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Doctor insights on:
The Best Antidepressants For Irritability
1
Which is the best antidepressant for severe depression?
There is no one best: Antidepressant. Cymbalta (duloxetine) is great if your have pain too. Wellbutrin is superb for atypical depression. The ssri 's are good for anxiety and classical depression. Etc. Medications can be chosen for their side effect profiles as well as their niche benefits. ...Read more
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2
Please recommend the best antidepressants for ocd, anxiety and depression?
Best 4 You or 4 Me?: It sounds like you are asking for antidepressants that would treat someone diagnosed w/ all three - w/ ocd, anxiety ; depression. But even if you were asking for ones recommended for each of these conditions separately, keep in mind that what is "best" for one person may not be "best" for another. It might be a bit like asking about the best brand of jeans for people in brookline who are age 37. ...Read more
3
What is the safest treatment for elderly anxiety and depression?
Love ; presence: Honestly, authentic love is probably the safest treatment for elderly anxiety and depression. Love with compassion, willingness to be present for daily tasks of living, and to hear stories that are on the person's mind. Sometimes professional treatment may also be needed in the form of lower doses of antidepressants, plus supportive psychotherapy. ...Read more
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4
Which is the best for anxiety cymbalta (duloxetine) or lustral.Thanks?
Treatments: There are multiple treatment options for anxiety, usually one is not better then another its a matter of what is best for you. Each person responds to medications differently. Use the treatment option that is considered best with you by working closely with your physician. ...Read more
5
In ones professional experience which of the anti-depressant SSRIs/SNRIs overall tend to work better for anxiety disorders with fewest side-effects.
In general: Lexapro, (escitalopram)Viibryd, Brintellix, but there's no pat answer because one person may do great on a med that someone else can't tolerate or finds useless--best indicator is if someone in your biological/genetic family is doing great on a drug chances are you will also ...Read more
6
Loss of feelings and interest for your partner due to depression. Which ssri's work the fastest?
All are similar: The various ssri antidepressants have similar mechanisms of action but differ in serotonergic potency and specificity, length of action, metabolism and--most importantly--efficacy and side effects with any given individual. No valid claim can be made as to the 'fastest-acting'. Some people respond in a week, some in 6-8 weeks, some have an early activating side effect felt as helpful. ...Read more
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7
Is the combo (Wellbutrin (bupropion) XL150mg+Buspirone60mg) instead of SSRI the best alternative to treat GAD and decrease the sexual dysfunctions caused by SSRI?
Maybe: Because each person's chemistry is different, there are many combinations that might work. I assume you and your doctor have discussed and/or tried other combinations. If this is working, keep using it. If not, discuss the results with your doctor. ...Read more
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8
What is the best medication and dosage for alleviating anxiety (general and social anxiety) and OCD at the same time?
Prozac or paxil (paroxetine): Start with prozac. It is known to be beneficial for the individuals suffering from ocd. Most probably that general anxiety is part of ocd. If Prozac is not effective wellbutrin (bupropion) may be tried for ocd. Paxil is known to reduce social anxiety. In ocd and social anxiety, you will get better results when the medicine is combined with cognitive behavior therapy. ...Read more
9
Is Zoloft (sertraline) the most effective medication for anxiety and depression?
One of several: Zoloft (sertraline) is an effective drug for treating anxiety and depression. Other drugs in its class (ssris) are also effective for these conditions. The most effective drug is the one you tolerate which works. ...Read more
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10
Can wellbutrin (bupropion) curb the sexual and weight related side effects of an ssri, and does this combo prove effective in treating anxiety and depression?
Wellbutrin (bupropion): Wellbutrin (bupropion) may not curb the sexual and weight related side effects of an ssri. Wellbutrin (bupropion) does target different neurotransmitters than an ssri, and may offer additional benefit in depression. There are certain ssri's, including citalopram and escitalopram, which are often effective in depression with anxiety. ...Read more
11
What the best dose of Zoloft (sertraline) for gad and depression?
Cannot say: It depends on the person, severity of symptoms, other health issues, and other meds taken. Generally, it is started at a low dose and then titrated up until effective while minimizing the side effects. There is no standard dose for gad and depression, only a range (which is broad). ...Read more
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12
What is the best medication other than benzos for anxiety and panic?
Panic: Ssris do help most times, such as zoloft, lexapro, (escitalopram) etc. ...Read more
13
Is it good to combine Prozac with wellbutrin (bupropion) for treatment of depression?
May be: Wellbutin blocks the uptake of norepinephrine & Dopamine while Prozac (fluoxetine) is a ssris so they effect different neurotransmitters & may work 4 u. ...Read more
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14
What is the best solution for ssri induced apathy other than modifying the dosage?
Apathy: Wondering if u actually are taking both ssris Prozac & Paxil (paroxetine) at the same time?. Please talk to your doctor about this & also about trying vitamin b complex for energy boost. ...Read more
15
What is your opinion on the effectiveness of Effexor (venlafaxine) 75mg ER in the treatment of social anxiety and generalized anxiety, with depression?
Effexor (venlafaxine) can be: helpful in dealing with anxiety disorders. Is your prescribing physician in the middle of titrating up your dosage? ...Read more
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16
What is the best treatment for anxiety disorder besides zoloft (sertraline)?
Combination: Psychotherapy and medication are most effective in combination. Regarding antidepressants such as zoloft, (sertraline) there is no consistence that one is superior to another. Treatment must be individualized to ensure adequate relief. ...Read more
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17
What is the best time& plan for reducing the antidepressant pristiq (desvenlafaxine)?
TITRATE: If someone is depressed enough to need an antidepressant the usual is to stay on it for a year to 1 1/2 years on the dose that works. Then - if depression free - consider titrating the dose down slowly over several weeks. Let your dr help you do this. Two heads are better than one. ...Read more
18
Which of the following drugs are best for mild anxiety, lustral Lexapro or buspar, (buspirone) thanks?
Buspar (buspirone): Buspar (buspirone) is typically used for mild anxiety. Whereas lustral and Lexapro are best for different forms of anxiety, panic attacks, social anxiety. Lustral and Lexapro are best for conditions beyond mild anxiety. ...Read more
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19
What are the side effects of trazodone when prescribed for sleeplessness and bipolar disorder?
Depends . . .: Serious side effects (se’s) of trazodone are priapism, allergic reactions, problems breathing, thinking changes & stiff muscles. Sedation results from ?1 & 5-ht2 antagonism. Because trazodone is rarely used alone to treat bipolar (BP) (it can induce mania), i'm assuming you are taking other BP meds w/ it. If so, it is hard to discuss other possible se’s w/o knowing the other meds. ...Read more
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20
Bipolar II and anxiety disorders. Take klonopin for the anxiety, Neurontin (gabapentin) for mood stability. Recommendation for antidepressants for the depression?
Your doctor: is the best person to answer this question. The answer requires detailed knowledge of your situation, no two are alike, and your struggles with depression. The medications you are taking may, over time, work on your depression as well as your other symptoms. Ask at your next visit or schedule one. If at any time you feel you may harm yourself, have any thoughts of suicide, go right to ER ...Read more
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