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Doctor insights on:
Amitriptyline Anxiety Dosage
1
Can lowering Lexapro (escitalopram) dose cause anxiety?

Possibly: Lexapro (escitalopram) affects serotonin, a neurotransmitter in the brain that modulates mood as well as anxiety. Lowering the dose of Lexapro (escitalopram) could increase anxiety, especially if it was done too quickly. Please discuss this with your prescribing physician. ...Read more
See 1 more doctor answerAnxiety (Definition)
Anxiety is a general term for several disorders that cause nervousness, fear, apprehension, and worrying. These disorders affect how we feel and behave, and they can manifest real physical symptoms. Mild anxiety is vague and unsettling, while severe anxiety can be extremely debilitating, having a serious ...Read more
2
Max ativan (lorazepam) dosage for panic attacks. ?

Only as high: as your physician prescribed.
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3
Dose of Paxil (paroxetine) to treat social anxiety?

Alt.behavioral: While researching meds, consider researching effective behavioral/psychological treatments: to conquer social anxiety the "gold standard" treatment is graded exposure/systematic desensitization. To take charge of ocd, the gold standard is exposure & response prevention. A clinical psychologist specializing in anxiety can be huge help. Learn about at anxierybc.Org. Also see ocfoundation.Org. ...Read more
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4
Recommendations please! have insomnia&have Tryed Remron trazadone have anxiety been prescribed high doseof clonazepam&now high dose Xanax (alprazolam) depresant 2?

See sleep specialist: Sleep disorders cause more than just sleepiness. Emotional issues such as stress, anxiety, and depression cause half of all insomnia cases. The sleep specialist can find the cause of the insomnia and treat your condition properly. ...Read more
5
Combine klonopin with cymbalta (duloxetine) for anxiety?

Can be taken: Together. No issues with this combination!
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6
Paxil (paroxetine) for social anxiety? (Taking Prozac 40mg and it's not helping anxiety.)Can I take Paxil (paroxetine) with Ritalin? (Ritalin dose 5-10mg x 2-3 daily.)

Yes: Paxil (paroxetine) is better for social anxiety than Prozac and not a problem with ritalin ...Read more
7
Bipolar(controlled -lamictal, carbamazepine), anxiety-semi-under control (lorazepam, temazepam, cymbalta) and ADD problematic- considering Vyvanse (lisdexamfetamine) ?

So much medication: It might be necessary to take some drugs but I question the risks already and adding the new one is especially bad w/ cymbalta (duloxetine). It can cause severe anxiety! Also serotonin syndrome. Almost all of your meds combine to cause a host of symptoms like dizziness, confusion and general impairment. Please consider a good psych eval and adding good psychotherapy to lower need for Rx and help them work! ...Read more
8
Side effects of Lexapro wellbutrin and Xanax (alprazolam) together?

Low probability: There are the possibility of low probability side effects. With respect to specific interactions, the most prominent thing to remember is that if you stop taking your xanax (alprazolam) suddenly while taking wellbutrin and Lexapro you may make it more likely that you would have a seizure. You also may find operating a motor vehicle more challenging when taking xanax (alprazolam) with any medications. ...Read more
9
Best ssri for panic and anxiety? Take betapace. Cymbalta (duloxetine) too activating. Tried12.5 zoloft. Dizzy after 1 dose. Cleanest ssri?

Best SSRI 4 anxiety?: I'm sorry you've been struggling to find the right med to treat ur panic d/o. SSRIs are 'first line' (1st choice) for anxiety disorders, including panic d/o. There truly is no one best SSRI, tho. Keep working with your doc, who can help select the next best choice for you, based on your hx & history of responses thus far. Don't give up on the therapy. Best results r found thru meds & therapy :) ...Read more
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10
Clonazepam .5 mg effect like xanax (alprazolam)?

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
11
Can Ativan (lorazepam) /klonopin reduce tension headaches?

See PCP: See your pcp or neurologist for proper diagnosis and treatment. Don't self-medicate. ...Read more
12
Is it safe to take lexapro, wellbutrin, xanax, (alprazolam) atarax, topamax and elavil together?

Combo: U are on 3 antidepressants and 2 anxiety meds. Best to review with your prescribing doctor. ...Read more
13
Is dosage of Zoloft (sertraline) equivalent to dosage of prozac?

No: There is not a 1:1 relationship between doses of zoloft (sertraline) and prozac. Zoloft (sertraline) doses range from 25 to 200mg whereas Prozac ranges from 10mg to 80mg. ...Read more
14
Take 20mg of Celexa a day and 20mg Valium for panic disorder. Doctor added 15mg Remeron (mirtazapine). Can Remeron (mirtazapine) with Celexa cause Serotonin Syndrome?

