Doctor insights on:
It depends: This depends on the particular antidepressant, as there are many choices. Also it depends on the person taking the medicine, because each may experience these effects differently. All antidepressants have basic effectiveness, but side effect profiles may differ quite a bit. I wish I could be more specific than this, but without more information, I can't. ...Read more
Not the correct med: It means that you need to keep talking to your prescribing psychiatrist to find the medication that is best for your particular bodily system. Keep trying. ...Read more
Long half life meds: Try reminders: pill box, alarm clock. Sync medication timing with your daily routine activities, such as breakfast or dinner time. Consider switching to meds with long half life. Wish you good luck. ...Read more
Here are the us sales rankings from 2010:
http://en. Wikipedia. Org/wiki/antidepressant#most_commonly_prescribed. ...Read more
No Standard Exists: Use of antidepressants during pregnancy remains controversial. Recent studies suggest that left untreated, depression and anxiety can be harmful to both mother and fetus. The decision to treat or not to treat, the timing of the treatment, the dosing, and selection of medications is complex. The expecting parents, the obstetrician, and the psychiatrist must all work as a team during pregnancy. ...Read more
Good question: If the antidepressant isn't helping and it is at the highest dose possible, either based on safety of the medication or side effects that the patient is experiencing, then it is a good idea to either add another medication or switch medications. Adding psychotherapy is also helpful. The effectiveness of switching medications depends on many factors, like how many times have medications been tried. ...Read more
Yes: A person can feel that an antidepressant is working on the 3rd day. Most likely that is due to the positive attitude of the patient and perhaps detecting some of the side effects of the medication. It usually takes a couple of weeks for the antidepressant effects to substantially take hold. ...Read more
It depends: In head to head studies, antidepressants generally work equally well. The choice of antidepressant really depends on the side effects that the person may have or be willing to tolerate. In ocd, most doctors use either fluvoxamine or clomipramine because they work the strongest on serotonin receptors. But other antidepressants have been known to help too. ...Read more
Is it safe to start antidepressant medicine right the next day of using St. John's wort 900 mg? Or should I gradually lower St. John's & then start?
Your doctor knows?: So, your doctor who is prescribing the antidepressant knows about the St. John's wort and told you to do what? If your doctor does not know, it is not too late to tell him or her. You may be surprised but this is important information to share with your doctor. Your doctor should be able to guide you with regards to how best to stop St. John's wort. Please work with your doctor. ...Read more
Depends.: Excessive alcohol use can damage your liver so that it is not able to metabolize antidepressants causing them to accumulate in the blood stream and not be excreted at the usual rate - so side effects could be more pronounced. Alcohol acts as a depressant so it will directly interfere with any benefits of taking an antidepressant. In large amounts both substances can kill you -- don't do it! ...Read more
Wat would happen if some1 took antidepressant meds. Like celexa (citalopram). But didn't have stress. Depression or anxiety. Would it be dangerous?
Anti Depressants: It would necessarily be dangerous but certainly not needed and if a person continued for no apparent reason this regimen could unbalance neurtransmitters. What would be the purpose of taking a med you don't need? Best. ...Read more
How I can stop night sweats? (i'm too young to be menopausal) I get night sweats almost every night. I think it's a side effect of an antidepressant I take. Aside from stopping the drug, is there anything I can do to help with this side effect? Thank you.
Multiple causes: There are several possibilities that could cause this. It sounds persistent enough that you should get a thorough evaluation. Even if it is due to psych meds, adjustment would be important. Might be infection too, which should be evaluated. ...Read more
My therapist diagnosed me with dysthymia. I don't like the idea/side effects of antidepressant medications. Any natural ways to help with dysthymia?
Agree w Dr. Front: At the heart of dysthymia are distorted thoughts about one's self and one's world. The best way to confront distortion thoughts is with reality. Thus, I strongly encourage cognitive behavioral therapy. Talk about feelings ; address problems. Don't avoid them. Aim for 7.5 - 8 hours of sleep/ night. Daily physical activity is optimal in a green space. Eat healthfully. Cut out junk carbs, caffeine ;. ...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
Severe dizzy fatigue. Bad insomnia for months. Antidepressant not work. What to do? Effecting badly my life. Normal blood tests heart. Which specialist
Psychiatry: I would start with psychiatry to deterimine if your insomnia is related to depression / anxiety or if there is another diagnosis. The psychiatrist would also be able to adjust and change your medications to treat the mood disorder and facilitate sleep. Poor sleep will always make mood problems worse. I would also try taking melatonin 5 mg a night for 2 weeks to see if that helps. ...Read more
I have started throwing aggressive temper tantrums when my antidepressant wears off. Please help?
I am using Prozac (fluoxetine) 20 mg daily for anxiety. Is it safe to take gingko biloba supplements with prozac (fluoxetine). I read that this herb might interact with antidepressants.?
Possible interaction: Gingko and Prozac (fluoxetine) are both metabolized by the same liver enzyme system, so can compete for use of this. Also gingko can slightly inhibit this enzyme system, possibly slowing prozac's metabolism. There is also anecdotal evidence that gingko + Prozac (fluoxetine) in depressed patients can lead to hypomania -- but we don't know whether gingko alone can do this (without the prozac). ...Read more
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