Doctor insights on:
Do any of these drug combinations work? Prozac abilify, (aripiprazole) Prozac zyprexa, wellbutrin zyprexa, for schizophrenia.
Phentermine is been around for about 60 years. Phentermine is an appetite suppressant the bariatrician in the winter of 2008. Has a article gives a great description of the medication phentermine. I have used Phentermine over the last nine years without any complications whatsoever. We only give a half of a 37.5 mg ...Read more
Bipolar(controlled -lamictal, carbamazepine), anxiety-semi-under control (lorazepam, temazepam, cymbalta) and ADD problematic- considering Vyvanse (lisdexamfetamine) ?
So much medication: It might be necessary to take some drugs but I question the risks already and adding the new one is especially bad w/ cymbalta (duloxetine). It can cause severe anxiety! Also serotonin syndrome. Almost all of your meds combine to cause a host of symptoms like dizziness, confusion and general impairment. Please consider a good psych eval and adding good psychotherapy to lower need for Rx and help them work! ...Read more
Which is better for borderline personality disorder n mood swings?Prozac, topamax, paxil, effexor, (venlafaxine) lexaproor wellbutrin?
Possibly: Phentermine is a stimulant medications to help with appetite, it can alter mood, and for some people that could be addicting. Signs that it is being abused would be taking more than prescribed, using it for unintented purposes, causing impairment with relationships, work etc. Some people may be on Phentermine for a relitively long period of time for obesity, that alone may not be addiction. ...Read moreSee 1 more doctor answer
Useful: Studies show SSRI's such as Celexa (citalopram) and Zoloft (sertraline) are effective with 70% of OCD patients. Venlafaxine (a SNRI) has been found to help in some cases of nonresponse to SSRIs. When possible, a combination of medication and effective psychological treatment is desirable. However, pharmacological treatment is often more accessible and is a cost efficient approach. ...Read more
Paxil (paroxetine): Quite effective, if dosed right & is tolerated at higher dose. ...Read more
It's effective: Studies indicate SSRIs including sertraline, fluoxetine (Prozac), citalopram (Celexa) and paroxetine (Paxil) can reduce OCD symptoms by 40-60%. SSRIs may also be used in combination with two empirically validated psychotherapies, Exposure plus Response Prevention and Cognitive Therapy. Ask your doctor for more information about your options. ...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
OCD and ADHD may: occur together or be mistaken for the other. Ritalin (methylphenidate) may worsen OCD symptoms. SSRIs (fluoxetine, sertraline) help OCD but may not be enough and one study suggests that adding Topamax (topiramate) may help 60-70% of individuals. Cognitive Behavior Therapy (CBT) is the only scientifically-supported behavioral treatment for OCD. Skilled evaluation and treatment is necessary for OCD. Best regards. ...Read more
Possibly: Zoloft (sertraline) can be used to treat ocd. 50-200 mgs daily is the recommended dosing. Some may require more. Can take up to 12 weeks to see the full effect. Always discuss dosing with the prescribing phsyician and remember cbt for OCD is extremely helpful alone or in combination with medications such as zoloft (sertraline). ...Read moreSee 1 more doctor answer
Lexapro (escitalopram): At therapeutic dose, yes.Get a more detailed answer ›
Is Adderall (dextroamphetamine and racemic amphetamine) the cure for social anxiety/avoidant personality disorder?
No, not, nein, : Adderall (dextroamphetamine and racemic amphetamine) is a treatment for add/adhd. Social anxiety/ avoidant personality disorder would be best addressed through psychotherapy. Cognitive behavioral therapy may be effective. If medication were to be considered for anxiety, it would more likely be a ssri - not adderall (dextroamphetamine and racemic amphetamine). ...Read more
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
27y/o f narcolepsy/sle/anxiety/add benzodiazepines paradoxically increase anxiety any suggestions for nonbenzo anxiolytic? Pt takes Adderall (dextroamphetamine and racemic amphetamine) and apri.
Tough question: Switch to another psychostimulant or reduce the dose to start. Sometimes selective beta blockers can be added (naldolol, metoprolol). Low dose trazadone can be added (low antichiolinergic profile) it has some anxiolyt. I suggest making only one change at a time if possible. Buspar (buspirone) can be tried but BP has to be watched. I'm assuming the diagnosis of narcolepsy and add have been carefully worked up. ...Read moreSee 1 more doctor answer