungs are well-equipped ... Read More
A 21-year-old female asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Yes: For most people that combination does not pose any problem.
A 38-year-old member asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Quite possibly: Lithium is among the most effective treatments for bipolar disorder. It can treat and prevent mania. It can treat and prevent depression. It is one of... Read More
A 48-year-old member asked:
Dr. Erik Messamore
Psychiatry 25 years experience
No: There are no blood tests to detect major depression or other mood disorders. The only way to diagnose depression is for a trained practitioner to gath... Read More
A 45-year-old member asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Several options: Sex-related headaches are not uncommon. You should discuss the specifics of your condition with a headache specialist - I'm sure s/he will have had e... Read More
A 40-year-old male asked:
Dr. Erik Messamore
Psychiatry 25 years experience
None come to mind: Creating acute tryptophan deficiency can lower serotonin levels (temporarily) - http://www.ncbi.nlm.nih.gov/pubmed/25663044 However, I would expect s... Read More
A 39-year-old female asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Hard to say...: Dopamine (DA) is not measured in clinical labs. It's extremely rapidly metabolized along a variety of pathways. Further, DA levels in blood bear littl... Read More
A 21-year-old female asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Alternatives: First. Make sure you have a competent psychiatrist or psychologist conduct a thorough, comprehensive assessment to arrive at a valid diagnosis. Secon... Read More
A 65-year-old male asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Yes and yes: Either one can potentially cause tiredness. Gabapentin's tiredness side effect is more widely known, but the statins can cause tiredness/fatigue as we... Read More
A 20-year-old male asked:
Dr. Erik Messamore
Psychiatry 25 years experience
3 to 5 days: Duloxetine (Cymbalta) has an elimination half life of 12 hours. This means that the drug levels should be negligible in about 3 days.
A 26-year-old male asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Highly doubtful: I am not aware of any association of those medications with dairy sensitivity. The fact that you took them for a year without the bloating is pretty ... Read More
A 19-year-old male asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Human condition: Sounds like you are describing the experience of being human. The brain/mind is an idea machine, and a history-reviewing machine, and a future-guessin... Read More
A 18-year-old female asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Quite a while: The "half life of elimination" of Valium (diazepam) plus its active metabolites ranges from 40 to 100 hours - depending on the individual. The the rul... Read More
A 27-year-old female asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Many causes: A referral to a gastroenterologist may be necessary to rule out physiological/anatomical causes such as hiatal hernia or low muscle tone as the causes... Read More
A female asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Or a re-assessment: As Dr. Patel wrote, it is not possible to diagnose in this forum. I encounter many people who were originally diagnosed with bipolar disorder based o... Read More
A 43-year-old member asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Not always: In type 1 bipolar disorder, the transition from normal (euthymic) mood to mania can be abrupt - without any preceding hypomania.
A 49-year-old member asked:
Dr. Erik Messamore
Psychiatry 25 years experience
A worrisome response: Some people who have been depressed for a long time and who, finally, start to become symptom-free can experience brief euphoria as energy levels fina... Read More
A 41-year-old member asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Low energy: Low energy level is also a symptom of depression, so it's possibly a residual sign of depression, rather than caused by meds. However, there is also a... Read More
A 57-year-old male asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Seems likely: Headache can have many causes. But your combination of antidepressants certainly is a plausible cause. Remeron enhances the release of serotonin while... Read More
A 46-year-old member asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Uses of Lamictal: Well... it would reduce one's chance of having a seizure :-) In addition to treating some types of seizure disorder, Lamictal can reduce the risk of d... Read More
A 50-year-old member asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Most antidepressants: The name is misleading. Most medications that were originally intended to treat depression can also help with anxiety disorders. SSRI medications are ... Read More
A 41-year-old female asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Soon-ish: With a half life of about 30 hours, it will take many days for the drug to be completely eliminated from the body. HOWEVER, your dose was low and the ... Read More
A 28-year-old male asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Complex question: Valdoxan (agomelatine) is typically used as an antidepressant medication. 5-HTP is a serotonin precursor. I notice you also take lamotrigine. Have y... Read More
