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Doctor insights on: Buspirone And Ssri

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Have there been studies comparing the effectiveness of BuSpar (buspirone) to SSRI/SNRIs for GAD? If yes, results? Overall, which has more side-effects?

Have there been studies comparing the effectiveness of BuSpar (buspirone) to SSRI/SNRIs for GAD? If yes, results? Overall, which has more side-effects?

Mixed: One small clinical trial compared buspirone with sertraline (an SSRI) in elderly patients with GAD; both drugs demonstrated clinically significant anxiolytic effects; however, in another study, extended-release venlafaxine (an SNRI) demonstrated significantly superior efficacy on an anxiety subscale compared with buspirone for treatment of GAD ...Read more

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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Which med is the best for anxiety, Buspar (buspirone) or a ssri med. Thanks?

Which med is the best for anxiety, Buspar (buspirone) or a ssri med. Thanks?

They both can: Work well either alone or in combination. For more severe anxiety - I would select ssri over buspar (buspirone). But I think Buspar (buspirone) is a gem of a medication. ...Read more

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Had a bad reaction taking lexapro, (escitalopram) scared to try another ssri. What other ssris do you recommend, something I can take with buspirone?

Had a bad reaction taking lexapro, (escitalopram) scared to try another ssri. What other ssris do you recommend, something I can take with buspirone?

SSRIs: There are many ssris. Side effects may be similar. Sertraline (zoloft) is another one, paroxetine, prozac, (fluoxetine) citalopram, as whoever prescribed it if he/ she would consider other medication eg snris. Is it for depression? ...Read more

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Ssri compare with buspar, (buspirone) which one preferred for long term in treating anxiety, how long for each one?

Ssri compare with buspar, (buspirone) which one preferred for long term in treating anxiety, how long for each one?

Anxiety, Medications: I understand your anxiety.
Anxiety is treatable with good results
Treatment of anxiety should not be only Medications
Treatment needs to include Therapy, Breathing Relaxation, Visual Imagery, Tai Chi, Yoga, Meditation
SSRI medications are primarily for depression
Buspar is primarily for anxiety.
Both can have side effects
See Psychiatrist for need, benefits, side effects of both medications, Ther ...Read more

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Have tried 5 different SSRI's over the past year and a half for anxiety. I am in thearpy too. Nothing has worked well. Is Buspar (buspirone) a good next option?

It's worth to try.: There are different kinds of anxiety disorder. SSRI are treatment of choice for most of the types. But in some cases when SSRis doesn't work or not fully effective, Buspar (buspirone) can use as an augmenting agent. Normally Buspar (buspirone) alone is indicated for anxiety. D/w your prescriber for other choices besides Buspar (buspirone). And Definitely continue therapy. ...Read more

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So if I'm ultra sensitive 2 ssri/snri & buspars (buspirone) se what r my options now for gad & insomnia other than benzodiazepines? I exercise so a med is requird

So if I'm ultra sensitive 2 ssri/snri & buspars (buspirone) se what r my options now for gad & insomnia other than benzodiazepines? I exercise so a med is requird

Skills, not pills: I'm sorry, but I don't follow the logic of "i exercise so a med is requird." you're also already on Clonazepam -- and oxycodone too. Cognitive behavioral therapy can be very helpful for both anxiety disorders ; insomnia, but you don't list it. Wouldn't it be liberating to develop your own enduring skills, rather than taking pills? If so, you could consider asking your doctor for a referral. ...Read more

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How does Buspar (buspirone) help anxiety? Does it raise serotonin like an SSRI antidepressant?

How does Buspar (buspirone) help anxiety? Does it raise serotonin like an SSRI antidepressant?

Uniquely: Actually it it thought to restrain the effects of too much serotonin. It's complicated but the simple answer is NO - it does not work like an SSRI - nor other anti-anxiety drugs. Here's info but also ask your Dr and/or druggist. Http://www. Healthieryou. Com/mhexpert/exp1041502a.html
Best! ...Read more

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I have been diagnosed with OCPD, GAD and have had life long premature ejaculation. I always have a very negative reaction to SSRIs and have recently been prescribed Lamictal by my PCP and Buspirone by a psychiatrist. Looking for a second opinion.

I have been diagnosed with OCPD, GAD and have had life long premature ejaculation. I always have a very negative reaction to SSRIs and have recently been prescribed Lamictal by my PCP and Buspirone by a psychiatrist. Looking for a second opinion.

Anxiety Treatment: I am not sure why the Lamictal is being prescribed. BusPar does help with anxiety conditions, but it takes a few weeks to actually work. Viibryd (vilazodone) is another option (once a day dosing). As mentioned earlier, counseling is the gold standard for the premature ejaculation. There are specific techniques that can be used when in the bedroom (available online ...Read more

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Down to 15mg of Valium from 30, over 8 months. Quit SSRI because of sexual SFX. Buspar (buspirone) made me very dizzy. Feel very sad and depressed. Any advice?

Down to 15mg of Valium from 30, over 8 months. Quit SSRI because of sexual SFX. Buspar (buspirone) made me very dizzy. Feel very sad and depressed. Any advice?

Many possibilities: Psychotherapy is effective for many anxiety disorders. In addition, sexual dysfunction (SD) with one SSRI/SNRI does not mean that this will happen to all of them, and non-SSRI antidepressants can also be tried. Alternatively, Wellbutrin, even in low doses, may reverse the SSRI-mediated SD. Buspar (buspirone) may have been tried in too high a dose, or escalated too rapidly. Consider second (or third) opinion. ...Read more

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On Buspar (buspirone) and Wellbutrin for anxiety/depression. SSRIs have been exhausted. Klonopin makes me feel like carp. Valium Not working. Suggestions PLEASE.

