Doctor insights on:
Same Vs Ssri
Antidepressants: Ssri such as prozac, Lexapro affects serotonin in brain, maoi such as Nardil block breakdown of amines, snri such as Effexor (venlafaxine) affects serotonin and norepinephrine, tca such as tofranil are tricyclic antidepressants and teca such as Remeron are tetracyclic antidepressants. ...Read more
Whats the difference between paxil, (paroxetine) Prozac and lexapro? Do they do the same thing? Different side effects? Ones better vs others?
Complicated question: There are quite a few differences between the SSRI's - however - the best drug (most especially in psych) is the one that works best for you. The response rate to any psych drug is very subjective and really varies from person to person. Wish I had a better answer for you / but talk to your doctor about what your concerns are and craft a treatment plan together. Hope that helps! ...Read more
SSRI's vs Tricyclics: The ssri's focus on blocking serotonin reuptake, and the tricyclics are non-selective in their receptor activity. Histamine blockade and others in tca's causes more sedation; there can also be postural hypotension with tca's. Ssri's may be safer in overdose, less likely to cause arrhythmia -- could be important in patients w/heart disease. Ssri's have their own side effect profile though. ...Read moreSee 1 more doctor answer
Which of these is most effetive> Oxycontin vs. fentanyl patches vs. methadone vs. nucynta (tapentadol)?
An impossible ?: All opioid drugs, when given in equivalent doses, are equally effective in most people. Some may be more effective in some people for some kinds of pain, and some may be better tolerated than others in some people. Depends on the kind of pain, the dose given, and the specific biology of the person. Methadone and Nucynta (tapentadol) may be more effective against neuropathy pain than the others in some people. ...Read more
Ok so is there any difference in the generic version of Lexapro (escitalopram) form different suppliers? Milan or teva?
What is the difference between ssri's and snri's? Is remeron (mirtazapine) considered either of these?
SSRI vs SNRI: Remeron (mirtazapine) is a noradrenergic and specific serotonergic antidepressant nassa. An ssri is a selective serotonin reuptake inhibitor and an snri is a serotonin and norepinephrine reuptake inhibitor. The difference is that the latter increases both serotonin and norepinephrine in the synaptic clefts of the mood regulating limbic system while an ssri only increases serotonin. Best wishes and happy thanksgiving. ...Read more
Effexor (venlafaxine): Not really. Generic is cheaper.Get a more detailed answer ›
Neurotransmitters: Tricyclic antidepressants are probably the most effective antidepressants we have. They affect a number of neurotransmitters and multiple circuits in the brain, alleviating depression, anxiety, migraines, and various pain syndromes. The down side to them is side effects and potential for stopping the heart in overdose. The serotonin-norepinephrine antidepressants are much safer. ...Read more
Is there difference between Doxazosin & Prazosin?Doxa is 1x/day, I'd like to switch to Doxa but want same effect for PTSD, Vasodilation, anxiety, etc
Here are some ...: From reviewing numerous records of PTSD patients over the years, I have noticed Prazosin has been used to help effectively control PTSD-related symptoms. So, if there is not particular reason, stick with Prozosin, although both are in the same group as alpha-blockers for dilating smooth muscles of vessels, bladder neck, prostate urethra, vasa deferens, distal ureters... Talk with Doc for detail. ...Read more
Antidepressants: SSRIs increase serotonin by inhibiting the re uptake of serotonin into the neurons. MAOIs increase serotonin by preventing the serotonin from being metabolized/destroyed. TCAs also inhibit the re uptake of serotonin but most also inhibit the re uptake of norepinephrine as well. They each have different side effects which can affect your ability to tolerate taking them. ...Read more
Different: But they are the same in that they are different emotional states. Anxiety involves a lot of worrying about the future, and physical sensations like tension depression involves a low mood, shutting down of feelings. One can often alternate between these two emotional states as well. It's most important to recognize when these states are impacting you and to seek professional support. ...Read more
Rings: The designation refers to the chemical structure. Monocyclic antidepressants, such as bupropion or fluvoxamine, have a molecular structure with only one ring of atoms whereas tricyclic antidepressants, such as Imipramine and desipramine, have three rings of atoms in their structure. ...Read more
What chemical properties and mechanisms of action make Prozac (fluoxetine) more "stimulating" than other anti-depressant drugs in the same class?
Serotonin 2C: The agonist activity of fluoxetine at 5ht2c receptors likely explains some of the positive and negative stimulating aspects of treatment with fluoxetine in terms of appetite, activation and anxiety etc. However everyone is different and "your results may vary ". Fluoxetine is not "stimulating" for everyone. ...Read more
They are all equal: In their side effects and safety, in equivalent doses, for the most part. Temazepam (restoril) is used as a sleeping pill, but is essentially identical to Oxazepam (serax). It is relatively short-acting, takes a couple of hours to peak, and is gone within 6 hours. It does not accumulate in people with liver problems. Too much can cause problems, and regular use can cause dependence, like all benzos. ...Read more