Southwest Houston, TX
A 19-year-old male asked:
how is cyproheptadine and an ssri safe to use together? don't they both affect the serotonin transmitter? but often prescribed together by docs. thx
1 doctor answer • 1 doctor weighed in
Psychiatry 24 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 handful of very old small studies suggesting antidepressant benefit. But it may worsen anxiety in some patients.
It has been suggested as a way to block SSRI-induced sexual side effects.
I almost never meet anyone whose doc prescribes it w/ SSRI meds.
3.2k viewsAnswered >2 years ago
A 31-year-old member asked:
Can you really take appetite suppressants with ssris?
2 doctor answers • 4 doctors weighed in
Addiction Medicine 35 years experience
6.1k viewsReviewed >2 years ago
A 34-year-old member asked:
Is there a safe and effective way to decrease and end the use of ssri's?
3 doctor answers • 13 doctors weighed in
Pediatrics 33 years experience
Follow Dr's guidance: A person wishing to stop an ssri can ask his doctor how to get off the medication. The doctor can help the patient decide if he is ready to stop the ssri, if he needs to stay on, or if he can switch to a non-ssri. If stopping, the doctor can give instructions on how to wean down the dose, if weaning is necessary.
6.3k viewsReviewed >2 years ago
A 24-year-old member asked:
Why is there a lot of negativity towards ssri's compared with other medications?
3 doctor answers • 16 doctors weighed in
Family Medicine 27 years experience
Media/self-image: I believe that there was a lot of negative press a few years ago, when certain celebrities aggressively campaigned against their use (remember the post-partum depression rant?). There is also a negative correlation for the patient - that they can't fix their problem on their own.
6.2k viewsReviewed >2 years ago
A 62-year-old member asked:
Why are ssri meds used so often when studies show them to be no more effective than placebos?
2 doctor answers • 5 doctors weighed in
Psychiatry 32 years experience
SSRIs placebo?: Not sure where the Placebo information came from, but my experience has been that they are very effective when used for diagnosed cases and closely monitored.
2.8k viewsReviewed >2 years ago
A 40-year-old member asked:
What causes unhappiness and hopelessness? Just low serotonin? What foods increase serotonin?
2 doctor answers • 7 doctors weighed in
Clinical Psychology 30 years experience
Medical vs psycholog: There are both mind and body causes of unhappiness and hopelessness. Low serotonin, hypothyroidism, and other medical conditions can impact mood. Psychologically things like loss, significant change (positive or negative) or other factors can impact mood in a negative way.
5.7k viewsReviewed >2 years ago
Last updated Feb 26, 2015
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