Doctor insights on:
Post Partum Depression And Paxil
Severity, timing: Postpartum depression usually occurs within a year of delivery and is potentially more severe and dangerous than major depression. Although there are often mild symptoms of depression after most births, PPD is more severe, a medical emergency. If you have a history of depression or bipolar it's vital to meet with your doctor throughout your pregnancy to plan a strategy to address this pre-delivery. ...Read moreSee 1 more doctor answer
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
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
See Below: Baby blues are transient, relatively mild with onset several days after delivery and lasting about 3-4 wks. Sx resolve as hormone levels stabilize and routine with the baby is established. Postpartum depression significantly impairs functioning, onset might be delayed for up to a year. Even if hormones are stabilized and routine is there, sx do not resolve, worsen and functioning deteriorates. ...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
Can someone taking 150mg wellbutrin (bupropion) for post partum depression also take nortriptyline for fibromyalgia ?
Yes: But realize there is a slight increase in the risk of seizures. I don' t know your nortriptyline dose, but i would make sure a blood level is checked several weeks after the wellbutrin (bupropion) is added in to make sure you don't have excessively high levels. Best wishes to you. ...Read moreSee 1 more doctor answer
Separation anxiety: occurs when someone has emotional symptoms when not in the presence of a person he/she is bonded too. This often is the case w/a child going to school for the first time or a little child when a parent goes out of the room or house. In adults it is called "co-dependence." Postpartum depression can occur after childbirth when the mother has a temporary hormonal imbalance. Peace and good health. ...Read more
I quit Prozac (fluoxetine) after 10yrs. Suicidal ideation, depression, and insomnia decreased post-prozac but anxiety increased. How can I treat anxiety now?
Other treatements: There are two different approaches to treating anxiety, even after 10 years. Psychotherapy is a very effective option. Sticking with medication, there are other medications besides Prozac that treat anxiety and depression. A different ssri, such as zoloft (sertraline) or Celexa is an option, as well as choosing a medication from a completely different class, such as remeron. ...Read more
I feel fatigue and muscle weakness.Mood is ok but doc prescribed prozac (fluoxetine).Had weaned off Prozac (fluoxetine) a yr ago after treating depression and OCD type anxiety?
Needs evaluation: Cant say from the info provided that your past problems are your current problems, though you may have a preoccupation with illness until you are proven to be well your complaints should be taken seriously and worked up by a doctor. ...Read more
Anxiety disorder worsened during pregnancy. I am post partum and back on paxil, (paroxetine) clonazepam .05mg 2x daily. 20 yrs on rx. Anxiety still bad- advice?
Psychotherapy: Medication alone is not optimal treatment for anxiety. See a psychologist for psychotherapy (ongoing, at least weekly) to understand and address the cause(s) of your anxiety (not just the symptom). With good psychotherapy, you may need less medication or none at all. Sometimes talk is the best medicine. ...Read more
If Lexapro helped me with my social anxiety and depression, could Paxil (paroxetine) help me more?
Possibly: Lexapro and Paxil (paroxetine) are both effective for depression and anxiety. Some people do not tolerate side effects of one or another. Others don't respond to adequate trial of maximum doses. Then a switch is indicated. Before switching, your doctor should adjust the dose for a while to check for better effect and diminished side effects. ...Read moreSee 2 more doctor answers
Previously been on Effexor (venlafaxine) XR for anxiety and depression which helped. Now depressed grieving mothers death etc. Started Prozac (day 2) no symptoms drive :(?
Prozac & Effexor (venlafaxine): Prozac & Effexor (venlafaxine) are both antidepressants, but work a little differently. Also if only on day 2 of Prozac it's too early to know if it will help your depression symptoms. Neither will eliminate grief, but psychotherapy can help you work through it. If Effexor (venlafaxine) helped before, most doctors would consider re-starting it rather than going to something else. Please talk with your doctor. ...Read moreSee 1 more doctor answer
I suffer from anxiety and depresion. Can i take Zoloft and pristiq (desvenlafaxine) along with xanax..
I'm old fashioned: I have a feeling that more and more people are self diagnosing and selecting the drugs the want to take. I'm almost always against this idea. Helping your doctor make these decisions is fine - even important - but i think it should be their responsibility. Please discuss this with the doctor and work together. ...Read more
Slowly decreasing off zoloft (sertraline) for anxiety. Can a withdrawal symptom be depression? Tired and very unmotivated lately.
Zoloft (sertraline) Dose: I hope that your physician is supervising your Zoloft (sertraline) dose reduction because if you have been on it for any length of time, the titration to zero needs to be medically supervised so that you do not experience serotonin syndrome. Also, was any thought given to what antidepressant will replace the Zoloft (sertraline) once you are completely off of it? It sounds like you need an alternative antidepressant. ...Read more
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