Doctor insights on:
Sleep Inducer Anti Anxiety Agent
YES/NO: Medications that treat anxiety are many and not limited to what is referred to as "antianxiety meds" which usually are benzodiazepines , for those , they do relax smooth muscles and may drop blood pressure, it is not a clinically significant common side effect that we see frequently in anxiety clinic. Good luck and feel better. ...Read more
Any medicine that makes a person less troubled by anxiety is "anxiolytic" ("lysis" is literally a loosening). The term is traditionally used for medicines but perhaps insight / behavioral treatments for anxiety or intervening in a crazy life situation (one of a physician's most helpful procedures) ...Read more
Which is a better anti depressant drug to treat panic attacks, anxiety and depression. Lexapro (escitalopram) or zoloft?
Both Potentially: Lexapro (escitalopram) and zoloft are similar medications and have both been shown to be helpful for panic, anxiety, and depression. There is probably a decreased percentage of side effects with lexapro (escitalopram), (escitalopram) so it might be preferable for that reason. However, plenty of people do well with either medicine, and I have had some patients do well with zoloft after not getting benefit with lexapro (escitalopram). ...Read moreSee 3 more doctor answers
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
Some doctors do: Some doctors do mix two - some even more. I shouldn't second guess them, but i'd be curious to understand specifically what they are looking for by doing that. In any case, it would not be up to you to decide to do it or what to pick. You could disagree and either convince them or change doctors. Making those decisions is what the doctors are responsible for. You help with honesty and cooperation. ...Read moreSee 1 more doctor answer
Rxd topamax, xanax, abilify (aripiprazole). Topa induces 3a4. I love white grapefruit juice, which inhibits 3a4. Is this an unsafe combo esp with the topamax..?
Confusing: Topomax is a weak inducer of cyp 3a4, and maybe c19. Your biggest issue here is the grapefruit juice, which inhibits 3a4 quite significantly. This could increase the effects of both xanax and abilify (aripiprazole). Either you need to stop the grapefruit juice or drink it at a constant level. Please inform your prescribing psychiatrist about this. ...Read more
For some, yes: A frequent answer to questions on the Internet, and one which I think applies here, is "YMMV" ("your mileage may vary"). As with many medicines, which are helpful for some and not helpful for others, it often comes down to a "therapeutic trial" to see how it might help, and also to see what kind of side effects it might cause. Melatonin, similar in action to Rozerem, (ramelteon) might be worth a try. ...Read moreSee 1 more doctor answer
For me, pregnenolone = a powerful mood stabilizer, antidepressant, anxiolytic & sensory sensitivity reducer. What could this mean? Adrenal issue?
Intriguing: There are some early research studies that suggest that pregnenalone may indeed do what you're describing. It's too early to consider it a psychiatric drug for anxiety and mood disorders. But who knows what the next year or two might uncover. (to prove absolutely that it is not an adrenal issue will require some blood work ordered by your doc. ...Read more
Topamax = 3a4 inducer. Augments gaba. Xanax & Abilify (aripiprazole) are substrates. Potential reaction? Wondering about topa + seroquel, too. Titrating from sero.
Combo: No significant adverse interaction other than sedation, as long as doses are therapeutic & monitored. ...Read more
What's better for anxiety-induced insomnia (mind racing at night) - ssri's or benzodiazepines? Or other? Which class is addicting and least addicting?
Both can be used: Ssris are used for the long term management of anxiety and panic attacks and the benzodiazepines are used for immediate, short acting relief of insomnia, panic attacks and the general discomfort that anxiety creates. Ssris are not addictive. The benzodiazepines, xanax, (alprazolam) ativan, klonopin, valium and others, have potential for addiction. Used in combination with ssris and only as needed, are safe. ...Read moreSee 1 more doctor answer
Which antidepressant, other than remeron, (mirtazapine) will help control daily nausea, anxiety, sleep disturbances, digestive issues, lack of appetite.
Everyone's different: If there was one perfect antidepressant for everybody, there would only need to be one on the market. The fact that there are many different ones means that everyone is different. It may take a while to find just the right medicine for you. Hang in there. It will be worth the wait. ...Read moreSee 1 more doctor answer
Certain ones: In my practice and with my patients with various anxiety disorders, i often find the tricyclic antidepressant nortriptyline to be quite beneficial. Some doctors who did not receive their training until the 90s, may not feel comfortable prescribing some of the older medications. ...Read moreSee 1 more doctor answer
Amitriptyline: Tryptizol is an international brand name for amitriptyline marketed in Egypt and Lebanon. Amitriptyline is a tricyclic antidepressant that may be helpful for anxiety disorders. However, there are safer meds, more widely used for anxiety, eg., SSRI serotonin - boosting, today. See: http://www.drugs.com/international/tryptizol.html ...Read more
Not usually: In fact, some of the anti-anxiety agents such as Ativan might help with nausea problem. Another drug that is helpful is zyprexa (olanzapine). The only concern is that some drugs might interfere with the breakdown of some chemotherapy drugs. Your oncologist should be able to review your meds for interaction with treatment. Even tamoxifen can have interactions with antidepressants. ...Read more
Many options: No single anti-anxiety medication is considered universally superior to the others. Ssri/snri classes of medications are considered among the best/first line treatment for anxiety disorders. Benefit by biological relatives can be a basis to go with one medication over another. Psychotherapy in combination with medication treatment generally yields the best outcome. See your doctor and good luck! ...Read more
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