Doctor insights on:
Antidepressant Overdose In Children
Depends: There are many types of antidepressants. Tricyclics cause tachycardia, shaking, seizures, coma, death. Serotonin inhibitors ie fluoxetine causes few problem including lethargy, but can cause hallucinations, GI symptoms. Overdoses are a serious clue to severe depression and thoughts of suicide and are reasons to strongly advise immediate hospitalization. There are few antidotes. ...Read more
Depends: Depends on the antidepressant and what clinical symptoms the overdose has caused. Antidepressant overdoses can result in serotonin syndrome, which is usually treated "supportively, " i.e.Cooling blankets, hydration, monitoring of heart and renal function. Sometimes the antiserotonergic drug Cyproheptadine is prescribed. Beta-blockers and benzodiazpeines are sometimes used to treat symptoms. ...Read more
No: The approach to this serious situation remains the same. ...Read more
Should I go to the ER for a possible antidepressant overdose, or can my regular doctor take care of it?
Without specific information, go to er asap via ambulance. Yes, this sounds dramatic, but-it is the safest way for you to be cared
for in this instance. Have a friend or you call 911 -- poison control.
They will direct you to the best treatment. Please take the bottle of
pills with you and any any oher meds you are taking, including over the counter meds to the er. Good luck take care. ...Read more
That depends on: The antidepressant class. Overdoses on some classes can lead to death. ...Read more
Love: I love my children and so do most parents. Why do parents take their children to see a doctor when they are sick? Unfortunately, children do get depressed. Antidepressants are very helpful for many children. More parents are recognizing depression in their children, as parents have become better educated over time. This leads to more diagnosis and earlier treatment. ...Read more
Not recommended: Tapering these medications especially if you've been on them for any more than a few weeks or few months is always advisable. Check with your provider as to a schedule. This will also give you chance to speak to them more in-depth as to your reasons on wanting to stop. ...Read more
Your sx improve: There should be a list of target symptoms that improve, mood, motivation, sleep, anxiety, obsessing, dwelling, enjoyment, functioning, appetite among others. The problem often is the medication can be helping half a dozen symptoms but the patient only focuses on one which didn't improve and think the med is not working. This calls for dose increase, augmentation instead of switching or just more time. ...Read more
Not a good combo: Some constituents in marijuana can cause anxiety and psychosis; some depressed patients also have these effects. For this reason I would not recommend anyone with a mood disorder be smoking marijuana. Also it has CNS depressant effects that could be accentuated when combined with antidepressants. Rather than the antidepressants working as they should, the thc could adversely alter the effect. ...Read more
Don't know of one: It would be nice if there were an antidepressant that not only eliminated depression but also made a person feel very happy! But, alas, there is no such medicine. Antidepressants act to eliminate or reduce depression. But, they don't go so far as to produce real happiness. Instead, genuine happiness must be earned through behavior, such as working toward goals, spending time with others, etc. ...Read more
See answer: Brintellex (vortioxetine) is one of newest ssri-class antidepressants approved by fda 9/2013. It's mechanism of action differs from other ssris in that it influences the availability of the neurotransmitter serotonin by five different mechanisms. Whether this translates into either better efficacy or reduced potential adverse reactions has not been definitively shown in the opinion of the fda. ...Read more
Very broad question: Antidepressants can be very helpful at managing symptoms of depression. Different people respond better to different ones. Sometimes for best effect, they need augmenting with other agents. Still, they will not make you "happy." the psychotherapeutic work required to heal from depression must be done by you -- usually with a skilled psychologist or other psychotherapist. ...Read more
Great stuff: If we could cure heart disease as well as we can manage or treat depression with antidepressants combined with psychotherapy, we'd truly have made major progress. Depression is very treatable, and the risks of not treating can be loss of job, marital or relationship difficulties, alcohol abuse, suicide, and een serious healt problems. There is lots of help for depression. ...Read more
Neurotransmitters: Most antidepressants work by increasing the amount of various neurotransmitters in the synapses between neurons in the brain. This includes serotonin (e.g. Ssri, prozac, celexa, zoloft), serotonin and norepinephrine (snri, Effexor (venlafaxine) and cymbalta), and Dopamine (e.g. Wellbutrin). ...Read more
Number of things:
1. Tmj and depression is sometimes linked and an anti-depressant is used to treat the depression.
2. A side affect of these drugs is bruxing which is a contributing factor in tmj.
3. Sometimes Amitriptyline or nortriptyline (anti-depressants) are used to treat TMJ related pain. ...Read more
No: When someone does have depression and it is thought that medicine would be the right treatment, then we try to tailor the medicine to what symptoms the patient has. However, every person is going to react to medicine differently and often we need to try several different antidepressants until we find the most appropriate one. ...Read more