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Doctor insights on: Ssri Resistant

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Which is more effective? Tricyclics or SSRIs (selective serotonin reuptake inhibitors)?

Which is more effective? Tricyclics or SSRIs (selective serotonin reuptake inhibitors)?

TCA/SSRI: Both are, depending on what they are prescribed for. The difference is in tolerability & side-effects. ...Read more

Dr. Carlos Satulovsky
609 doctors shared insights

Ssri (Definition)

Group of antidepressants that selectively block the reuptake of serotonin, hence increasing its levels. Examples are celexa, zoloft, Lexapro ...Read more


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Are there new drugs generation newer than SSRI, SNRI, to treat OCD? Thanks

Are there new drugs generation newer than SSRI, SNRI, to treat OCD?
Thanks

Psychtropics: There are atypical antidepressant medications. Please make an appointment with a Psychiatrist to discuss psychotropic medication and have an evaluation by a specialist. ...Read more

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Which ssri/ anxiety/depression med lowers libido?

All: Most all antidepressants can affect a person's normal sexual functioning at various different levels and in different ways. The antidepressants which affect serotonin can cause problems with the ability to have an orgasm. The one antidepressant which has the lowest risk for sexual side-effects is called buproprion or wellbutrin (bupropion). ...Read more

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Are SNRI's more effective than SSRI's for depression, anxiety etc?

Are SNRI's more effective than SSRI's for depression, anxiety etc?

No: A meta-analysis published in the Journal of Clinical Pharmacy and Therapeutics in 2010 found that SNRIs showed statistical but not clinical significance when compared with SSRIs in treating MDD. If that's all you wanted to know, great. You can't really expect much more in 400 characters. ...Read more

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How effective are monoamine oxidase inhibitors (MAOIs) for treating depression?

How effective are monoamine oxidase inhibitors (MAOIs) for treating depression?

MAO i's.: Quite effective especially for resistant depression, however, strict dietary & other restrictions apply. ...Read more

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[email protected] Effexor (venlafaxine) but is exp$ive, about take Effexor (venlafaxine) a.M & ssris h.S?Ocd need more efx but $, no ssri helped alone(mdd), ssri&ndri comb didt too.Regards

Ok@400mg Effexor (venlafaxine) but is exp$ive, about take Effexor (venlafaxine) a.M & ssris h.S?Ocd need more efx but $, no ssri helped alone(mdd), ssri&ndri comb didt too.Regards

Patient assistance: Drug companies have a number of patient assistance programs which can provide medications either low cost or free when patients have need. Your doctor can help you with the forms required for these. To learn about these programs and see what's required, you can see: http://www.Rxassist.Org/ each is a little different. ...Read more

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Does antidepressant medication (ssri) cause gastritis?

Does antidepressant medication (ssri) cause gastritis?

Possibly, but rarely: Almost any medicine can cause gastritis. But gastritis is not a common side effect of SSRI’s, and it can be associated with marked anxiety, for which the SSRI may be prescribed. ...Read more

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How do "serotonin antagonist and reuptake inhibitors" ssris work?

How do "serotonin antagonist and reuptake inhibitors" ssris work?

Still unclear: We know what they do--block reuptake at the neuron. But, why that helps with depression and anxiety, among other disorders, remains unclear. Especially puzzling is why it typically takes weeks or even months to produce the effect, suggesting strongly that it is not the direct effect that causes improvement but some change that induces downstream. ...Read more

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Severe anxiety, tried therapy, most ssris(no effect), most benzos(no effect), most atypical anti psychotics(some effect), plus others. What now?

Severe anxiety, tried therapy, most ssris(no effect), most benzos(no effect), most atypical anti psychotics(some effect), plus others. What now?

Rediagnosis: First, there are several medical causes for anxiety symptoms. These must t be ruled out at this time. Endocrine diseases are suspect, as are vitamin deficiency, limbic epilepsy. Or brain diseases. If you are over 55, other medical illnesses could be at play. Depending on which medications you tried, cyp450 hypermetabolizer status could also explain lack of ssri et al effects. ...Read more

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Which kind of antidepressant would work best for ocd (ssri, snri, ndri..)?

