Doctor insights on:
See your doctor: Antidepressant medications often take several weeks before the even begin to start working. If it has been less than 4 weeks, consider staying on it to see if it is effective after 4 weeks. Any worsening of symptoms, or if it has been longer than 4 weeks, would warrant a visit to your prescribing doctor. ...Read more
Yes: As with any medication side effects and safety should be weigh against the benefits of the medication treating the patient. ...Read more
Most newer ones:
Most of the newer antidepressant medications affect specific neurotransmitters. Each does it slightly differently, accounting for the different response rates amongst them.
The SSRI's primarily increase serotonin, the SNRI's both serotonin and norepinephrine, and buproprion mostly norepinephrine alone, and Brintellix affects many of them in different ways and in different places in the brain. ...Read more
None is "best": There are no reliable differences in how well different antidepressants work. For this reason, they are mostly prescribed on the basis of side-effects. I.e., more sedating meds when depression interferes with sleep, more activating meds when depression saps daytime energy. Some are more apt to upset stomach, others to lower sex drive. Balancing these factors can be subtle. ...Read more
No: No. The medication will usually be given to treat a depressive condition, sometimes anxiety, ptsd or obsessive compulsive symptoms. Personality is related to a person's psychological make up. When there are problems related to personality, psychotherapy is usually the treatment of choice. ...Read more
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
Mental stigma: There is a lot of stigma about mental illness. An easy way to help others understand is by educating on the actual illness itself, how mental disorders are actual illnesses of the brain with real life symptoms and impacts. There is a lot of literature on the web and through NAMI that offer resource material to assist families. ...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
Addendum: A current working hypothesis is that due to the effects colleagues have discussed, signalling within nerve cella is enhanced. Therefore when signals from many nerve cells are combined by a receiving cell, its subsequent output response is amplified. (sort of like a digital sound amplifier.) in depression, these output signals are muffled. ...Read more
No "best": Each person responds differently and even what works for awhile might need to be switched. Part of this is actually placebo, you activating your own optimism and hope. Another part is the novelty of internal chemical experience disrupting the depressed patterns. Without life changes you can learn in talk therapy the old rut can return. So go for safest drug and make good life decisions. Best! ...Read more
Is it possible to stop antidepressant medication in case of chronic depression if I usde to take it for 3 years, and how to?
Seek treatment: Talk to your doctor! depression tx incl. Meds, psychotherapy (interpersonal & cognitive-behavioral), ect, & inpatient tx. Helpful are exercise, sleep hygiene, mindfulness, social support, spiritual connections, meaningful life purpose. If stopping meds is really important, develop a plan with your doc to step down, incl ways to know if you need to go back on meds (checklists, family sugg go back). ...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
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
Can Non-alcoholic fatty liver disease (no inflammation) speed up your metabolism and cause you to poorly absorb antidepressant medication?
Fatty liver: The absorption and metabolism of antidepressants are totally different systems. It depends on the antidepressant as well as any other drugs you may be taking at the same time. However, in general fatty liver disease will slowly metabolize most antidepressants, thereby inc blood levels. ...Read more
Is 40 MG of prednisone a day common for polymyalgia rheumatica. I'm also on antidepressant medication for major depression. I've been crying alot.
If you trust the Dr. Discuss reasons and learn prognosis. If not - seek 2nd opinion! Read this link: http://www. Mayoclinic. Org/diseases-conditions/polymyalgia-rheumatica/basics/treatment/con-20023162
Work w/ therapist to improve mgmt of depression or again, find a more helpful one. These are hard to deal with - you want the best pros for you! ...Read more
Antidepressant medication question I'm currently taking wellbutrin for my major depression. I'm also taking trazadone for sleeping. I want to stop taking trazadone, can't sleep anymore. I used to take quetiapine fumarate for years but after blood test,
Sleep medicine doc: You should consult with a sleep medicine doctor. There are over 80 sleep disorders. I am boarded in psychiatry and sleep medicine, so I do both. Twenty percent of people with depression also have sleep apnea, and vice versa. It sometimes takes a team. Your insomnia diagnostic work-up is incomplete unless you have already seen a sleep specialist. Sweet dreams! ...Read more
Is there anyway to get antidepressant prescriptioned medication if for kids under 18? What are the age limits with regards to this?
Depressed kids: Kids can certainly be depressed, and some need antidepressants. A psychiatrist specializing in child and adolescent psychiatry would be a great help to you and your child. Sometimes primary care physicians are willing to prescribe such medications, but they don't have the same training in this area. Some meds are indicated for kids and others are not. Also, kids are not just little adults. ...Read more
It can take 6 weeks: For medications to work. Medication work 45% of time, therapy work 35% of the time, together they can work 85% of the time. ...Read more
While going threw treatment for hepatitis C is it common for some people to get prescribed antidepressants snd aniexty medication because of sieffects?
Interferon: Yes. But why are you on any treatment these days with interferon? Better, more effective, and more tolerable meds that will cure hep c are on their way this year. ...Read more
Is it safe to continue taking antidepressants and anxiety medication with a liver ALT reading of 54 U/L? Is it dangerously high?
That depends: You didn't say which specific medications you take. We don't know anything about your overall health. The risks involved would need to be balanced with the severity of your mental health problems and how your symptoms improve on medication. I would talk to your prescribing provider about this. ...Read more
Would there be any efficacy in taking 10 mg of Prozac (fluoxetine) for anxiety/depression I am extremely sensitive to all medications/antidepressants?
Low dose Prozac (fluoxetine): If still symptomatic and if normally medication sensitive it's reasonable to start at a low dose with the goal of titrating slowly to a standard therapeutic treating dose to get optimal results. Some even use alternating dose days. For example 10-20-10-20. If unable to tolerate would consider alternative medication or an adjunct to the Prozac (fluoxetine). ...Read more
I'm a 20-plus year opiate addict who has had problems with PTSD and depressive anxiety. I have tried all sorts of medications antidepressants and mild?
Opiate addiction: You mention that you are dependent of opiates. It might be a good to consider treatment for the opiate dependency. I am not trying to dodge your question. Opiate use is likely contributing to the anxiety and depression. It would be difficult to effectively treat these other conditions while you continuing to use opiates. Likely you know some of the options for treating opiate dependency. ...Read more
Hi. I was wondering whether taking cold medication eith antidepressants would result in bad interaction?
Caution: Many cold/cough OTC meds contain dextromethorphan, a cough suppressant, which can interact with antidepressants to cause serotonin syndrome. Best to ask pharmacist for advice to avoid dextromethorphan. See: http://www. Mayoclinic. Org/diseases-conditions/serotonin-syndrome/basics/symptoms/con-20028946 I hope this helps. Best wishes. ...Read more
Is there a way to test for suspected under- or malabsorption of antidepressant or atyp. Antipsychotic medication? Can they all be tested the same way?
Testing: There are now tests to make sure you do respond to certain medications or not. Your doctor might be able to help you with that ...Read more
Can healthTap doctors prescribe medications such as antidepressants and anti anxiety medications?
No: But we can recommend you see your regular doctor and discuss medications. ...Read more
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