Doctor insights on:
Which is better for borderline personality disorder n mood swings?Prozac, topamax, paxil, effexor, (venlafaxine) lexaproor wellbutrin?
Pristiq (desvenlafaxine) and Diazepam: Pristiq (desvenlafaxine) can cause anger issues by triggering mania or hypomania. Diazepam can cause anger issues by its disinhibiting properties in the frontal lobes. Buspar does not have this effect and neither does seroquel. Seroquel if anything has an anti-anger effect. Buspirone lessens anger by knocking out anxious irritability. Best wishes and have a happy new year. ...Read more
Maybe: Prozac (fluoxetine) is an antidepressant. Many antidepresants including Prozac (fluoxetine) can cause patients who have bipolar disorder or who are prone to symptoms of bipolar, to develop bipolar symptoms. The best way to avoid this is to work with a psychiatrist who can provide meds for both the depressive and the manic symptoms of bipolar moods. ...Read moreSee 3 more doctor answers
I've depression + manic episodes postnatal depression generalised anxiety which meds best fluoxetine quetipine olanzapine or mirtazapine?
PostNatal Depression: Because patients' responses to these drugs, singly or in combination, are varied and dependent on each patient's specific condition, it is best to defer to your managing physician who will monitor your condition and response to treatment closely and titrate the doses of these drugs accordingly for optimum effect. Good luck! ...Read more
Cymbalta (duloxetine) 60/tegretol 600/lamictal 100/klonopin 2.5..Terrible racing thoughts..Cannot take lithium and diabetic...Any thoughts?
Have tried pristiq, (desvenlafaxine) wellbutrin, paxil, celexa, effexor, lexapro, etc. With lithium, haliperidol &abilify. A couple improve mood. Still anxious!thoughts?
Many meds: You've tried many meds already, although there are some you haven't mentioned that often help anxiety: buspirone, beta-blockers, other mood stabilizers besides lithium, etc. But after a person has tried so many medications and still has symptoms, i'd suggest non-medication approaches: psychotherapy, mindfulness, relaxation training, exercise/yoga, etc. ...Read moreSee 1 more doctor answer
Yes: There are two relatively common things that can happen. Any medication like Lexapro (escitalopram) ( a serotonin antidepressant) may cause a couple of days of increased insomnia, anxiety and agitation. As you suggested, less often, Lexapro (escitalopram) can "trigger" a mood cycle into mania or mixed state (agitated depression). ...Read more
If a person : Has mani depression and appears to be only depressed, antidepressant can trigger manic episodes. If you or someone you know is on an antidepressant and seems to become manic, see a psychiatrist ASAP. They need to reevaluate the medication and the diagnosis. ...Read moreSee 1 more doctor answer
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
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
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
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
Yes: Anytime you start a medication like paxil, (paroxetine) which is a selective serotonin reuptake inhibitor, suicidal thoughts can become prevalent or even overwhelming. If this becomes the case with you, you should confide your feelings with someone you trust, and immediately get in touch with whoever prescribed the medication. If you have no one to turn to, you should go to the emergency department. ...Read moreSee 1 more doctor answer