Doctor insights on:
Thinking of starting brintellix but it's so new. Only approved sept 2013. How do I know it's safe? Are there enough reports on it yet?
Medication safety: If you are not allergic to a medication, most medications are "safe." Saying that side effects are present with most medications and affect the decision as to whether to initially prescribe a medication and once a side effect is present whether to continue prescribing the same medication, ...Read more
Brintellix: If used alone, starting dose is10mg. Once daily. May increase to 20mg. As tolerated. ...Read more
Probably: The mechanism of action has overlap with effective serotonergic interventions that have already been shown to work for anxiety conditions although it is not FDA approved for any anxiety disorder so there is no conclusive proof that it will work for anxiety disorders that I am aware of presently. ...Read more
Brintellix safe to use I'm 22 what should I worry when starting medicine side effects things associated with this medicine worry me?
Hyponatremia: Should be avoided in general. The manufacturers of Brintellix warn this agent should not be used if you have this condition. In 2013 they issued a warning that all Serotonergic agents can cause SIADH (Syndrome of inappropriate antidiuretic hormone release). As it turns out many agents can lower serum sodium levels. Some degree of reduction is tolerated. Symptomatic Hyponatremia can produce seizure ...Read more
I was prescribed Tranxene (clorazepate) and Brintellix at the same time. Are the benefits better together? What are the benefits of each? Hard to find info on them.
Vortioxetine is: Approved in the U.S. only for treatment of Major Depressive Disorder. Studies on Generalized Anxiety Disorder in adults had conflicting results, one that it was superior to placebo & one that it was not. Studies of Vortioxetine for MDD showed efficacy for MDD at 20 mg./day, but not at lower doses. See: http://www. Rxlist. Com/script/main/mobileart-rx. Asp? Drug=brintellix&monotype=rx-ad&monopage=4 ...Read more
Brintellix: Ongoing. Only approved indication for now is for Major Depression. ...Read more
Weaning one: ... and increasing the other are usually the best way of adapting to a new medicine. Brintellix is newer and more potent SSRI in addition to being an SRM, therefore it should be started at the lowest dose while still weaning down (and off) Zoloft (sertraline). I would go Zoloft (sertraline) 100 mg for a week then 50 mg and add Brintellix for 1 week. Then stop Zoloft (sertraline) completely. ...Read more
I have been on brintellix for 6 months all great, but due to stress lately I use urbanol 5mg 0r 10mg a day if needed can I start duromine 15mg now?
Need follow-up.: Brintellix (Trintellix) is an antidepressant that is dosed at 10mg or 20mg daily. Urbanol is a benzodiazepine like Valium that is used for rescue anxiety dosing. Duromine is an appetite-suppressant, like Fastin. If you are not taking the 20g Brintellix, you might talk to your Family Doc about an increase if you need Urbanol rescue. The Duromine (stimulant) may worsen anxiety. ...Read more
Is brintellix too new yet to trust? I hate to try something if it's only approved less than 1 year. Is it safe to take? Would you prescribe? SEs?
Play it safe: Your concerns seem reasonable to me. I hope you also hold a conservative stance w/ respect to more established drugs. Have you explored psychotherapy? It has no side effects or potential for long-term surprises. Use your discernment to interview and select a good psychotherapist with whom you can develop trust and work on learning moos mgmt skills. A time w/ meds might help, but maybe not needed. ...Read more
Headaches and tension feel like headaches from stress while on 5 mg of BRINTELLIX is this normal started today wore off now but still alittle head pan?
R/O TENSION HA: The 4 basic headaches are Tension, Sinus, migraine and cluster. The muscles that originate at the base of the neck insert near the temple. Rest /ice and a darkened room may help. Also a NSAID like Aleve (naproxen) /daypro. Muscle relaxant ie KLONOPIN/ FLEXERIL. Meditation/Yoga/Biofeedback. GF DIET WHOLEAPPROACH. Com You need a full exam an blood work to be through. If symptoms worsen seek medical evaluation ...Read more
What are some early experiences providers have had rx'ing Brintellix for their patients? I'm the first of my doctor's practice to be rx'ed this.
Probably: The best response is to meet with your prescribing physician and discuss this in detail. In my practice, with my patients, I slowly taper them down on the zoloft (sertraline) about 50mgs weekly, and slowly start them on Brintellix, usually mgs daily for one week, then 10mgs for two weeks, then up to 20mgs daily. ...Read more
Medicine for anger any ideas I was put on BRINTELLIX about it we figured anxiety med was way to go to help diffuse anxiety that caused anger, afraid?
Advisable to take Wellbutrin (bupropion) 100sr along with 5mg brintellix? I know people take Wellbutrin (bupropion) with other ssris. Brintellix, however, isn't typical ssri
Caution: Wellbutrin (bupropion) + Brintellix interact to increase side effects of Brintellix and risk of 'serotonin syndrome' eg, confusion, increased heart rate, blood pressure changes. Discuss with prescribing doctor. This combination would require careful medical supervision. I hope this helps. Best wishes. ...Read more
Question. Viibryd (vilazodone hydrochloride) has been tough to prescribe because of insurance. A new one brintellix just introduced. What's the good if insurances won't cover the?
New SSRI's: Both viibryd (vilazodone hydrochloride) and Brintellix are technically ssri's, but they affect more serotonin receptor types than others. Brintellix was just approved in the us in october, but the company claims it may help the cognitive problems of depression more than others, and also have less sexual side effects. You would have to pay the difference out-of-pocket if your insurance did not cover it, though. ...Read more
If im taking zoloft (sertraline) and risperdal if I switch to fom zoloft (sertraline) brintellix can I keep taking risperdal with brintellix?
I know brintellix and viibryd (vilazodone hydrochloride) are both very new. Is it safe to try such new medication without there being alot of studies done? Side effects?
Yes: For a medication to be sold in the USA, it has to be approved by the FDA, (federal drug administration), which makes the Drug Co. Go thru very rigorous trials to prove they are effective and "save" in human subjects. But as the drugs are tested in a limited amount of individuals, when ten of thousands of patients try them they could have more rare or idiosyncratic adverse effects. ...Read more
If im on Zoloft (sertraline) 100mg doc gave me brintellix haw can I switch best way with out having strong withdrawal?
Talk to doctor: In my practice, with my patients, I slowly taper the zoloft (sertraline) to 50mgs for a week or two, while starting on 5mgs daily of Brintellix for a week, then 10mgs for two weeks, then I increase them to 20mgs and wait a month. Your situation may be different, so you need to discuss this in detail with your treating physician. ...Read more