Non pharmacologic: Approaches can really help. Cognitive Behavioral Therapy or insight oriented psychotherapy can help. Don't isolate. Spend time w people. Use your support system. Get out. Don’t stagnate at home. Get at least 8 hours of sleep/night & eat healthfully. Daily aerobic physical activity is a big +. Try acupuncture, tai chi, qi gong, yoga or meditation. ...Read more

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Ssri add ons?

QUESTION IS UNCLEAR: Sorry I am not sure what the questions. SSRI as an add on for what exactly.? ...Read more

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Are SSRI's safe?

SSRI: As tolerated & prescribed, very safe.

Get a more detailed answer ›
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Ed and ssri - help me?

Ed and ssri - help me?

Depends on "ED": If you are using ed to mean "erectile dysfunction": the ssri's can cause ed as a side-effect in between 5-50% of men - depending on the agent involved; the ed usually resolves when the ssri is stopped; also, there are meds which can be taken to reduce the ed. If you are referring to "eating disorder": ssri's are often used in the treatment of anorexia and bulimia. ...Read more

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What happens if you abruptly stop ssri?

Could be a bad idea: Suddenly stopping your ssri could lead to serious problems called discontinuation syndrome and it is no pleasant at all. Talk to your prescribing doctor to review your reasons for wanting to stop and discuss alternative options or proper ways to stop. ...Read more

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What happens if you abruptly stop ssris?

What happens if you abruptly stop ssris?

You might feel bad: Common responses to dose reduction or cessation of ssris include dizziness, electric shock-like sensations, sweating, nausea, insomnia, tremor, confusion, nightmares, and vertigo. ...Read more

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Can I take MDMA with SSRIs?

I wouldn't take MDMA: For any reason, because its really bad for your brain cells. It would not primarily target most of the same neurotransmitters as Prozac (fluoxetine), (fluoxetine) but the crash afterwards would certainly be in the wrong direction. Prozac (fluoxetine) is an anti-depressant with some anti-anxiety properties. Why would you want to take something that would likely cause you MORE depression afterwards? ...Read more

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Do ssris affect metabolism?

Do ssris affect metabolism?

THEY CAN: Some people gain weight on ssri's - but not everybody. If you do, consider diet if gain isn't tooo pronounced. Otherwise a change (9eg: to wellbutrin) may help. ...Read more

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Anorgasmia from ssri temporary?

Anorgasmia from ssri temporary?

Anorgasmia.....: Caused by ssri may be resolved by lowering dose but unfortunately it tends to continue for as long as you are taking the ssri. There are non ssri meds that are less likely to cause this problem. Please ask your md about this. ...Read more

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What side effects can cause SSRI?

What side effects can cause SSRI?

More common side: Effects can be sexual dysfunction, V libido, loose bowel movements, upset stomach insomnia, gas & feeling tired. ...Read more

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What are the side effects of ssris?

What are the side effects of ssris?

Fatigue: The main side effect is fatigue. Sexual dysfunction is the second most common. ...Read more

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Are there any side effects of ssri?

Are there any side effects of ssri?

Yes, usually not bad: Common ssri side-effects: sedation, caffeine-like agitation/jittery feeling, restless legs, stomach upset, decreased sex drive. Sounds like a long and scary list, but millions use ssris without any problems at all. A careful prescriber (doctor) will choose the medicine least likely to cause side-effects in that particular patient. ...Read more

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Do I need ssri's for grieving so hard?

Do I need ssri's for grieving so hard?

Not for grief, but..: Grief is a normal reaction to an important loss. We don't medicate normal reactions. But sometimes grief becomes prolonged or self-destructive — it can turn into a clinical depression. Although there's some controversy in psychiatry right now about where to draw the line, there are certainly cases where grief can trigger a severe depression that needs to be treated with meds and/or therapy. ...Read more

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What effect do ssri's have on anxiety?

What effect do ssri's have on anxiety?

Decreases anxiety: Selective serotonin re-uptake inhibitors (ssri's) decrease anxiety symptoms, and are used to treat social anxiety disorder. Paxil, (paroxetine) zoloft, and Luvox applied for and received approval from the fda for use in social anxiety disorder. ...Read more

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Why are ssris prescribed in fibromyalgia?

Why are ssris prescribed in fibromyalgia?

Because they work: Fibromyalgia is a disorder of unknown cause and therefor no known cure. Symptomatic treatment may be effective in reducing pain but correcting the underlying problem. One chemical system involved in pain control is norepinephrine (ne). Snris have action on this drug helping reduce pain. Ssris don't not augment ne but may help depression which occurs commonly in fibromyalgia. Depression causes pain. ...Read more

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What's a ssri with the least side effects?

What's a ssri with the least side effects?

All similar: Lexapro (escitalopram) has tried marketing as having the least side effects. My experience is that all ssris are comparable, and it just depends on the person. ...Read more

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What SSRI had "dopamine-lowering effects"?

What SSRI had "dopamine-lowering effects"?

None: SSRI only increase the amount of serotonin in the synapses, they don't lower dopamine levels. At max dosages, sertraline or zoloft can increase the amount of dopamine in the synapse by blocking the dopamine reuptake transporter ...Read more

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What happens if you have an ssri while on mdma?

Listen to Dr. Griggs: MDMA has many potential adverse effects to include: irritability, aggression, ^ in impulsivity, anxiety, panic attacks, depression, sleep problems, low appetite, V sex drive & pleasure, ^ blood pressure, cardiac arrythmia, ^ body temperature, muscle cramps, dehydration, chills, sweats, visual changes as well as seizures, renal or heart failure. MDMA depletes brain of serotonin. ...Read more