Yes-watch carefully!: If you have any of these: confusion, hallucination, seizure, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination, stomach cramp, nausea, vomiting, or diarrhea - call provider ASAP and even consider ER. It can be life-threatening. Before starting, talk about it. Talk Tx can help! ...Read more
16
Remeron (mirtazapine) for tension headaches?

Tension HA Tx: This medicine is effective for major depressive disorder. Sometimes people with chronic pain can have mood disorder symptoms, and it is felt that medicines like this one can be helpful for chronic pain. The usual treatments for tension headache are NSAID medicines, amitriptyline, relaxation, massage, and sometimes muscle relaxers. ...Read more
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Can low dose Zoloft (sertraline) cause heartburn?

No: But low dose zoloft (sertraline) may not be effective in treating anxiety, which could result in continued heartburn. ...Read more
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Is Zoloft (sertraline) sedating?

Zoloft (sertraline): All drugs have effects and side effects. Typically Zoloft (sertraline) and the other SSRI's cause insomnia (do not take before bedtime), but paradoxically, they can also cause somnolence, sleepiness and a feeling of the blahs- like your emotional spectrum is narrowed. Get a good psychiatric evaluation. ...Read more
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I am on wellbutrin, ativan, atorvastatin, escitalopram, lisinopril, abilify (aripiprazole). Can i take propranolol for anxiety/bp?
Use a low dose: Both escitalopram and wellbutrin (bupropion) inhibit liver metabolism (which is how Propranolol is metabolized) and both will result is a stronger Propranolol effect. This will strengthen the effects of Propranolol so start with the smallest dose and monitor your blood pressure and heart rate. It may also make you tired. ...Read more
20
Can busbar pristiq (desvenlafaxine) or seroquel XR diazepam cause anger issues?

Pristiq (desvenlafaxine) and Diazepam: Pristiq (desvenlafaxine) can cause anger issues by triggering mania or hypomania. Diazepam can cause anger issues by its disinhibiting properties in the frontal lobes. Buspar does not have this effect and neither does seroquel. Seroquel if anything has an anti-anger effect. Buspirone lessens anger by knocking out anxious irritability. Best wishes and have a happy new year. ...Read more
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I've been on 10mg x1 a day of amitriptyline x3 weeks. I don't think it's working. No help with depression/health anxiety, which is why it was prescribed. Too soon to ask my dr to increase the dosage?
Effective by 2weeks: You should have felt a difference within 2 weeks. Ask your doctor about a dose or drug change. ...Read more
22
Doc keeps giving me endep (amitriptyline) for Fibromyalgia but it's gives me anxiety and I've told him this. What else can I take? Doc wants me to take higher dose

Lots of options: Amitiptylene has a lot of side effects and if you don't like how you feel on this dose, DO NOT increase the dose. First, make sure the diagnosis is correct since there are many things that can cause similar symptoms and those have a totally different treatment plan. Seek out a pain management physician for consultation to be sure and to evaluate all your options. ...Read more
23
Which is safer for anxiety and headaches 20 milligrams of amitriptyline everyday or 50 milligrams of 5-htp everyday?

5 HTP is generally: used for depression. Please do what your doc says and don't change meds w/out asking him/her first. Having said that, there are many behavioral and natural approaches to anxiety. Consider seeing a clinical psychologist who can teach you some techniques. Peace and good health. ...Read more
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Taking 150 mg of endep (amitriptyline) for fibromyalagia & anxiety for 1 wk , still have anxiety , will this get any better ?
Anxiety may: Learning some skills and techniques would help your anxiety. A medication may provide some relief, but strategies and methods are usable any time your anxiety is triggered. ...Read more
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Can I take 20mg citalpram for anxiety and 10mg amitriptyline for pain and sleep?
Better not: several unwanted interactions between the two drugs ...Read more
26
They prescribed me with amitriptyline 10mg for pain in my hips, will they help with my anxiety too?

Amitriptyline: Technically, a "wider spectrum" antidepressant; it impacts several different transmitter systems. At this low dose, the antihistamine impact may help with sleep and help you make other transmitters that help with pain. It is not directly anti-anxious rx, and sometimes a side effect of rapid heart rate can make you feel more anxious, sometimes not - so it might help. Assess the side effects. ...Read more
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I have had really bad anxiety ever since starting elavil (amitriptyline) and was wondering what i could do to help?

