Doctor insights on:
Endep Tertiary Amine Tricyclic
Which tcas is more potent for sciatica pain relief, amitriptyline(or nortriptyline), imipramine(or desipramine)?
TCA: Tca are classic for neuropathic pain - sciatica for example. Any of the ones u mentioned may be quite eefective - and cheap. They are not without side effects - dry mouth, constipation, sedation. Any of the ones u mentioned can be effective. I personally like amytryptilline - 10mg at night - as mentioned all will work. Additionally other meds such as lyrica, (pregabalin) neurontin, Cymbalta are options. ...Read moreSee 1 more doctor answer
Which causes asthenia after not taking; 1-Haloperidol
Mostly: Wellbutrin (bupropion) interferes with reuptake of dopamine&norepinephrine(noradrenaline)in the central nervous system, thereby leaving these neurotransmitters to sit longer&stronger in the synapse between communicating brain cells, which enhances dopamine&adrenaline activity at the cellular level. That can treat depression, feed pleasure to help sex&bypass tobacco, improve adhd&cognition, lower weight, etc. ...Read moreSee 2 more doctor answers
No: Pregabalin is an anticonvulsant drug used for neuropathic pain and as an adjunct therapy for partial seizures with or without secondary generalization in adults. It has also been found effective for generalized anxiety disorder and is (as of 2007) approved for this use in the european union. It was designed as a more potent successor to gabapentin. ...Read moreSee 2 more doctor answers
Can periactin (cyproheptadine hydrochloride) (cyproheptadine) be useful in relieving serotonin induced migraine caused by an ssri? Periactin (cyproheptadine hydrochloride) has antiserotonin affinity. Head hurts..
Might be useful: Although Cyproheptadine is nominally an anti-histamine, it does have seratonin antagonistic effects, and, has been best used as a migraine preventative in years past. Since it is cheap, could try it, but likely should start low dose and aim for about 4mg every 6 hrs. May take about two weeks to decide success at the higher dose. ...Read more
150 mg. Elavil (amitriptyline) for 25 years switch to ssri with greatest sedative affect as elavil (amitriptyline) - which ssri would be best suited for me?
Individual consult: To find something best suited to you, you need an individual re-assessment with your own doctor. There's no ssri as truly sedating as elavil (amitriptyline). In fact, this is partially why many ssri's are chosen over older antidepressants like Elavil (amitriptyline) anyway. People don't like to be drowsy in daytime. If you and your doctor are looking for sedation, an alternative (not an ssri) might be mirtazepine. ...Read moreSee 1 more doctor answer
They're very similar: Elavil (amitriptyline) (amitripyline) and tofranil (imipramine) are both tricyclic antidepressants, an older category. While they are effective against depression, both can cause antihistamine-like effects e.g., sedation, dry mouth, dry eyes, constipation, and temporary trouble focusing vision. Elavil (amitriptyline) does this a little more, so tofranil may be better unless elavil's extra sedation helps. ...Read moreSee 3 more doctor answers
Only noradrenergic antidepressant works for me, does inderal (propranolol) acts negative on noradrenergic effects of antidepressant ?At vasomotor centers.Regards.
Venlafaxine: It's not the vasomotor centers that are important in antidepressant response; it's the neuron synapses in the brain. Effexor (venlafaxine) inhibits reuptake of both serotonin and ne. Inderal can suppress some of the physical symptoms of anxiety (rapid heart rate, sweaty palms, tremulousness, etc). Some on chronic (not intermittent or "prn") Inderal have had more depression. Not everyone. You should be okay. ...Read more
TCA/SSRI: Both are, depending on what they are prescribed for. The difference is in tolerability & side-effects. ...Read more
Others preferred: In gereneral tricyclic antidepressants including Pamelor (nortriptyline) are relatively less safe than other classes of antidepressants. This is especially true if "cardiac disease" means recent (within approximately 6 months) heart attack. Zoloft (sertraline, an ssri) may be relatively safer. Untreated depression contributes to worsened prognosis for certain types of heart disease. ...Read more
Agree w Dr. Ali: Which is best for treating which condition?. Paxil is an SSRI antidepressant which is good for treatment of typical depressive sx 's & anxiety. Bupropion is a unique antidepressant which is good for seasonal affective disorder, atypical depression & smoking cessation. Oxcarbazepine is a mood stabilizer and olanzapine is an antipsychotic. You are asking us to compare apples & organges. ...Read moreSee 1 more doctor answer
Yes, a tricyclic: Tofranil/imipramine is a tricyclic antidepressant that commonly causes dry mouth, sleepiness, nausea, upset stomach, constipation. It can also cause blurred vision, dizziness, and have sexual side effects. It is effective for depression and the common side effects tend to go away. ...Read more
(Allegra, ortho tri-cyclen, Cymbalta)-GP prescribed.
(Baclofen, Carb/Levo, & Adderall)-added by Neurologist. Interact. b/w meds to cause hypnic jerks?
Reconciliation: If different doctors all use electronic medical records, and they perform "medication reconciliation" at each visit so that they all know what doctor prescribed which medication, likelihood is high that the systems alerts of any potential problems with the medications. The Affordable Care Act (=Obamacare) mandates medication reconciliation. ...Read more
Antidepressants: Antidepressant medications are used to treat a variety of conditions, including depression and other mental/mood disorders. These medications can help prevent suicidal thoughts/attempts and provide other important benefits. However, studies have shown that a small number of people (especially people younger than 25) who take antidepressants for any condition may experience worsening depression ...Read more
Does flexeril (cyclobenzaprine hcl) have antidepressant properties since they are similar to tricyclic antidepressants?
No, mostly.: But that's because it's a really new drug, so it's not prescribed "often" for anything! It IS an antidepressant, and all antidepressants are also used as antianxiety meds. This is because depression and anxiety are often considered to be flip sides of the same coin within psychiatry. If you are not comfortable with idea of the med, talk to your doc. Otherwise, maybe try it and see how it goes? ...Read moreSee 1 more doctor answer