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A 25-year-old female asked:

i'm two different people on or off ssri medication and am now doubting all decision making as result of on or off medication. what's going on?

2 doctor answers4 doctors weighed in
Dr. Patrick Tapia
Psychiatry 13 years experience
Neurophilosophy: You bring up an interesting philosophic question that I am certain many psychiatrists have wrangled with for much of their careers. That is, what occurs at the intersection between free will and changes in judgment associated with antidepressant administration? Studies show changes in judgment on antidepressants, and it may be that a depressive logic is part of the prison of major depression.
Dr. Arthur Ciaramicoli
Clinical Psychology 45 years experience
SSRI: If your going on and off ssri's you may be causing reactions if you are not titrating over a fixed period of time regulated by your doctor. Consult with an experienced psychiatrist to evaluate which medications if any are necessary. Also consider psychotherapy as meds are seldom enough to overcome depression, it is necessary to learn new ways of coping and lessening the criticism of your self voic.
Dr. Hitendra Patel
Psychiatry 25 years experience
Agreed. And many time not taking regularly or taking on-off may cause unwanted withdrawal like symptoms.
Aug 14, 2013

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A 34-year-old member asked:

Ed and ssri - help me?

2 doctor answers6 doctors weighed in
Dr. Alfred Forrester
Psychiatry 42 years experience
Depends on "ED": If you are using ed to mean "erectile dysfunction": the ssri's can cause ed as a side-effect in between 5-50% of men - depending on the agent involved; the ed usually resolves when the ssri is stopped; also, there are meds which can be taken to reduce the ed. If you are referring to "eating disorder": ssri's are often used in the treatment of anorexia and bulimia.
A 34-year-old member asked:

What's and ssri?

2 doctor answers6 doctors weighed in
Dr. Mark Reynolds
Psychiatry 33 years experience
SSRIs: A serotonin (5ht) specific reuptake inhibitor is a medication that blocks the reuptake of 5ht from the synapse, the area between two nerve cells (axon and dendrite). This leads to changes that would take way more than 400 characters to describe. These meds include prozac, paxil, (paroxetine) celexa, zoloft, Lexapro and luvox. They treat mood and anxiety disorders.
A 47-year-old member asked:

What's a ssri with the least side effects?

1 doctor answer5 doctors weighed in
Dr. Morgan Feibelman
Psychiatry 19 years experience
All similar: Lexapro (escitalopram) has tried marketing as having the least side effects. My experience is that all ssris are comparable, and it just depends on the person.
CA
A 28-year-old male asked:

What is the definition or description of: ssri?

3 doctor answers4 doctors weighed in
Dr. Michael Flax
Obstetrics and Gynecology 46 years experience
Anti serotonin: Ssri= selective serotonin reuptake inhibitor. Serotonin bathes the brain cells, and is thought to cause well being feelings in people. Ssris prevent the brain cells from absorbing the serotonin, thereby prolonging feelingsof well being, ie preventing depression.
A member asked:

Is bacopa monnieri safe to take with an ssri?

3 doctor answers3 doctors weighed in
Dr. Mohammed Younus
Psychiatry 31 years experience
No known interaction: There are no double blind studies to show that bacopa munieri works. It is an ayurvedic medication known in india for treatment of epilepsy and asthma. Later studies have shown it reverses benzodiazepine effects that can potentially cause anxiety. I would keep away from it but talk to your physician first.
Dr. Pamela Pappas
Psychiatry 42 years experience
Actually there have been some double blind studies showing effectiveness in learning, memory, and information processing: http://www.ncbi.nlm.nih.gov/pubmed/11498727?dopt=Abstract AND http://www.ncbi.nlm.nih.gov/pubmed/20590480?dopt=Abstract These are different uses than what you were mentioning in your response.
Dec 15, 2012

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Last updated May 29, 2016

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