A 25-year-old female asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Eyelid inflammation: Probably should read 'acute onset of blepharitis.' That is medicalese for inflammation of the eyelids that developed abruptly. Blepharitis (eyelid in... Read More
A 19-year-old male asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Safe: There are no concerning interactions between melatonin and clonazepam. Many people find melatonin to be very effective for sleep.
A 32-year-old member asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Definitely!: Electroconvulsive therapy (ECT) has a success rate of over 80% among patients with severe depression whose illness failed to respond even to multiple ... Read More
A 19-year-old male asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Either one : Its common to prescribe trazodone or zolpidem to treat insomnia in pts taking SSRI meds for anxiety or depression. Trazodone is the wiser choice becau... Read More
A 26-year-old female asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Almost anything else: At age 26, the diagnosis is almost certainly not Alzheimer's disease (AD). AD is *not* diagnosed by PET scan. Neuropsychological testing, with special... Read More
A 46-year-old female asked:
Dr. Erik Messamore
Psychiatry 25 years experience
You'd be surprised: Dizziness, light headed feeling, and other unusual body sensations are part of the SSRI withdrawal syndrome, which can begin a few days after stopping... Read More
A 21-year-old female asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Yes: I'm not aware of any significant drug-drug interactions between Vistaril (hydroxyzine) and Tylenol (acetaminophen). Tylenol (acetaminophen) is a nons... Read More
A 34-year-old male asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Talk to your doctor: Unless the condition being treated is OCD, a dose of 80 mg/day of Prozac (fluoxetine) is excessive. For depression or anxiety, a dose of 20 to 40 mg/... Read More
A 50-year-old member asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Addictive: Smoking is actually addictive. The fact that people do so despite knowing the cancer and other health risks sort of proves the point that it is addic... Read More
A 34-year-old member asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Enormous variability: Whether an antipsychotic medication is felt to be activating or sedating depends A LOT on the individual patient. It is quite hard to predict who will... Read More
A 34-year-old member asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Norepinephrine: Serotonin has no effect on pupil size. On the other hand, many serotonin-affecting antidepressants also inhibit the repuptake of norepinephrine (NE),... Read More
A 37-year-old member asked:
Dr. Erik Messamore
Psychiatry 25 years experience
SSRIs: Selective serotonin reuptake inhibitors (SSRIs) are the most commonly prescribed medications for generalized anxiety disorder. These include fluoxetin... Read More
A 23-year-old female asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Would be very rare: Sweating is not listed as a side effect of gabapentin. Gabapentin has actually been shown to reduce sweating in cases where excessive sweating is cau... Read More
A 38-year-old member asked:
Dr. Erik Messamore
Psychiatry 25 years experience
It could: Fat cells secrete substances that trigger inflammation. And inflammation can cause depression. Being overweight correlates with decreased effectiven... Read More
A 19-year-old male asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Needs assessment: You should consult a psychiatrist or psychologist. The key questions are whether your sex drive is truly problematic and/or whether it signals illness... Read More
A 32-year-old female asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Normal finding: The mesoappendix is a piece of connective tissue attached to the appendix. "Grossly unremarkable" means 'seems to be normal based on unaided (naked e... Read More
A 29-year-old female asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Rare, not impossible: According to the side effect data collected for clinical trials that were reviewed by the FDA, topiramate insomnia risk ranges between 4 to 9%, depend... Read More
A 19-year-old male asked:
Dr. Erik Messamore
Psychiatry 25 years experience
Serotonin antagonist: Cyproheptadine blocks receptors for serotonin, histamine, and acetylcholine. In my experience it is THE BEST treatment for akathisia. There are a hand... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
60
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Messamore is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Messamore is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thanks. That'd also mean I'd have to supplement with niacin, which I'm allergic to. Would you recommend any med to stimulate niacin synthesis instead?
HealthTap member
This was very helpful. Thanks! I don't do drugs of any kind. What is ths normal presentation of panic attacks and how does it differ from mine?
HealthTap member
This saved my life, Thank You! I usually have to wait 2 days for answer. Thx for ur fast response!

Education & Training

Medical/Graduate school

University of Illinois College of Medicine, IL
Graduated 1997MD

Awards

HealthTap Founding Doctor
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less