Doctor insights on:
Yes: The symptoms of coming off, changing, or adding a new medicine can vary. Having your symptoms may be completely normal and will likely resolve over time, but if they continue or worsen, you will need to see your doctor. ...Read more
Need supervision: Don't know the reason for the switch perhaps side effects or lack of effect. Be sure to have this done under the care of your doctor as your symptoms may worsen with sudden discontinuation of medication. Your doctor will decide how fast to make the switch depending on your symptoms. Good luck. ...Read more
Is it possible to have withdrawals when switching antidepressants when your doctor didn't taper the first one and just had you start the new one?
Switching antidepressants zoloft to prozac because of results of genetic testing. Is this good choice. 8 weeks on sertraline with minimal help on?
SSRI's/genetics: Not sure what "genetic testing" would indicate a "switch to Prozac instead of Zoloft". Prozac and Zoloft belong to the same pharmacologic family (SSRI's). The problem with Prozac is the time it takes to achieve a therapeutic dose (15 days or so), and it takes the same amount of time to get off Prozac. Lexapro (also an SSRI) has a shorter half-life, and is easier to change if problems occur. ...Read more
Good question: If the antidepressant isn't helping and it is at the highest dose possible, either based on safety of the medication or side effects that the patient is experiencing, then it is a good idea to either add another medication or switch medications. Adding psychotherapy is also helpful. The effectiveness of switching medications depends on many factors, like how many times have medications been tried. ...Read more
That might happen.: When going down on one medication ; up on another - the change is not always seamless in regards to your depressive symptoms. This would be especially true if you need to stop one medication completely and be drug free for a while before starting the new medication. ...Read more
Meet with your: Physician. Share the symptoms that you have that concern you. Antidepressants are often used for depression, anxiety and pain. You will need to have a medical indication for antidepressants. They aren't 'happy pills'. Ask your physician if antidepressants are a treatment option. Take care. ...Read more
How to switch from (escitalopram 5mg+clonazepam0.25mg) to duloxetine 20 mg. Taking this antidepressant from last 2 years. Previously I was on duloxeti?
SHOULD BE EASY: The doses of all of these are very small so you can just start the Duloxetine now and then stop the escitalopram in about 1 week. I would just ask the doctor giving the meds to you. Also, were you on duloxetine and changed and now going back, I am confused about the timeline. ...Read more
How can I switch from citalopram to a more affective sleeping and antidepressant? Also I was wondering what's the best weight loss tablet?
There are several questions in one here. You may be best served by splitting them up into separate questions.
I would wish for you a wise medical advisor. At seventeen the last thing you need is sleeping medication. I cannot imagine giving anything that is addicting or dangerous for sleep.
Citalopram is very effective for depression and anxiety. Perhaps you need therapy too. ...Read more
Antidepressants Hx: Researchers discovered the first antidepressant purely by chance in the 1950's. The drug was iproniazid which was being used to treat tuberculosis, where one of its side-effects was elevation of mood. After that, a professor in switzerland was treating schizophrenics with Imipramine & found that it relieves depression. ...Read more
Not recommended: Tapering these medications especially if you've been on them for any more than a few weeks or few months is always advisable. Check with your provider as to a schedule. This will also give you chance to speak to them more in-depth as to your reasons on wanting to stop. ...Read more
None is "best": There are no reliable differences in how well different antidepressants work. For this reason, they are mostly prescribed on the basis of side-effects. I.e., more sedating meds when depression interferes with sleep, more activating meds when depression saps daytime energy. Some are more apt to upset stomach, others to lower sex drive. Balancing these factors can be subtle. ...Read more
Your sx improve: There should be a list of target symptoms that improve, mood, motivation, sleep, anxiety, obsessing, dwelling, enjoyment, functioning, appetite among others. The problem often is the medication can be helping half a dozen symptoms but the patient only focuses on one which didn't improve and think the med is not working. This calls for dose increase, augmentation instead of switching or just more time. ...Read more
Not a good combo: Some constituents in marijuana can cause anxiety and psychosis; some depressed patients also have these effects. For this reason I would not recommend anyone with a mood disorder be smoking marijuana. Also it has CNS depressant effects that could be accentuated when combined with antidepressants. Rather than the antidepressants working as they should, the thc could adversely alter the effect. ...Read more
