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Many women complain that they have trouble sleeping when they are pregnant. Try not to eat just before bedtime. Consider taking a warm bath at bedtime to help you relax. As your abdomen gets bigger, you may want to lie on your side with a pillow under your abdomen and a pillow between ...Read more
Justified taking Adderall (dextroamphetamine and racemic amphetamine) to combat daytime sleepiness?
Bipolar(controlled -lamictal, carbamazepine), anxiety-semi-under control (lorazepam, temazepam, cymbalta) and ADD problematic- considering Vyvanse (lisdexamfetamine) ?
So much medication: It might be necessary to take some drugs but I question the risks already and adding the new one is especially bad w/ cymbalta (duloxetine). It can cause severe anxiety! Also serotonin syndrome. Almost all of your meds combine to cause a host of symptoms like dizziness, confusion and general impairment. Please consider a good psych eval and adding good psychotherapy to lower need for Rx and help them work! ...Read more
It can: No medication works all the time. Strattera (atomoxetine) was the first fda-endorsed non-stimulant for adhd. Its benefits are quite similar to those for stimulants; but, it works about for about 40-45% of patients, rather than 65% or more for stimulants. Also, unlike stimulants, it does not work nearly as fast: can take 4-6 weeks or more of daily use before benefits appear--but provides 24 coverage. ...Read moreSee 2 more doctor answers
Pristiq (desvenlafaxine) and Diazepam: Pristiq (desvenlafaxine) can cause anger issues by triggering mania or hypomania. Diazepam can cause anger issues by its disinhibiting properties in the frontal lobes. Buspar does not have this effect and neither does seroquel. Seroquel if anything has an anti-anger effect. Buspirone lessens anger by knocking out anxious irritability. Best wishes and have a happy new year. ...Read more
Yes: All the ssri antidepressants have an impact on rem sleep. Though Effexor (venlafaxine) is not technically an ssri, it is a dual action agent (snri) that has ssri activity in addition to norepinephrine reuptake inhibition. Most patients complain of increased dreaming, or more vivid dreaming, which suggests an impact on rem sleep, since dreaming occurs during rem sleep. ...Read more
27y/o f narcolepsy/sle/anxiety/add benzodiazepines paradoxically increase anxiety any suggestions for nonbenzo anxiolytic? Pt takes Adderall (dextroamphetamine and racemic amphetamine) and apri.
Tough question: Switch to another psychostimulant or reduce the dose to start. Sometimes selective beta blockers can be added (naldolol, metoprolol). Low dose trazadone can be added (low antichiolinergic profile) it has some anxiolyt. I suggest making only one change at a time if possible. Buspar (buspirone) can be tried but BP has to be watched. I'm assuming the diagnosis of narcolepsy and add have been carefully worked up. ...Read moreSee 1 more doctor answer
Been seeing docs since childhood. ADHd, bipolar, anxiety. On lamictal, lithium, klonopin, vyvanse, opana and symbyax (fluoxetine and olanzapine). Chief complaint anhedonia.advice?
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
Yes it can: It depends on u age.Get a more detailed answer ›
No: Wellbutrin (bupropion) can be helpful for major depression, particularly melancholic, down in the dumps depression. Wellbutrin (bupropion) is stimulating, and at best doesn't affect anxiety, but can exacerbate anxiety. For premenstrual dysporic disorder (pdd), ssris, like zoloft, celexa, and Prozac that work through serotonin can alleviate symptoms, but wellbutrin (bupropion) and works through Dopamine and doesn't help with pdd. ...Read moreSee 1 more doctor answer
Which is better for borderline personality disorder n mood swings?Prozac, topamax, paxil, effexor, (venlafaxine) lexaproor wellbutrin?
Have tried pristiq, (desvenlafaxine) wellbutrin, paxil, celexa, effexor, lexapro, etc. With lithium, haliperidol &abilify. A couple improve mood. Still anxious!thoughts?
Many meds: You've tried many meds already, although there are some you haven't mentioned that often help anxiety: buspirone, beta-blockers, other mood stabilizers besides lithium, etc. But after a person has tried so many medications and still has symptoms, i'd suggest non-medication approaches: psychotherapy, mindfulness, relaxation training, exercise/yoga, etc. ...Read moreSee 1 more doctor answer