Doctor insights on:
Nortriptyline For Depression
Bipolar II and anxiety disorders. Take klonopin for the anxiety, Neurontin (gabapentin) for mood stability. Recommendation for antidepressants for the depression?
Your doctor: is the best person to answer this question. The answer requires detailed knowledge of your situation, no two are alike, and your struggles with depression. The medications you are taking may, over time, work on your depression as well as your other symptoms. Ask at your next visit or schedule one. If at any time you feel you may harm yourself, have any thoughts of suicide, go right to ER ...Read more
Depression is a mood disorder that can affect behavior and emotions. Symptoms of depression include feeling down most of the time, losing interest in previously enjoyable activities, increase or decrease in appetite or weight, sleeping more or less, becoming easily agitated or lethargic, feeling worthless, feeling guilty, having difficulty concentrating, thinking more about death and dying. Depression can sometimes result in suicidal thoughts and plans. In this case, emergent ...Read more
Reasonable combo: Cymbalta (duloxetine) is a SNRI for depression, anxiety and pain and Risperdal is a med that helps with agitation, paranoia. A low dose of Risperdal added to antidepressants can boost the antidepressant effects esp as it helps anxiety/agitation. Additional side effects are possible but can be monitored by prescriber. All patients on these meds should be regularly monitored. ...Read moreSee 1 more doctor answer
Fibromyalgia: Dear butterfly78765, nortriptyline is an older tricyclic antidepressants which has cardiac and anticholinergic side effects. It would be best to optimize one medication, either one would be fine, Cymbalta (duloxetine) would be preferred due to lesser side effects, major one being 10% patients can get high blood pressure. The answer is purely for educational purposes, please contact your md. ...Read moreSee 1 more doctor answer
Can be taken: Together. No issues with this combination!Get a more detailed answer ›
Hard to say....: Neither one is actually "better". What matters is simply how you tolerate each one and which one works better for you. That's all. ...Read more
Take Klonopin (clonazepam) for anxiety and sleep,Fetzima for depression,what's an alternative for Klonopin (clonazepam) that I can use,take1mg 1am,1noon,2 bed?
Many alternatives: There are many alternatives, but it depends on why you're looking for an alternative. Is Klonopin (clonazepam) not working? Perhaps the dose in wrong. Are you looking to get off of benzodiazepines (the drug class that Klonopin (clonazepam) is in) altogether? If so, then your doctor should slowly titrate you off the medication (10-25% weekly or biweekly, depending on how long you've been taking) while initiating another med ...Read more
Possibly fine: Remeron, (mirtazapine) aka generic mirtazepine, is often used for depression, anxiety, and to increase the appetite. It seems to be well tolerated in elderly people with dementia. It causes sedation, so its taken at nite. Klonopin aka generic clonazepam. This is used for anxiety, panic attacks,and restless leg syndrome. It is long acting, causes sedation and can worsen balance, so I'd suggest caution with it. ...Read more
Can someone taking 150mg wellbutrin (bupropion) for post partum depression also take nortriptyline for fibromyalgia ?
Yes: The two meds are compatible.Get a more detailed answer ›
Which is better for borderline personality disorder n mood swings?Prozac, topamax, paxil, effexor, (venlafaxine) lexaproor wellbutrin?
Discuss w/ OBGYN,etc: Less is best if you are breastfeeding and if one works it may be better than a mix, but ask your pediatrician and OBGYN and psychiatrist if you have one. Please consider good psychotherapy since it's a big help to make these months easier - new mother support is very important! It might even make drugs less needed. Best wishes! ...Read more
Not by itself: Risperdal is an antipsychotic medication, usually used for people with hallucinations, delusions, paranoia, thought disorder, etc. When someone's depression has psychotic features like these, medications like Risperdal can be added to an antidepressant. In some cases, it can also be used to "augment" antidepressant treatment in non-psychotic depression with anxiety -- but usually not by itself. ...Read more
Clonazepam: Not for daily use. Absolutely not. This is setting you up for a lifetime of being medicated. Neither of these drugs are curing a problem. The underlying problem needs to be solved. ...Read more
It is possible but..: Yes they both work in the body differently so in some cases it can be a good combination with Luvox (fluvoxamine) being effective for ocd and depression and Wellbutrin being an antidepressant that works differently than the Luvox (fluvoxamine). However, they both can cause side effects and it is possible that in some cases they could magnify each others side effects. So you need to go slowly with the guidance of your doctor ...Read more
Classified as a tricyclic antidepressant, and considered of modest benefit these days due to significant anti-cholinergic side effects (drowsiness, dizziness, dryness of mouth, blurring, and perhaps effect on bladder). Confusion may occur in older folks. Had some value in migraine prevention at one point. Used rarely these days as ...Read more
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