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Doctor insights on: Pristiq Vs Lexapro For Anxiety

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Feeling fearful, feeling suicidal, Pysch has changed medication from Pristiq (desvenlafaxine) to Seraquol & Lexapro, what changes, if any, am I too expect please?

Feeling fearful, feeling suicidal, Pysch has changed medication from Pristiq (desvenlafaxine) to Seraquol & Lexapro, what changes, if any, am I too expect please?

Expect to be helped: Those medicines are prescribed to help serious depression and anxiety. They are often successful. However, there are issues of attaining a useful daily dose for an adequate length of time. Presumably the possible -- not "expectable" -- side effects have been addressed by the doctor prescribing them. ...Read more

Dr. Heidi Fowler
3,299 Doctors shared insights

Anxiety (Definition)

Anxiety is a general term for several disorders that cause nervousness, fear, apprehension, and worrying. These disorders affect how we feel and behave, and they can manifest real physical symptoms. Mild anxiety is vague and unsettling, while severe anxiety can be extremely debilitating, having a serious ...Read more


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What is the best medicine for OCD. We have tried Zoloft, lexapro, wellbutrin, prozac. Side effects bad or did not work. Does Pristiq (desvenlafaxine) work for OCD?

What is the best medicine for OCD. We have tried Zoloft, lexapro, wellbutrin, prozac. Side effects bad or did not work. Does Pristiq (desvenlafaxine) work for OCD?

SSRI's failed: So one SSRI may work when another does not. Keep trying. There is a new one called Brintillex which has much greater effectiveness in the reported studies.
Also a Selegeline patch may prove effective. ...Read more

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Have tried pristiq, (desvenlafaxine) wellbutrin, paxil, celexa, effexor, lexapro, etc. With lithium, haliperidol &abilify. A couple improve mood. Still anxious! Thoughts?

Have tried pristiq, (desvenlafaxine) wellbutrin, paxil, celexa, effexor, lexapro, etc. With lithium, haliperidol &abilify. A couple improve mood. Still anxious! Thoughts?

Many meds: You've tried many meds already, although there are some you haven't mentioned that often help anxiety: buspirone, beta-blockers, other mood stabilizers besides lithium, etc. But after a person has tried so many medications and still has symptoms, i'd suggest non-medication approaches: psychotherapy, mindfulness, relaxation training, exercise/yoga, etc. ...Read more

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I tried celexa, effexor, cymbalta, pristiq, (desvenlafaxine) lexapro, zoloft, wellbutrin, which barely helped. What else could I try? How do u feel about paxil?

I tried celexa, effexor, cymbalta, pristiq, (desvenlafaxine) lexapro, zoloft, wellbutrin, which barely helped. What else could I try? How do u feel about paxil?

Agree w/Dr. Buggie: I agree with dr. Buggie about the need for psychiatric evaluation and ongoing treatment. Wellbutrin does not help with anxiety. Paxil (paroxetine) is a reasonable choice, but whether it's right for you I cannot say. You're also on Adderall xr, which can exacerbate anxiety in some. Psychotherapy is an important part of treatment for anxiety also -- but you didn't mention pursuing that. ...Read more

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Severe depression. What can I do? I just want to feel good again. (inside that is). I suffer chronic back pain from inneffective surgeries and have t-cell lymphoma. I have tried antidepressants (zoloft, paxil, Lexapro and pristiq).None of these have helped. Can

Severe depression. What can I do? I just want to feel good again. (inside that is). I suffer chronic back pain from inneffective surgeries and have t-cell lymphoma. I have tried antidepressants (zoloft, paxil, Lexapro and pristiq).None of these have helped. Can

A: A combination of cognitive behavioral therapy and anti depressants is an effective treatment strategy. There are other anti depressants with a different mechanism of action that could be tried- eg: tricyclic anti depressants (nortriptyline), mirtazapine, MAO inhibitors. The treatment could also be augmented with medications in the class of Abilify (aripiprazole), seroquel etc. If nothing else works, electroconvulsive therapy is a safe and effective treatment option. Please talk to your psychiatrist and hope you get well soon. ...Read more

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Can you take Lexapro (escitalopram) and pristiqe together an ween off lexapro (escitalopram)?

