Doctor insights on:
Best Antidepressant For A Teen
No matter what antidepressant I am put on they don't agree with me. I suffer with mild anxiety. Why does this happen. And what drug is best, thanks?
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
Varies: Everyone is different. Some people do really well on the first antidepressant they try, others are less fortunate. There are different classes of antidepressants, and while some may respond to an antidepressant in the same class as the one just tried, often it is helpful to try one of a different class. Be sure to ask questions and voice your desires with your prescriber, it is your body and you have a right to know what to expect. ...Read more
What is the general consensus of using antidepressants for pain medicine and what would be the best choice?
Can be a good choice: Cymbalta (duloxetine) is approved for treating pain and it is also an effective anti-depressant. The pain pathways are intimately entwined with the emotional centers of the brain and seratonin is a neurotransmitter involved in both mood and pain. Your symptoms besides just pain will determine which anti-depressant the doctor picks. ...Read more
I have PTSD. I've tried everything non- medicinal. What antidepressant best helps? Please answer the question, don't tell me to seek alternates. Thx
SSRIs: Antidepressants called SSRIs (selective serotonin reuptake inhibitors) like fluoxetine, sertraline, citalopram or escitalopram can alleviate a lot of the symptoms of PTSD. They especially help with the anxiety, moodiness and irritability. Certain blood pressure medications, like clonidine and prazosin can help with insomnia and nightmares. However, therapy is always first and best for PTSD. ...Read more
Ssri or tca for ocd: Generally ssri's are the Rx of choice for OCD. The so-called "gold standard" is a tricyclic antidepressant called clomipramine (brand 'Anafranil') which can also be used, though could have more side effects and involve a blood level. Best wishes! ...Read more
SSRI: But about 4 percent might get worse and experience suicidal ideation, therefore, must be watched closely. ...Read more
With your Docs help!: Ideally this should be done in conjunction with the prescribing physician. Stopping an antidepressant on your own is not a good idea. Most antidepressants will clear from your system within five days. Certain antidepressants such as fluoxetine (prozac) can actually take a full month to clear however. ...Read more
I have no clue about antidepressants but someone suggested them to me and I was wondering what's the best one?
There is none.: There is no one size fits all. There is no best one because there are a lot of factors to consider. There may be a best one for you but the only way to know is for you to discuss it with your doctor to talk about the risks and benefits of each. Although they do similar things, they are different and have differing side effect profiles. ...Read more
Wellbutrin (bupropion): Best to talk to your doctor about what medication might be best for you and the symptoms you might be having. That said, Wellbutrin (bupropion) XL is activating and has been shown to decrease weight in certain patients with depression. However, some patients gain weight with this medication as well. .. It's more of an individual response than a hard/fast rule. Hope that helps! ...Read more
What antidepressant is best for non diabetic Neurpathy that help mood and don't release histamine? Thanks
None: Depression and being overweight go hand in hand but antidepressant is not the answer. The problem is in your relationship with food and at our institute we search for the root cause and start with treatment there, as well as initiating weight loss and detox. To solve the weight problem is work, but done properly it can be solved long term. ...Read more
What is the best way to get off Prozac (fluoxetine)? I have been on antidepressants for 6 months. I want to get off of them.
There are many possibilities of treatment for depression. The categories of medications are;
selective serotonin reuptake inhibitors:
serotonin/norepinephrine reuptake inhibitors:
so lots of different options so just speak to your physician. ...Read more
Not the reason for: The prescription. The SSRI's are all fair at not increasing the likelihood of weight gain, but are not best for weight loss. Perhaps Wellbutrin, (bupropion) but I have a small sample size of patients as a measure for weight loss on an antidepressant. Bear in mind that depression itself often causes weight gain so getting help for your depression at all is likely to help with any weight loss goals you have. ...Read more
Best 4 You or 4 Me?: It sounds like you are asking for antidepressants that would treat someone diagnosed w/ all three - w/ ocd, anxiety ; depression. But even if you were asking for ones recommended for each of these conditions separately, keep in mind that what is "best" for one person may not be "best" for another. It might be a bit like asking about the best brand of jeans for people in brookline who are age 37. ...Read more
Depakote: Depakote is often used to stabilize mood in someone with bipolar disorder. If possible, no antidepressant at all is used, because these can precipitate mania. Some bipolar patients do need additional antidepressants, but your own doctor who knows your case is the best resource to discuss this with you. Depending on how much anxiety you also have, possibly wellbutrin (bupropion) or Celexa are choices. ...Read more
Everyone unique: Ssris usually a few require maois--find a doc who treats pd & work with him or her--if someone in your family has pd & is doing well on a drug it will likely work for ypu. ...Read more
TITRATE: If someone is depressed enough to need an antidepressant the usual is to stay on it for a year to 1 1/2 years on the dose that works. Then - if depression free - consider titrating the dose down slowly over several weeks. Let your dr help you do this. Two heads are better than one. ...Read more
What antidepressant has the best results for panick attacks? And panick disorder in your experience?
SSRI: This class of medicine is often helpful in controlling frequent panic attacks. ...Read more
What's the best way to go off antidepressants? I've taken them for 9yrs. Tried to stop several times w/dr help and counseling. Symptoms return
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
Best Antidepressant: No best antidepressant exists. Different people respond differently thru trial & error, mostly guided by tolerability & side-effect profiles of the medicines, history of prior response, & family history of response to similar medications. ...Read more
There is no one best: Antidepressant. Cymbalta (duloxetine) is great if your have pain too. Wellbutrin is superb for atypical depression. The ssri 's are good for anxiety and classical depression. Etc. Medications can be chosen for their side effect profiles as well as their niche benefits. ...Read more
Antidepressant:when long treatment success&gradually discontinued, neurotransmitters amount return imbalance? Please explain, with best regards.
A known unknown: We know the atd initial actions, but the brain transmitters and circuitry adapt in a complex manner. Some people relapse, some do fine when they stop. But the risk of relapse is higher than those who continue. Be very careful stopping if you have history of suicidal tendencies. ...Read more
What is the best ssri antidepressant for social anxiety? I know that people react diffrently to. Medications but im not sure what is best for. Me
Equal: On face value most SSRIs are equivalent to each other. Specific recommendations depend on other medicines you take, your reaction, any side effects you might have and your genetic drug metabolizing enzymes. Fluoxetine also known as Prozac (fluoxetine) was the first SSRI and has a long half life so can be taken once per week but otherwise all at pretty similar. ...Read more
What's the best 'first time' mild antidepressant for someone who's been depressed for over 4 years? How much mg day is recommended for 110lbs person?
Lexapro (escitalopram) 10mg in am: Good class of medications to start are SSRIs. From that class Lexapro (escitalopram) or celexa (citalopram) if your insurance does not cover the more expensive Lexapro. Starting doses are for Lexapro 10mg usually in the morning and 20mg for celexa, also in the morning. ...Read more
What's the best way to get rid of phobias (Especially hypochondriasis) and anxiety? Is it possible without antidepressants?
Often - can be Rx'ed: Without meds. Consider Cognitive Behavioral Therapy, Behavior Therapy, Psychotherapy, Exposure therapy (imaginal exposure therapy, systematic desensitization, flooding, prolonged exposure therapy, in vivo exposure therapy) or hypnosis as possible options. Psychotropic medications are sometimes indicated as well. ...Read more