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how long to adjust to increased dose of an antidepresant

A 49-year-old female asked:
Dr. Alan Ali
Dr. Alan Ali answered
31 years experience Psychiatry
Lexapro (escitalopram): As long as prescribed & monitored by your physician, sure.
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A 42-year-old female asked:
Dr. Michelle Zetoony
17 years experience Sleep Medicine
A week or so: Dizziness is common particularly at high doses of this medication. Low dose is 10mg -25 mg in my opinion. Does less for depression at lower doses so ... Read More
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A female asked:
Dr. Heidi Fowler
24 years experience Psychiatry
With : With Effexor (venlafaxine) psychiatrists monitor more closely for signs that the patient is doing worse or may become suicidal when it is first start ... Read More
A 50-year-old member asked:
Dr. Susan Uhrich
35 years experience Psychiatry
I'd like to help,: But i need more information. Which antidepressant, why do you think it is too much, and what are you experiencing?
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1 comment
A 30-year-old female asked:
Dr. Pamela Pappas
41 years experience Psychiatry
Effexor (venlafaxine) XR: Eliminating immediate-release Effexor (venlafaxine) takes about 3 days, but the elimination of the xr form depends on its absorption -- which can add ... Read More
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A 43-year-old female asked:
Dr. Nathaniel Schuster
Specializes in Pain Management
Lowering dose: of Lexapro (escitalopram), (escitalopram) which is an antidepressant that also is used to treat anxiety, could cause your anxiety to worsen since you' ... Read More
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A 58-year-old male asked:
Dr. Daniel Ries
26 years experience Nephrology and Dialysis
Reducing meds: Why do you want to reduce it? Longer half life, should be at steady state in3-5 days (assuming 5 half lives).
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A 22-year-old male asked:
Dr. Neil Liebowitz
38 years experience Psychiatry
Not much difference: Sexual side effects on SSRIs are generally dose related, but going from 50-75mg of Zoloft (sertraline) is not big enough to make much difference. If ... Read More
A 29-year-old male asked:
Dr. Tanya Anderson
27 years experience Child Psychiatry
Yes XR is easier: Immediate release (IR) medications go into the bloodstream so there is more chance of side effects when you stop them. Extended release (XR) medicati ... Read More
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A 28-year-old female asked:
Dr. William Jenkins
Specializes in Anesthesiology
They are different: Medications, can't just substitute one for another, everyone is different
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A 42-year-old female asked:
Dr. Heidi Fowler
24 years experience Psychiatry
It is a balance: Between side effects ; how effectively it is working.
A 32-year-old female asked:
Dr. John Wigneswaran
25 years experience Nephrology and Dialysis
SIADH: Venlafaxine is within a class of drugs called SSRIs (Serotonin Reuptake Inhibitors). This class of drug has been associated with SIADH. If this can be ... Read More
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A 39-year-old male asked:
Dr. Dariush Saghafi
32 years experience Neurology
Depends: Really depends on many factors but typically whenever medications are increased for these types of symptoms many would agree that improvements should ... Read More
A 26-year-old female asked:
Dr. Stanley Lightfoot
57 years experience Pathology
See below: If deficient in k then you are 200meq below normal if all things are equal your k would be back to normal within 7-10 days with the usuall dosage.
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A 35-year-old male asked:
Dr. Paul Pyles
32 years experience Addiction Medicine
Ask a pharmacist : You may want to ask a pharmacist if there is something you can do. Your pharmacist is a great resource of information for formulation and dosing of me ... Read More
A 17-year-old male asked:
Dr. Dariush Saghafi
32 years experience Neurology
Parental permission: Hello young man. Your questions cannot be answered since we will need your parents' permission to speak with you about any clinical issues you may be ... Read More
A 26-year-old male asked:
Dr. Alan Koenigsberg
41 years experience Psychiatry
Talk to doctor: i'm not sure what you mean in your question about the brain "returning to normal." No one is prescribed neuroleptics who has a "normal" brain to beg ... Read More
A 56-year-old member asked:
Dr. DeWayde Perry
25 years experience Integrative Medicine
Never had success: I've used nettle root in several patients in an effort to increase free testosterone. The supplement has never worked in my experience. It did not l ... Read More
A 65-year-old female asked:
Dr. Djamchid Lotfi
57 years experience Neurology
Prevent?: Ativan (lorazepam) is given for treatment of the actual attack but is not a preventative medication Yes it is true that different individuals may resp ... Read More
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A female asked:
Dr. John Chiu
Dr. John Chiu answered
56 years experience Allergy and Immunology
Depends: The weight gain is mostly from increased appetite. Whatever you have eaten extra , you will need to cut back by the same. Your metabolism will also ... Read More
A 40-year-old female asked:
Dr. Edward Kuhnley
44 years experience Child Psychiatry
Excellent question!: Even when taken as prescribed, lorazepam can be abused as users can quickly develop tolerance and dependence, and struggling with an addiction. It var ... Read More
A 41-year-old male asked:
Dr. Heidi Fowler
24 years experience Psychiatry
Zoloft (sertraline): It may take 4 to 6 weeks (sometimes as short as 2 weeks) to get the therapeutic effect of an SSRI when on an optimal dose. See that you also take Tra ... Read More
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A 28-year-old male asked:
Dr. Pamela Pappas
41 years experience Psychiatry
Zoloft (sertraline): Like most antidepressants, zoloft (sertraline) requires at least 4-6 weeks to show effectiveness. You may need a higher dose than the 50mg you're now ... Read More
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