Stop: Some people have reverse reactions or other side effects from elabil. Rec stop the drug. ...Read more
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25mg amitriptyline for 8 years. Feel anxiety/stress 2 days after drinking. Symptoms can last up to a week. Feels like no pili. Is this related?

Probably: The best evidence of the relationship of your symptoms to your drinking is the history you give, but i can also think of a way to justify it. Amitriptyline is a tca and 25 mg is a very low dose. We have shown that, with ssris, even moderate alcohol use can interfere with its effectiveness, and i would suspect the same is true for amitriptyline. Consider drinking less or not at all. ...Read more
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Taking amitriptyline (endep/elavil) for refractory anxiety disorder. What side effects can I expect?

Elavil (amitriptyline): Is an antidepressant with sedating and drying effects, causing heart rate changes, dry mouth/eyes, constipation, depending on dose. It relieves depression, pain of neurogenic origin, headache and insomnia. ...Read more
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Will 10mg of amitriptyline increase serotonin and noreph. Levels to assist with stress and/or anxiety?

LOW DOSE: Amitriptyline can help 10mg is super low dose may need an increase or consider other meds. ...Read more
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What is a good subsitute for 150mg of amitriptyline; severe insomnia, depression and anxiety?
Anitriptyline?: Plenty of medication . Ask u pcp or u psychiatrist ...Read more
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32
Does amitriptyline work by calming the central nervous system ? In this case would it help with anxiety/stress ?
Yes: It helps, but not in too large doses =fatigue. ...Read more
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33
I started taking 10mg of Amitriptyline a couple of weeks ago. It seems to be agitating my anxiety and ADHD. Will these side effects start to diminish?
Talk to your doctor : It is common for this medication to have this side effect. Some psychiatrists may suggest to give it more time to see if these symptoms improve. On the other hand, if the side effects are intolerable, call your doctor and ask for his/ her advice. ...Read more
34
Can I please get a prescription for elavil (amitriptyline)? I suffer from depression also anxiety.

Elavil (amitriptyline): Prescription medications can only be dispensed after face-to-face contact with the doctor. Sorry. ...Read more
35
I take 150 mg. Amitriptyline at night for anxiety and depression. Does drinking caffeine takes away the benefits of the medication?

Can add to anxiety: Caffeine doesn't alter the antidepressant effect of Elavil (amitriptyline), but it can cause or worsen anxiety. So in that sense it could counteract the effect of the medication. Low to moderate amounts of caffeine shouldn't be a problem unless you're fairly sensitive to it, but on general principles i advise anxious patients to minimize caffeine. ...Read more
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36
Could taking 5mg amitriptyline at night and 5mg Nortriptyline in the morning help me sleep yet still work on the anxiety? Is it safe?
Psychiatrist: Please discuss with your psychiatrist or professional who prescribed your medications. This is individualized therapy that is best when tailored to your special needs. Make sure that all your providers are aware of all medications prescibed that you are taking. ...Read more
37
Can amitriptyline cause intense feelings of anxiety?I've been on it for 10 days and started feeling severe anxiety all day but heart rate is normal.

Not likely: Anxiety is a frequent comorbidity with depression. It is more likely that your anxiety is a comorbid condition of your own, related to your depression, for which endep (amitriptyline) has been prescribed. You may need a separate medicaion for anxiety. ...Read more
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Taking 150mg of endep (amitriptyline) for anxiety & fibromyalagia . Still have bad anxiety , is it safe to go up to 200mg ? I've seen my GP just after 2nd opinion.

Specialist: The best second opinion would be to see a psychiatrist. That way they can get all your history from your GP, speak with you, and give you specific advice. ...Read more
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Which is better for anxiety disorer ,depression,panic attack and help you gain weight, amitriptyline or remerom?

Horse racing: Picking the winner is not possible. Each medication works well for some and causes problems for others. Your doctor may know you well enough to make a good choice or may need to refer you to a trained specialist. This is not a D.I.Y. type project - you need to be monitored and note that CBT therapy always optimizes medication effectiveness. Best! ...Read more
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Is it safe to take Amitriptyline 50g & citalopram 40g together. I use the Amitriptyline for neuropathic pain and Citalopram for anxiety?
Do: you mean 50mg and 40 mg? Because those are unusually high doses. The combination is common however the physician will have to overwrite the drug to drug interaction if using e prescribing ...Read more
See 1 more doctor answerElavil (Definition)
Elavil is a tertiary amine tricyclic which is a kind of tricyclic type drug (serotonin-norepinephrine reuptake inhibiting ...Read more
Endep (Definition)
Endep is a tertiary amine tricyclic which is a kind of tricyclic type drug (serotonin-norepinephrine reuptake inhibiting ...Read more
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