Doctor insights on:
5 Htp Vs Trazodone
5HTP vs SSRI's: People are intrigued with 5-htp because it can be decarboxylated to serotonin, a neurotransmitter with many important functions. There are some studies suggesting it can help with depression, especially combined with l-tyrosine. 5htp can certainly cause GI distress like ssri's can. However, there isn't enough evidence to say it equals ssri antidepressants in treating depression. 200-300mg/day. ...Read moreSee 1 more doctor answer
AM - I take 60mg Prozac, 300 Wellbutrin, (bupropion) and .5 Clonazepam. In PM - I take .5 clonazepam, 300 trazodone, 5 ambien, and 5 melatonin. Too much??
Wow!!!: You are on a lot of medication and although it is a lot to just see it also depends on the reasons for the use of these medications and whether just one physician ordered them or more than one provider ordered the meds. You need to discuss with your physician about each one and what it is for and if you need that much medication. What side effects are you having as well. Hope this helped. ...Read more
In 05 diagnosed w/hypomania bipolar - topamax (topiramate) 400mg wellbutrin ER 150 nuvigil 250 mg klonopin .5 mg. Long term effects of these meds?
Too many: Too many for me to list. You need to ask for printouts from your pharmacist. ...Read more
Topamax = 3a4 inducer. Augments gaba. Xanax & Abilify (aripiprazole) are substrates. Potential reaction? Wondering about topa + seroquel, too. Titrating from sero.
Combo: No significant adverse interaction other than sedation, as long as doses are therapeutic & monitored. ...Read more
Taking cymbalta 90 wellbutrin 450 add viibryd (vilazodone hydrochloride) 20 metrotoplo 50 & protonics 40. Can it cause sirtonim syndrome?
Serotonin syndrome: Several potential interactions between this combination of meds. Cymbalta and viibryd (vilazodone hydrochloride) increase risk of serotonin syndrome, wellbutrin and Cymbalta could increase levels of metopolol and combo of wellbutrin and Cymbalta may increase levels of Cymbalta and increase risk of seizures. Please advise your prescibing physician (s) of all the meds you are taking so they can carefully monitor bp, etc. ...Read more
I'm on elavil (amitriptyline) 25 yrs.150 mg. For depression & anxiety-xanax on & off could i switch to ssri. I'd need ssri w/ sedative effect like elavil (amitriptyline) - recommend?
Can sertraline 50 mg is safe for a parkinson patient who takes syndopa plus, clonazepam 0.5 mg , rosuvastatin 5 mg & olmesartan medoromil 20 mg?
Psychotropics: There several good references for side effects. Check epocrates and drugs.Com for drug interactions. Yes i would be cautious. ...Read more
Would this make a lethal combination? Family suicide attempt.
6 lithium 450
3 300mg bupropione
5 Lexapro (escitalopram) 15mg
Possibly: The likelihood of permanent harm is high, if not death then damage to vital organs directly from the medications (kidney failure from lithium, may require dialysis) or from the body's response to them. Suicide can have tragic consequences even when survived. There is always another option; in the US, call the suicide hotline at 1-800-273-8255, or 911. UK: Samaritans at +44 (0) 8457 90 90 90. ...Read moreSee 2 more doctor answers
Yes. : Yes. Each person will respond to medication in a slightly different manner, such that one might need a much higher dose than another for a similar effect. It is less likely such a dose might be effective, however, as the dose is quite low. If a person tends to be more sensitive to lower doses in general, perhaps this will work. ...Read moreSee 1 more doctor answer
Wellbutrin (bupropion): If prescribed by one doctor, yes.Get a more detailed answer ›
150 mg. Elavil (amitriptyline) for 25 years switch to ssri with greatest sedative affect as elavil (amitriptyline) - which ssri would be best suited for me?
Individual consult: To find something best suited to you, you need an individual re-assessment with your own doctor. There's no ssri as truly sedating as elavil (amitriptyline). In fact, this is partially why many ssri's are chosen over older antidepressants like Elavil (amitriptyline) anyway. People don't like to be drowsy in daytime. If you and your doctor are looking for sedation, an alternative (not an ssri) might be mirtazepine. ...Read moreSee 1 more doctor answer
How we can safetly switch from the combo (100 mg ZOLOFT + 150 mg WELLBUTRIN (bupropion) XL) daily to the combo (50 mg ZOLOFT + 300 mg WELLBUTRIN (bupropion) XL) daily ?
Who are 'We'?: Is one of the 'We' your Dr? If not - it should be. And then, your Dr is the one to take responsibility for this transition. Psych meds are not a good DIY project. Find professional guidance. Best! ...Read more
Yes and no: Clonazepam and xanax (alprazolam) are benzodiazepines often used to treat anxiety-panic attcks, gad or ptsd. They are similar but xanax (alprazolam) is shorter acting and more potent than Clonazepam whixh is less strong and action lasts longer. Xanax (alprazolam) also can lead to addiction more than clonazepam. ...Read more
Do u consider 25mg ritalin ir 3x a day with 50 mg Zoloft (sertraline) 2x a day ( so 100mg Zoloft (sertraline) + 75mg ritalin ) safe? Or the risk of serotinin syndrome is high?
It is safe: The risk of serotonin syndrome is low.On jan, 10, 2014: 9, 189 people reported to have side effects when taking ritalin. Among them, 19 people (0.21%) have serotonin syndrome. Only 8 were on zoloft (sertraline). Therefore, since zoloft (sertraline) and Ritalin have been used together for around 20 years, only 8 cases of serotonin syndrome have been reported with this combination. www.ehealthme.com/ds/ritalin/serotonin+ syndrome. Best wishes. ...Read more
Which is a better anti depressant fluoxetine 20 mg or escitalopram 5 mg for depression? I also take trifluoperazine 2.5 mg.
Both effective: Both fluoxetine and escitalopram are effective antidepressants, but people vary in what works best for them. Your psychiatrist will adjust your dose in accordance with your response. If you're also on trifluoperazine, your depression is a little more complicated. I suggest avoiding alcohol completely, though, as this can interfere with your mood and sleep pattern, etc. ...Read moreSee 1 more doctor answer