Doctor insights on:
Medicine For Antidepressant Overdose
Depends: There are many types of antidepressants. Tricyclics cause tachycardia, shaking, seizures, coma, death. Serotonin inhibitors ie fluoxetine causes few problem including lethargy, but can cause hallucinations, GI symptoms. Overdoses are a serious clue to severe depression and thoughts of suicide and are reasons to strongly advise immediate hospitalization. There are few antidotes. ...Read more
Depends: Depends on the antidepressant and what clinical symptoms the overdose has caused. Antidepressant overdoses can result in serotonin syndrome, which is usually treated "supportively, " i.e.Cooling blankets, hydration, monitoring of heart and renal function. Sometimes the antiserotonergic drug Cyproheptadine is prescribed. Beta-blockers and benzodiazpeines are sometimes used to treat symptoms. ...Read more
No: The approach to this serious situation remains the same. ...Read more
Should I go to the ER for a possible antidepressant overdose, or can my regular doctor take care of it?
Without specific information, go to er asap via ambulance. Yes, this sounds dramatic, but-it is the safest way for you to be cared
for in this instance. Have a friend or you call 911 -- poison control.
They will direct you to the best treatment. Please take the bottle of
pills with you and any any oher meds you are taking, including over the counter meds to the er. Good luck take care. ...Read more
No matter what antidepressant I am put on they don't agree with me. I suffer with mild anxiety. Why does this happen. And what drug is best, thanks?
I am deeply depressed. I have been on antidepressants and antianxiety drugs for 15 years. I am not functioning well. I am worried I won't feel better.
Deep depression: 15 years is a long time, and hopefully your medications are helping at least some. Hopefully also you're working with a psychiatrist, and are in talk therapy. Therapy can help you see things with other-than-depressed perceptions. Also, there are ways to augment the effectiveness of antidepressants -- plus additional treatments as well. Talk w/your doctor; I wish you healing and peace. ...Read more
Which antidepressant: Be more specific. Paxil, Prozac, celexa, lexapro, etc are SSRI and increase serotonin. SNRI like cymbalta, Effexor, (venlafaxine) etc increase both serotonin and norepinephrine. Wellbutrin increases dopamine levels. Older antidepressants like amitriptyline, etc increase just norepinephrine. Mirtazepine has a more complex mechanism. There are some I have not mentioned but those are the main mechanisms ...Read more
You can usually: Count back by the number of pills left in the bottle compared to # prescribed to figure out if you missed one or not. ...Read more
Is it safe to start antidepressant medicine right the next day of using St. John's wort 900 mg? Or should I gradually lower St. John's & then start?
Your doctor knows?: So, your doctor who is prescribing the antidepressant knows about the St. John's wort and told you to do what? If your doctor does not know, it is not too late to tell him or her. You may be surprised but this is important information to share with your doctor. Your doctor should be able to guide you with regards to how best to stop St. John's wort. Please work with your doctor. ...Read more
UDS: Uds tests for illicit substances.Get a more detailed answer ›
Therapy: Therapy can help you learn the skills to see things differently, appreciate what you have, talents, qualities et. C and value yourself more. The total package should help you feel better about yourself and make you feel happier. Good luck. ...Read more
Tell doctors stop prescribing filthy antidepressants. They are destroying peoples lives. All they are are licensed drug dealers.
Opinion: I am sorry you feel this way. It would be very fascinating to know your experiences which compelled you to make this statement. Just contrary to your belief, millions lives, with depression, have been uplifted. Interestingly you are taking diazepam and lexapro, (escitalopram) prescribed by your doctor or psychiatrist. Please talk to your psychiatrist about these negative feelings. Thank you. ...Read more
I'm afraid to take antidepressants but I get nervous a lot. Why can't I take xanax (alprazolam) as needed wouldn't that be safer than an every day drug?
Antidepressants Hx: Researchers discovered the first antidepressant purely by chance in the 1950's. The drug was iproniazid which was being used to treat tuberculosis, where one of its side-effects was elevation of mood. After that, a professor in switzerland was treating schizophrenics with Imipramine & found that it relieves depression. ...Read more
They can: While not well studied for this purpose, antidepressant medications can help improve mood and frustration tolerance, making drug withdrawal less unpleasant. A number of antidepressants are also antianxiety medications and can help improve those symptoms that can happen during withdrawal. ...Read more
That depends on: The antidepressant class. Overdoses on some classes can lead to death. ...Read more
Trazadone: People react differently to medication. Some people need more medication than others to treat symptoms. Trazadone comes in multiple strengths. Typical starting doses range from 50-150 mg daily. Often therapeutic range is 400-600mg daily in divided doses. There is also an extended release version with a maximum typical dose of 375mg daily. Know which kind you take and talk to your Dr. ...Read more
Under what circumstances is agomelatine prescribed rather than conventional ssri antidepressant drugs?
Only if others fail: I had to research this question as agomelatine is not approved in the United States. It appears that the data for this medicine is all over the place. There is some question how effective it truly is. It appears it is mainly prescribed in individuals who have failed or cannot take other anti-depressants. It does work differently from ssris. ...Read more
What is the general consensus of using antidepressants for pain medicine and what would be the best choice?
Can be a good choice: Cymbalta (duloxetine) is approved for treating pain and it is also an effective anti-depressant. The pain pathways are intimately entwined with the emotional centers of the brain and seratonin is a neurotransmitter involved in both mood and pain. Your symptoms besides just pain will determine which anti-depressant the doctor picks. ...Read more
Is there any drug can re-back my liveliness? Because antidepressants drugs cause laziness, tiredness, or fatigue.
Tired: Drugs are not the only way to treat something. Please think holistically. Please see your doc. He/she MAY do a male hormone panel on you. Perhaps there is an imbalance. Also, consider seeing a mental health pro such as a clinical psychologist for diagnosis and treatment. How is your exercise level and diet? Peace and good health. ...Read more
Stimulants taken as directed by a physician can cause mood disorders but not likely to cause serious mental health problems.
Antidepressants, especially serotonin reuptake inhibitors have been found in a minority of patients to cause unusual behavior, at times requiring hospitalization if the relationship with SSRIs are not thought about as the cause. ...Read more
Depends: Most typical urine drug screens don't test for antidepressants, particularly those done in workplace settings. But in many emergency room setting, urine screens often test for the "older" antidepressants known as tricyclics (think of amitriptyline, nortriptyline and imipramine). ...Read more