Doctor insights on:
Alternative option for ssris snris ndris (past) in resistant depression+drowsiness&sedation? I'm discouraged. Thanks for your recent answers
Acupuncture for mdd/panic attacks? Tried everything else: ssris, maois, ect 33 rounds. I believe I am prescription resistant. Thoughts?
Possibly but also...: Sorry to hear of your problems but you have not tried everything else, only conventional rx's. Acupucture may help, but also consider nutrition- based therapies, herbal medicine, homeopathy, eft (see www. Eftuniverse. Com) & neuronetics (see http://www. Neuronetics. Com/). I had a patient with similar problems who found she had celiac disease & was cured by avoiding gluten! see a good holistic md. ...Read more
I recently quit opiates after 6mo use. Could this be why I'm treatment resistant (added anxiety) when startn 1st line meds like ssri/buspar for gad?
Yes, I think so.: So glad you've quit the opiates. Your body will thank you eventually. I know less about the chemical basis for resistance than the psychological. Quitting opiates is emotionally hard. My pain patients are often terrified to even consider it. They get extremely anxious and since it is reality based, it remains even in the face of medications. Try talk therapy (cbt) to manage the anxiety. Best! ...Read more
What happens if a person on ssris develops a comorbid GI prob unrelated to ssri use. Won't the ssris make the GI prob worse?
Coincidence?: In my experience, one of the most common side effects patients complain of is something GI related (nausea, diarrhea, loss of appetite). I also think it's important to avoid thinking about seemingly unrelated symptoms being caused by 2 separate processes. Indeed, it's more likely that the new GI symptoms are actually being caused by the ssri. I'd start by telling your doctor about the new sxs. ...Read more
Antidepressant type: "selective serotonin reuptake inhibitors" are a class of antidepressant medication used in the us since the late 1980s. Common ssris: Prozac (fluoxetine), zoloft (sertraline), Celexa (citalopram), Lexapro (escitalopram), Paxil (paroxetine). Ssris are also used to treat anxiety conditions such as panic disorder ; ocd, as well as sometimes to treat pms symptoms. ...Read more
SSRIs: A serotonin (5ht) specific reuptake inhibitor is a medication that blocks the reuptake of 5ht from the synapse, the area between two nerve cells (axon and dendrite). This leads to changes that would take way more than 400 characters to describe. These meds include prozac, paxil, (paroxetine) celexa, zoloft, Lexapro and luvox. They treat mood and anxiety disorders. ...Read more
Depends on "ED": If you are using ed to mean "erectile dysfunction": the ssri's can cause ed as a side-effect in between 5-50% of men - depending on the agent involved; the ed usually resolves when the ssri is stopped; also, there are meds which can be taken to reduce the ed. If you are referring to "eating disorder": ssri's are often used in the treatment of anorexia and bulimia. ...Read more
SSRIs: Can be helpful and please do what your doctor says. Having said that, medications are generally best used when they treat a condition and then they are stopped. Consider seeing a therapist who can work w/you using cognitive therapy. Look to diet and exercise choices to help. Deal w/current problems then try to live peacefully w/the results. Peace and good health. ...Read more
No right answer: The best ssri is the ssri which works for you. How do we figure that out? Well: what worked before, or what worked for a close relative. We try that first. If that doesn't work, we try another. If that doesn't work, an snri or a tricyclic may be next. As far as overall efficacy, the ssri's are generally considered equal. ...Read more
PROBABLY: Capsimax capsicum extract (from hot peppers), caffeine, piperine (from black pepper) and Niacin (vitamin b3). I am not really sure how this helps with weight loss it should be safe to take with ssri as the thing to avoid / be cautious about is if the diet suppressant has an effect on serotonin! how about good old fashion eat healthy, stop sugary drinks, and exercise? The only proven method. ...Read more
Depends on condition: Ssri s are used in many disorders: depression, anxiety, pain disorders etc, duration of treatment depends on your condition. For example first episode of depression is treated for about a year and anxiety especially is treated for longer time. Talk to your doctor for details. ...Read more
SSRIs: Depends on what is being treated. If you are more specific, I might be able to give better idea. ...Read more
SSRI medication: It is important to take ssri medications as prescribed and daily to obtain the effect of increasing serotonin in the brain. To take intermittently or stop abruptly can lead to unpleasant flu-like side effects. Discuss the approach to taking your medication with the prescribing physician. ...Read more
Why: Agree with dr ali. You should never take any medication that is not prescribed for you. ...Read more
Well, best way is...: To see a dr. And develop a relationship with them, so you can have your condition officially diagnosed and the medications prescribed and then discuss your outcomes and symptoms as well as any side effects. Generally, the SSRI class of medications can be titrated up to the maximum desired dose to help with your condition and symptoms, and if need be can also be weaned down with improvement. ...Read more