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Doctor insights on: Best Ssri For Treatment Resistant Patients

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Most effective approaches to ask doctor for diazepam?

Do not ask: If you have a legitimate need diazepam explain to your doctor what your doctor symptoms are and inform him that in the past that if used diazepam . Depending on yourdoctors evaluation he will decide and discuss with you ...Read more

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Dr. Carlos Satulovsky
602 doctors shared insights

Ssri (Definition)

Group of antidepressants that selectively block the reuptake of serotonin, hence increasing its levels. Examples are celexa, zoloft, Lexapro ...Read more


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Has Venlafaxine any advantage over other SSRIs and TCAs for GAD ? Which medication is your first line choice for treating GAD and why?

Has Venlafaxine any advantage over other SSRIs and TCAs for GAD ? Which medication is your first line choice for treating GAD and why?

GAD Rx: I personally like zoloft because it is also has FDA approval for almost every other form of anxiety as well as depression. In addition, it doesn't usually elevate blood pressure like Venlafaxine can. Lexapro (escitalopram) has the fewest drug-drug interactions. ...Read more

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How effective is psychotherapy for treating alcoholism?

How effective is psychotherapy for treating alcoholism?

Can be a great plus: Psychotherapy can be a powerful piece of the treatment for alcoholism. It's usually combined with a program of social support or a 12-step program (Alcoholics Anonymous) which helps the person progress toward abstinence and sobriety. When a person stops drinking, their problems in living become more visible -- usually along with discomfort or anxiety. _That's_ what the psychotherapy addresses. ...Read more

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How effective is the R-CHOP regimen for treating leukemia?

How effective is the R-CHOP regimen for treating leukemia?

Confirm your diagnos: R-CHOP is commonly used for the treatment of Lymphoma( not for Leukemia). Ask your doctor what exactly is the name of your Cancer(there are more than one Leukemias). R-CHOP is a very effective treatment for Lymphoid variety of Cancers like the various Lymphomas. Let us know what you find out. ...Read more

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Is lamotrigine the most effective treatment for bipolar depression?

Is lamotrigine the most effective treatment for bipolar depression?

Lamotrigine: "more effective" all depends on what you're comparng it to. Caveats/points of interest: - Lamotrigine both stabilizes/prophylaxes mania as well as helps raise the mood with an antidepressant like effect. - sometimes it is ineffective by itself for depression, and something else needs to be added. - potentially inadequate four mania/hypomania prophylaxis, particularly with vigorous anti-dep rx. ...Read more

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How effective is the CVP regimen for treating leukemia?

How effective is the CVP regimen for treating leukemia?

Need to know exact D: Exact diagnosis of your Cancer is most important first piece of information that I need to know. Your diagnosis is probably not Leukemia, as CVP regimen of chemo is meant to be used only for low grade Lymphoma, not for Leukemia(If you do have leukemia, you should know what type of Leukemia do you have....as there are 4 different types(2 Acute and 2 Chronic types). ...Read more

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How effective is amitriptyline for treating depression?

How effective is amitriptyline for treating depression?

Elavil (amitriptyline): Is an antidepressant with sedating and drying effects, causing heart rate changes, dry mouth/eyes, constipation, depending on dose. It relieves depression, pain of neurogenic origin, headache and insomnia. Can also be used at low dose for Nocturnal enuresis. ...Read more

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Is Gerson therapy effective for patients with fibromyalgia?

Is Gerson therapy effective for patients with fibromyalgia?

By itself?: The best thing about gerson therapy is its emphasis on excellent nutrition, very clean & anti-inflammatory. It's also a difficult therapy to keep up with, without help with all the juicing requirements. This treatment approach was developed specifically for various cancers. Fibromyalgia is not one of the conditions listed on the http://gerson.Org web site, so it's difficult to say yes or no. ...Read more

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Do any psychiatrists have experience using ketamine for treatment resistant depression? This seems to be a growingly popular and relatively successful treatment / approach.

Do any psychiatrists have experience using ketamine for treatment resistant depression? This seems to be a growingly popular and relatively successful treatment / approach.

Short term: This is a short term treatment, and has to be repeated in a few days or weeks depending on how long the effects last for you. it has not been FDA approved for long term treatment, and has to be given as an infusion in a monitored setting. It does however act fast, as soon as you get it, which is why it has been looked at as an alternative to traditional SSRIs that take weeks to start working. ...Read more

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What ssri has proven most effective for someone with OCD and bipolar?

What ssri has proven most effective for someone with OCD and bipolar?

Tough to answer: Because bipolar disorder often does not respond well to antidepressants. Which ssri a person will do best with for their ocd is very individual, it really could be any one of them, but for bipolar, it is crucial to be on a mood-stabilizer. For bipolar depression we used to say add wellbutrin. Now we have seroquel xr, abilify, and Latuda (lurasidone) approved for bipolar depression. Latuda (lurasidone) seems to work well. ...Read more

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Dr. Alan Ali Dr. Ali
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How effective is Fetzima for treating depression?

Dr. Alan Ali Dr. Ali
2 doctors agreed:
How effective is Fetzima for treating depression?

Fetzima: It is a selective Serotonin/Norepinephrine reuptake inhibitor, for major depression in adults, Works fairly well if you can tolerate the stomach upset & headaches. Monitor BP & energy increase. ...Read more

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Can you suggest any alternative methods to treating hodgkin's lymphoma patients who respond negatively to avbd treatment?

Can you suggest any alternative methods to treating hodgkin's lymphoma patients who respond negatively to avbd treatment?

Adcetris (brentuximab vedotin) / Nivolumab: There are several classes of drugs that offer good options for patients with Hodgkin lymphoma who have not responded to ABVD. The standard of care in a younger patient is intensive salvage chemotherapy and stem cell transplant. Other options would include Brentuximab or a PD1 inhibitor such as Nivolumab or Pembrolizumab. ...Read more

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How effective is family therapy for treating autism?

How effective is family therapy for treating autism?

Family training in : behavioral techniques is very effective if parents & other family members follow through consistently by ignoring maladaptive behaviors & immediately reinforcing adaptive behaviors, especially in younger children who have acquired language skills. See FSU's study funded by Autism Speaks: https://www.autismspeaks.org/science/science-news/parent-training-program-shows-clear-gains-toddlers-autism. ...Read more