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Which is better for borderline personality disorder n mood swings?Prozac, topamax, paxil, effexor, (venlafaxine) lexaproor wellbutrin?
Common: You should be in psychotherapy and discuss with your psychotherapists other ways to decrease your anxiety. However, combining clonopin and Cymbalta (duloxetine) is very common in the midwest. I see no contraindications to doing this. Although antidepressants are often touted as being able to take care of anxiety, the reality is that the only do this at the most 50% of the time. Therefore about 50% of patients with combined depression and anxiety will require both the anti-depressant and psychotherapy or benzodiazepine type medications to alleviate their anxiety. Best wishes to you. ...Read more
Lexapro (escitalopram): At therapeutic dose, yes.Get a more detailed answer ›
Purely obsessive ocd/bipolar ll. Currently 300 sertraline, 150 clomipramine, 400 Lamictal, 30 propranolol. Welbutr 4 zoloft-mood frequin? Up Lamictal
Combo: not sure what your Q. is, but please review your medications with your doctor. ...Read more
Useful: Studies show SSRI's such as Celexa (citalopram) and Zoloft (sertraline) are effective with 70% of OCD patients. Venlafaxine (a SNRI) has been found to help in some cases of nonresponse to SSRIs. When possible, a combination of medication and effective psychological treatment is desirable. However, pharmacological treatment is often more accessible and is a cost efficient approach. ...Read more
I've depression + manic episodes postnatal depression generalised anxiety which meds best fluoxetine quetipine olanzapine or mirtazapine?
PostNatal Depression: Because patients' responses to these drugs, singly or in combination, are varied and dependent on each patient's specific condition, it is best to defer to your managing physician who will monitor your condition and response to treatment closely and titrate the doses of these drugs accordingly for optimum effect. Good luck! ...Read more
Yes, some major: The major alerts are for the risk of serotonin syndrome. Several other concerns exist between these drugs and include increased risks for the common symptoms of dizziness, drowsiness, general impairment of mental function, stomach pain, other pain, etc., etc. Discuss taking any of these along with any others of these. There needs to be good reasons and close monitoring. ...Read more
It's effective: Studies indicate SSRIs including sertraline, fluoxetine (Prozac), citalopram (Celexa) and paroxetine (Paxil) can reduce OCD symptoms by 40-60%. SSRIs may also be used in combination with two empirically validated psychotherapies, Exposure plus Response Prevention and Cognitive Therapy. Ask your doctor for more information about your options. ...Read more
Paxil (paroxetine): Quite effective, if dosed right & is tolerated at higher dose. ...Read more
It's effective: Studies indicate SSRIs including fluvoxamine (Luvos) sertraline (Zoloft), fluoxetine (Prozac), citalopram (Celexa) and paroxetine (Paxil) can reduce OCD symptoms by 40-60%. SSRIs may also be used in combination with two empirically validated psychotherapies, Exposure plus Response Prevention and Cognitive Therapy. Ask your doctor for more information about your options. ...Read more
Hard to say....: Neither one is actually "better". What matters is simply how you tolerate each one and which one works better for you. That's all. ...Read more
Cymbalta (duloxetine) 60/tegretol 600/lamictal 100/klonopin 2.5..Terrible racing thoughts..Cannot take lithium and diabetic...Any thoughts?
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 moreSee 2 more doctor answers