Can you take Lexapro (escitalopram) and pristiqe together an ween off lexapro (escitalopram)?

Switching meds: Yes they can be taken together when cross tapering but you have to watch for possible rare phenomenon called serotonin syndrome.You need to discuss with you health care professional if you have concerns. ...Read more

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Is 30mg Lexapro (escitalopram) ok for anxiety?

Is 30mg Lexapro (escitalopram) ok for anxiety?

Depends on patient: Doses of 20 to 80 mg are usually prescribed for anxiety and or depression. ...Read more

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Can lowering Lexapro (escitalopram) dose cause anxiety?

Possibly: Lexapro (escitalopram) affects serotonin, a neurotransmitter in the brain that modulates mood as well as anxiety. Lowering the dose of Lexapro (escitalopram) could increase anxiety, especially if it was done too quickly. Please discuss this with your prescribing physician. ...Read more

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Will anxiety go away if I cut down lexapro (escitalopram)?

Will anxiety go away if I cut down lexapro (escitalopram)?

Tapering down: If you and feeling worse, you may not be ready to reduce your dose yet. Please discuss this with your physician before you reduce your dose further. ...Read more

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Pristiq (desvenlafaxine) not working for anxiety, what to do?

Pristiq (desvenlafaxine) not working for anxiety, what to do?

Desvenlafaxine: Does not have an FDA indication for anxeity at this time. However, that does not mean that it can't be used off-label to treat anxiety. Don't know how long you have been on it - as results don't usually occur right away. Please let your doctor know this important information. ...Read more

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Is Lexapro (escitalopram) a good medicine for anxiety. Thanks?

Sometimes: It is an SSRI so should help with social anxiety panic attacks OCD possibly PTSD ...Read more

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Got prescribed lexapro (escitalopram). Will this help with my anxiety?

Got prescribed lexapro (escitalopram). Will this help with my anxiety?

Can Lexapro (escitalopram) help: With anxiety? Yes. If it does not help within 2 weeks tell the prescribing physician. ...Read more

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How much time does it take for 5 mg of Lexapro (escitalopram) to work for anxiety?

3 to 5 weeks: This is a fairly low starting dose so if not feeling any better after three weeks tell your doctor. Your dose may need to change ...Read more

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How much time does it take for 5 mg of Lexapro (escitalopram) to start working for anxiety?

4-6 wks: Will take 4-6 weeks to reach full effectiveness. At that time, the dose will have to be re-evaluated, maybe increased ...Read more

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If on Lexapro (escitalopram) and anxiety levels starts increasing again, dies the medication need to be adjusted?

Depends: Sometimes starting on an antidepressant or increasing the dose can increase anxiety. If it is not tolerable, call your doctor. Slow down on the dose increases. Tolerate your treatment at every step! If anxiety is gets higher despite treatment with no dose change, call your doctor to address all forms of treatment. Take 1200mg epa + 900-1000mg dha omega3fattyacids daily with -it helps as well. ...Read more

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My Dr took me off Lexapro (escitalopram) and put me on Lcyria for my Anxiety. Is this Med good for Anxiety, Thanks?

My Dr took me off Lexapro (escitalopram) and put me on Lcyria for my Anxiety. Is this Med good for Anxiety, Thanks?

Maybe.: It is not commonly used for anxiety, but there is some general experience that it can be used to reduce anxiety. Work with your doctor to give it a try. ...Read more

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When starting lexapro (escitalopram) and experiencing heightened anxiety, how long should it take for that to subside?

Discuss - Don't stop: Side effects are different for each person. Tell the Dr and work together to find what's best for you. A few weeks are common for initial reactions but ask now. Don't just quit - that's more risky still. Work together on this. Best! ...Read more

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Is it normal for anxiety to increase when upping the dosage of lexapro (escitalopram)? If so, how long could that last?

