Doctor insights on:
I have bad social anxiety, depression, adhd. Currently take these psych meds: lexapro, Wellbutrin, (bupropion) klonopin, adderall. Still struggling badly. Ideas?
Add CBT therapy: Research shows that the CBT therapy optimizes psychological outcomes w/ or w/out medication. It's the component that can make changes in how you deal w/ the challenges (large and small) that are part of living. Unless we do that, we struggle w/ uncertain results. You need to find one you'll work well w/. It's a bit like a coach. Please consider this addition. ...Read moreSee 1 more doctor answer
Paxil (paroxetine) for social anxiety? (Taking Prozac 40mg and it's not helping anxiety.)Can I take Paxil (paroxetine) with Ritalin? (Ritalin dose 5-10mg x 2-3 daily.)
Yes : It is.Get a more detailed answer ›
Could the biaxin (500mg-12h)be interacting with my Seroquel XR (100mg-bedtime)? Seroquel feels stronger. Also on dexedrine, wellbutrin (bupropion) xl, salbutamol
Major interactions: Amongst all the drugs you mentioned,yes the seroquel would become stronger with biaxin,good observation, but salbutamol too would interact with biaxin, these combinations can cause heart beat irregularities an untoward complications.As for the other 2 u r on: dexedrine and bupropion, them together or in combination with seroquel need to be monitored with doses adjustments, or finding alternatives ...Read more
No, not so much: Wellbutrin (bupropion) does not have much in the way of anti-anxiety or anti obsessional effects. Other medications, often ssri antidepressants work much better for this. Psychiatrists can help you find a helpful one -- evaluation first, though! ...Read moreSee 2 more doctor answers
Lexapro (escitalopram): At therapeutic dose, yes.Get a more detailed answer ›
It's effective: Studies indicate SSRIs including sertraline, fluoxetine (Prozac), citalopram (Celexa) and paroxetine (Paxil) can reduce OCD symptoms by 40-60%. SSRIs may also be used in combination with two empirically validated psychotherapies, Exposure plus Response Prevention and Cognitive Therapy. Ask your doctor for more information about your options. ...Read more
What r possible alternatives to anafranil in treating severe purely obsessive ocd? Clomipramine along with zoloft, (sertraline) lamictal, propranolol, and trazodo
Hi-dose SSRI, CBT: On the medication side, ssri antidepressants such as zoloft (sertraline) are the most used, often at doses higher than typically prescribed for depression. It's also worth considering psychotherapy. Cognitive-behavioral approaches such as cbt or erp (exposure and response prevention) are often helpful for ocd. ...Read more
Taking 225mg Effexor&Clonazepam 4 Major Dep Dis&anxiety¶noid thoughts. Had Olanzapine&Respiridone before but is Abilify (aripiprazole) ok2take with Effexor?
Abilify (aripiprazole): It appears that you are also experiencing paranoid thoughts, and have been treated for depression. At the same time, if your doctor prescribes the Abilify (aripiprazole), (aripiprazole) with or without the Clonazepam, there is no contraindication. The Abilify (aripiprazole) might also augment the Effexor as an antidepressant, which is another advantage for this recommendation. ...Read more
LUVOX (fluvoxamine) CR: LUVOX CR = (fluvoxamine maleate) Extended Release Capsules. It is approved by the FDA for the treatment of obsessive compulsive disorder. However, it has been used off-label by some to treat major depressive disorder, PTSD, panic disorder and social anxiety disorder. ...Read moreSee 1 more doctor answer
Paxil (paroxetine): Quite effective, if dosed right & is tolerated at higher dose. ...Read more
Alt.behavioral: While researching meds, consider researching effective behavioral/psychological treatments: to conquer social anxiety the "gold standard" treatment is graded exposure/systematic desensitization. To take charge of ocd, the gold standard is exposure & response prevention. A clinical psychologist specializing in anxiety can be huge help. Learn about at anxierybc.Org. Also see ocfoundation.Org. ...Read moreSee 2 more doctor answers
Possibly: Zoloft (sertraline) can be used to treat ocd. 50-200 mgs daily is the recommended dosing. Some may require more. Can take up to 12 weeks to see the full effect. Always discuss dosing with the prescribing phsyician and remember cbt for OCD is extremely helpful alone or in combination with medications such as zoloft (sertraline). ...Read moreSee 1 more doctor answer
Psychiatrist stop paxil, (paroxetine) seroquel, lithium (bipolar1) & inderal (social phobia, agarophobia, panic attack) all together at once 2 w ago. Opinion?
Useful: Studies show SSRI's such as Celexa (citalopram) and Zoloft (sertraline) are effective with 70% of OCD patients. Venlafaxine (a SNRI) has been found to help in some cases of nonresponse to SSRIs. When possible, a combination of medication and effective psychological treatment is desirable. However, pharmacological treatment is often more accessible and is a cost efficient approach. ...Read more
Do any of these drug combinations work? Prozac abilify, (aripiprazole) Prozac zyprexa, wellbutrin zyprexa, for schizophrenia.
250mg/day: Maximum recommended daily dose is 250mg, but some psychiatrist may push a bit further. If at 250mg/day and symptoms not controlled, pushing higher dose is not likely to benefit. Adding other medication, change of meds, or combining with cognitive/behavioral therapy probably is a better way to go then pushing too much of one drug--just my humble opinion. Consult your doc. Best of luck to you. ...Read more
Depression/OCD: Ocd &ocd spectrum symptoms respond best to ssri's such as lexapro, fluvoxamine ..Etc. Medications like seroquel & other more potent Dopamine blockers are used as augmentation strategies. We generally try not to use short acting benzo's such as Ativan or xanax (alprazolam) because of interdose withdrawal, tolerance and gradual elevation of baseline anxiety (with time) please discuss with your psychiatrist. ...Read moreSee 1 more doctor answer