Ssri or tca for ocd: Generally ssri's are the Rx of choice for OCD. The so-called "gold standard" is a tricyclic antidepressant called clomipramine (brand 'Anafranil') which can also be used, though could have more side effects and involve a blood level. Best wishes! ...Read more

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Under what circumstances is agomelatine prescribed rather than conventional ssri antidepressant drugs?

Only if others fail: I had to research this question as agomelatine is not approved in the United States. It appears that the data for this medicine is all over the place. There is some question how effective it truly is. It appears it is mainly prescribed in individuals who have failed or cannot take other anti-depressants. It does work differently from ssris. ...Read more

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Interaction between Aripiprazole(@low dose) with Methylphenidate(antipsychotic &stimulant) in Treatment-resistant atypical depression?

Interaction between Aripiprazole(@low dose) with Methylphenidate(antipsychotic &stimulant) in Treatment-resistant atypical depression?

Talk to your doctor.: If both of these medications are being prescribed for you, you should speak to the doctor who is prescribing them. Although there is no documented adverse interaction between these two medications, every patient can react differently to medications. Of course you should only take these medications if they are being prescribed for you; don't try someone else's medication. ...Read more

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What are alternatives to serotonin reuptake inhibitors (ssris)?

What are alternatives to serotonin reuptake inhibitors (ssris)?

Several: Although ssris have been by far the most popular class of antidepressants for many years, there are several other options that focus on different systems. Wellbutrin is thought to work through dopamine; remeron, cymbalta, effexor, (venlafaxine) & others, also affect norepinephrin; and deprenyl and others are MAO inhibitors. Each has pluses and minues and may work when ssris don't. ...Read more

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Is the antidepressant tofranil (imipramine) effective?

Is the antidepressant tofranil (imipramine) effective?

Yes: It is effective and sometimes works better than the new ones on the minus side it has anticholinergic side effects: dry mouth blurred vision constipation hot flashes etc. ...Read more

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Is the selective norepinephine reuptake inhibitor, reboxetine, effective ?

Is the selective norepinephine reuptake inhibitor, reboxetine, effective ?

Evidence says not: One meta-analysis* (a study pooling results from multiple other studies) suggested that reboxetine is ineffective & may be harmful. *(eyding d et.Al. "reboxetine for acute treatment of major depression: systematic review &meta-analysis of published &unpublished placebo &selective serotonin reuptake inhibitor controlled trials."bmj. 2010; 341:c4737). ...Read more

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Can psychotropic medications like buspirone, quetiapine, lamtical and cymbalta (duloxetine) cause tooth decay/ loose?

Can psychotropic medications like buspirone, quetiapine, lamtical and cymbalta (duloxetine) cause tooth decay/ loose?

Indirectly, yes.: The medications you're taking can cause dry mouth, which can in turn result in higher tooth decay and gum disease among other things. This is a good time to connect with your dentist about your medical care & medications; determine if extra steps need to be taken to manage challenges before they become problems. Be well :-). ...Read more

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Dose of Paxil (paroxetine) to treat social anxiety?

Dose of Paxil (paroxetine) to treat social anxiety?

Alt.behavioral: While researching meds, consider researching effective behavioral/psychological treatments: to conquer social anxiety the "gold standard" treatment is graded exposure/systematic desensitization. To take charge of ocd, the gold standard is exposure & response prevention. A clinical psychologist specializing in anxiety can be huge help. Learn about at anxierybc.Org. Also see ocfoundation.Org. ...Read more

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What are some penicillinase resistant anitibiotic agents?

What are some penicillinase resistant anitibiotic agents?

Penicillinase: This enzyme provides one mechanism of resistance to penicillin derivatives by bacteria. Any antibiotic not in the class of the early penicillins may be susceptible. In the penicillin groups oxacillin, nafcillin, methicillin and their cogeners are all effective against penicillinase producing strains of bacteria. ...Read more

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Is citalopram effective to treat manic depression?

Is citalopram effective to treat manic depression?

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 more

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Is 5 htp an alternative for ssri antidepressants?

5HTP vs SSRI's: People are intrigued with 5-htp because it can be decarboxylated to serotonin, a neurotransmitter with many important functions. There are some studies suggesting it can help with depression, especially combined with l-tyrosine. 5htp can certainly cause GI distress like ssri's can. However, there isn't enough evidence to say it equals ssri antidepressants in treating depression. 200-300mg/day. ...Read more

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