Here are the us sales rankings from 2010:
http://en. Wikipedia. Org/wiki/antidepressant#most_commonly_prescribed. ...Read more
No: No. The medication will usually be given to treat a depressive condition, sometimes anxiety, ptsd or obsessive compulsive symptoms. Personality is related to a person's psychological make up. When there are problems related to personality, psychotherapy is usually the treatment of choice. ...Read more
Could be a bad idea: Suddenly stopping your antidepressant medication could lead to serious problems called discontinuation syndrome and it is no pleasant at all. Talk to your prescribing doctor to review your reasons for wanting to stop and discuss alternative options or proper ways to stop. ...Read more
Gradual taper: Not going cold turkey. Tapering your medication over the course of a month or even two can help reduce anxiety and depressive symptoms from coming back, as well as reduce myalgias and other flu like withdrawal symptoms from some of the antidepressants (e.g. Paxil, (paroxetine) effexor). ...Read more
I always tell: Patients that side effects come first (and hopefully will resolve). They need to be patient as it can take a while for the medication to have a therapeutic effect. ...Read more
It depends: This depends on the particular antidepressant, as there are many choices. Also it depends on the person taking the medicine, because each may experience these effects differently. All antidepressants have basic effectiveness, but side effect profiles may differ quite a bit. I wish I could be more specific than this, but without more information, I can't. ...Read more
Which one?: In general, anything can happen with any patient and any medication. ...Read more
Sometimes: The "poop out" effect of antidepressants is something we've seen happen especially with ssri's like zoloft, (sertraline) prozac, etc. Dose adjustments or a different medicine may be needed. Other views include dr. Lewis mehl-madrona in narrative psychiatry. He feels that the person's social circles are critical in healing -- & if changes aren't made in the way these systems work, depression likely recurs. ...Read more
Don't know of one: It would be nice if there were an antidepressant that not only eliminated depression but also made a person feel very happy! But, alas, there is no such medicine. Antidepressants act to eliminate or reduce depression. But, they don't go so far as to produce real happiness. Instead, genuine happiness must be earned through behavior, such as working toward goals, spending time with others, etc. ...Read more
Yes: A person can feel that an antidepressant is working on the 3rd day. Most likely that is due to the positive attitude of the patient and perhaps detecting some of the side effects of the medication. It usually takes a couple of weeks for the antidepressant effects to substantially take hold. ...Read more
Can you please: Clarify term "night pollution". You can re-ask. Thanks. ...Read more
No: For every patient, it can vary tremendously and even ones that work can sometimes not work after being effective initially. So my answer is there is really no one drug that stands above the others in my opinion. It really depends on the patient and what works for them. ...Read more
Not unusual: There are biochemical mechanisms that neutralize the effect of some drugs. Changing antidepressant medication or increasing the dose of the current one may be give you a satisfactory result. Talk with your Dr. ...Read more
Mental stigma: There is a lot of stigma about mental illness. An easy way to help others understand is by educating on the actual illness itself, how mental disorders are actual illnesses of the brain with real life symptoms and impacts. There is a lot of literature on the web and through NAMI that offer resource material to assist families. ...Read more
See answer: Brintellex (vortioxetine) is one of newest ssri-class antidepressants approved by fda 9/2013. It's mechanism of action differs from other ssris in that it influences the availability of the neurotransmitter serotonin by five different mechanisms. Whether this translates into either better efficacy or reduced potential adverse reactions has not been definitively shown in the opinion of the fda. ...Read more
Depends on both meds: It's hard to say without knowing what meds you're taking. Please speak to docs prescribing both the cardiac and psychiatric meds about this. That said, citalopram (in us - celexa) and escitalopram (in us - lexapro) appear to have the least risk of drug-drug interactions with any drug. However, ur docs must also think about the effect of any psych meds on your heart. ...Read more
Long half life meds: Try reminders: pill box, alarm clock. Sync medication timing with your daily routine activities, such as breakfast or dinner time. Consider switching to meds with long half life. Wish you good luck. ...Read more
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