Doctor insights on:
Prozac Generally Treat Ibs
Fluoxetine (brand prozac) is an antidepressant in the class known as serotonin selective reuptake inhibitors aka ssris. Fda approved in 1987 for the treatment of major depressive disorder. Subsequently approved for obsessive compulsive disorder, bulimia nervosa, panic disorder, and premenstrual dysphoric disorder. Significantly safer and much better ...Read more
Yes - off label.: It is used off- label according to http://www.Emedexpert.Com/facts/citalopram-facts.Shtml : "selective serotonin reuptake inhibitors (ssris) are frequently used in the treatment of irritable bowel syndrome (ibs) although evidence of their efficacy is scarce. Results of the study suggest that citalopram (20-40 mg/day) can significantly improve ibs symptoms. It can improve abdominal pain, bloating, . ...Read more
Individualized: All SSRI's are supposed to be effective. Every individual tolerates one or the other medication differently. What works great for you might not be as effective or tolerable for another. ...Read more
Your ? Is unclear: Celexa (citalopram) shows no evidence of being effective in schizoaffective or bipolar disorder. No antidepressant is approved for either of these conditions on its own. Having said that, I am going to say antidepressant medication is frequently used in these conditions, sometimes successfully, but often not. Given the amount of time that people with these conditions spend in depression, it is not surprising people are often given antidepressants in the hope that they may be one of those lucky people who will respond beneficially to their effects. ...Read more
I wouldn't: Consult a board certified child psychiatrist. No delay. ...Read more
Maybe: 5-htp is available as an over the counter supplement in many countries, and has shown effectiveness in depression. Whether it is clinically useful for OCD is unknown to me. I have prescribed both paxil (paroxetine) and zoloft in the past for OCD, but we now have better medications, so I wouldn't recommend either the supplement or those two medications. I believe the best medical treatment are other drugs. ...Read more
Depends on you: All of the SSRIs are effective in treating OCD, anxiety, and of course, depression. Different people have different results so no one SSRI is better or worse. Whatever works best for you is the best. Remember, though that higher doses are often needed to help with OCD. Also, you need to give these mess time enough to see if,they are helping. Work with your doc to get the best results. ...Read more
Caution: Citalopram can treat depression. The issue is, that -- in patients who have bipolar disorder -- antidepressants like citalopram can increase the risk of switching from a depressed or normal mood to one that is manic. Often a mood stabilizer is added to prevent such a mood switch. So it is important to discuss this issue and how to deal with it in advance with your psychiatrist. ...Read moreSee 2 more doctor answers
How do I take Xanax (alprazolam) 0.25 mg to treat ssri, tca induced initial stage anxiety/ panic treatment?
Danger: You don't. At least not without the specific recommendation and management by an experienced physician. ...Read more
How can a medication like cymbalta (duloxetine) which raises norepinephrine help with anxiety as Cymbalta (duloxetine) is approved for general anxiety at 60 mg.?
Norepinephrine: Norepinephrine is one of the neurotransmitters involved in attention, pain perception, heart rate, activation of the "fight or flight" system, and many others. Cymbalta (duloxetine) is a weak NE reuptake inhibitor ... So, in theory, it keeps more NE from being recycled out of the brain. By keeping more NE, the effects of anxiety on the body are decreased (theoretically). Hope that helps & good luck! ...Read more
What SSRI between Lexapro (escitalopram) and Prozac work better to treat depression, Ocd, and anxiety? Which is known to be a more effective drug with no weight gain
Possibly helpful: Effexor is an SNRI used to treat depression, can be added sometimes. Treatment of schizophrenia today is most often using second-generation antipsychotic medications. There are about a dozen of these, and about a half dozen first-generation antipsychotics. The newer drugs have less side effects, but the older ones are cheaper. Consult with your doctor to determine which may be best for you ...Read moreSee 1 more doctor answer
Is cymbalta (duloxetine) (20 mg) safe and effective for anxiety and nervous stomach? I was/is experiencing IBS like symptoms such as gas/bloating
Cymbalta effects: Cymbalta primarily for treatment of Depression, it is also used for Anxiety. Its side effects can be- nausea abdominal pain, dyspepsia, and flatulence. Discuss with Psychiatrist: •Diagnosis of Anxiety •Severity of symptoms now needing medication •Side effects of Cymbalta •Medications-Ativan, Xanax or Buspar •Therapy for stresses in your life •Breathing Relaxation •Visual Imagery of National Parks ...Read moreSee 1 more doctor answer
It can be: It has been helpful for pain as have other medications in the same class. ...Read more
Digestive enzymes for Ibs constipation? witch type? Contraindication with any of the following? Xanax, Seroquel, Escitalopram, Lamotrigine?
“Plant” source a mix: IBS has many reasons , including but not only , pancreatic problems, brush border dysfunction, inflammation food allergies , aging ,Low stomach acid,stress,; Paleo-style diet helps; side effects Diarrhea, abdominal pain/cramps, or nausea, allergic reaction, severe abdominal discomfort, painful urination, joint pain, May interact with acarbose, miglitol. IN Pregnancy use in caution; ...Read moreSee 1 more doctor answer
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