Is it normal for anxiety to increase when upping the dosage of lexapro (escitalopram)? If so, how long could that last?

Yes: This is a common reaction and the duration should not be too long (perhaps a few weeks at most - hopefully less) but each person is different. If otherwise you are pleased w/ the effects, try to bear it. If it's too bad or too long - ask for alternatives. Don't just stop! Work closely during this stage and consider adding CBT therapy to optimize the benefits! ...Read more

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Just got Lexapro (escitalopram) for anxiety, half a 10mg once a day w/ food, is there a certain time of day I should take it?

Depends: You want to take the medicine at the same time every day. Some people will notice that the medicine makes them sleepy. If this is the case with you then take it at night. If you notice that it makes you more alert then take in the morning. Hope this helps ...Read more

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I have major anxiety but my Lexapro (escitalopram). 5mg doesn't seem to do anything, barely even when I take 5. Is there an alternative?

Experiment: A 5mg dose of Lexapro (escitalopram) is a starting dose. If you have given it at least 1-2 weeks, call your fp and let them know that you may need more milligrams. A 10mg dose would be a standard dose, with a possible 20mg maximum next month. If you anxiety is truly "major, " then you might also discuss add-on therapy for break-through panic symptoms. There are alternatives, but give Lexapro (escitalopram) a full try! ...Read more

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Is it normal to have increased anxiety in the first several weeks of taking Lexapro (escitalopram)? It is decreasing slowly in the third week

Possible - not usual: This can occur in some patients because of the mode of action on the arousal neurotransmitter noradrenaline. Since it is decreasing your body is likely adapting and all will likely go well, If symptoms persist discuss with the prescriber ...Read more

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I am currently on 15mg lexapro for a year or so due to anxiety. Will be thinking of tapering down soon. Any advice on pitfalls/ what to what out for?

Taper: 1. Recommend doing this under your doctor's supervision. 2. Taper - don't just stop. 3. If you have a robust rebound in symptoms as you taper - your doctor may instruct you to increase dose back up to last effective dose. Good luck. ...Read more

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4 weeks of 10mg of lexapro, (escitalopram) feeling slightly better, but still have bouts of anxiety, should I wait the full 6 weeks before seeing about increasing?

4 weeks of 10mg of lexapro, (escitalopram) feeling slightly better, but still have bouts of anxiety, should I wait the full 6 weeks before seeing about increasing?

Clinical Decision: One should always discuss any changes in medications with the prescribing physician. Lexapro (escitalopram) is commonly prescribed at 10 or 20mg/day. Most studies show that maximum efficacy occurs by 6 weeks at any given dose. If one is still having symptoms at week 4, it is not unreasonable to increase the dose at that time. One risks overshooting the optimal dose, but that can later be corrected. ...Read more

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Lexapro (escitalopram) almst 3.5 weeks 20 mg & never take it at the same time. Some ups & downs in mood/anxiety but overall doing well. Is same time a day important?

Lexapro (escitalopram) almst 3.5 weeks 20 mg & never take it at the same time. Some ups & downs in mood/anxiety but overall doing well. Is same time a day important?

Probably no effect: If you have taken Lexapro (escitalopram) daily for at least a week, then your blood level has reached what is called steady state & varying the timing on any given day after one week probably will not make a difference. Steady state depends on half-life (among other things), which is roughly 30 hours. This means it takes 30 hours for your body to metabolize half of the Lexapro (escitalopram) dose taken. Hope this helps. ...Read more

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Is it normal after lowering your dose of lexapro (escitalopram) from 10 to 5 mg to have more anxiety while your body adjusts to the new dose? Having waves of anxiety

Lowering dose: Of Lexapro (escitalopram), (escitalopram) which is an antidepressant that also is used to treat anxiety, could cause your anxiety to worsen since you're treating your anxiety less now. Did you lower the Lexapro (escitalopram) because of side effects? If so, maybe you need another medicine. Do you have a psychologist. If not, there are psychologists on HealthTap who would be happy to talk to you. Be well. ...Read more