Doctor insights on:
Which Is Better For Sleeping Mirtazapine Or Amitriptyline
Mirtazepine (remeron) is a noradrenergic/specific serotonergic antidepressant [nassa]. It is used for major depressive d/o, various anxiety disorders, chronic pain, and others. In some, it can help ssri-induced sexual dysfunction & "poop out." it can be sedating and also increase appetite -- good for some ...Read more
Neither best: Many drugs have sedation as one of many side effects, such as the two you mention. In fact, Restoril (temazepam) is an old brand of hydroxyzine I'd written for years ago whose use is implied by the name. Yet it is primarily an antihistamine. Better to ask for currently used drugs whose effects are more specific for insomnia. ...Read more
Xanax (alprazolam) or celexa (citalopram) which is better for panic attacks and which has worse side effects or more addicting? Thank you!
It depends: Celexa is better for long-term treatment/prevention of recurring attacks, and actually works well (as do other ssris, like paxil, (paroxetine) prozac, etc.). Xanax, on the other hand, is better for acute attacks, to be taken when you're actually having an attack. It's better not to take it all the time if possible, as it is a controlled substance, and, thus, more addicting. ...Read more
Neither and both: The best med is the one that works for you. Sometimes you do best with a combo of both. I find that Lexapro (escitalopram) helps obsessing and panic better but can have gi side effects and insomnia. Remeron is very sedating and helps calm the stomach, and promotes sleep but can cause weight gain. It might replace some diazepam. I often combine the two. ...Read moreSee 1 more doctor answer
Neither one: Both medications are antipsychotics prescribed for bipolar disorder or schizophrenia. They can have a role in very severe depression that doesn't respond to other therapy, but neither is prescribed for insomnia. That being said, either medication can make you drowsy, but perhaps counterintuitively they both also commonly cause insomnia. I would not recommend either of these for sleep. ...Read moreSee 1 more doctor answer
Probably Lexapro (escitalopram): Both of these are antidepressants, although the first is a tricyclic and the second is a more recent medication. But please consider sessions with a therapist who specializes in treating anxiety and helping you to shift your thoughts and apply techniques to relieve anxiety. ...Read moreSee 1 more doctor answer
Both are effective: Both mirtazepine and sertraline are effective antidepressants, but individual people may respond better to one than the other. The real question is what is the best treatment for you. This may require trying some different approaches -- including psychotherapy that accompanies treatment with medicines. ...Read moreSee 2 more doctor answers
Try other means 1st: The best sleep is natural sleep. If you're having trouble sleeping, try simple changes: don't go to bed if you're not sleepy, avoid caffeine and alcohol, and don't exercise late in the day. Stay off your computer or phone late in the evening; bright screens can interfere with natural sleep cycles. Try meds only under a doctor's care and for occasional, not daily use. Good luck! ...Read more
Which is best for G A D . Buspar (buspirone) or Remeron and which has the least side effects. Thanks?
Too many!: You already take drugs appropriate for GAD and either of the ones you wish to add are VERY risky in combination w/ the Lexapro (escitalopram). Neither is advised. Tere are also less severe warnings about their interaction w/ your diazepam. Don't expect everything to be done by pills. There is strong and massive research that shows these are all more effective in combo w/ CBT therapy. You need to get involved! ...Read more
Should I take seroquel (quetiapine) and trazodone together for insomnia is it safe? Is that a usual combo sent for severe insomnia??
For sleep, but....: Silenor is a sleep medication but it works very differently from ambien. Silenor's chemical name is doxepin, this has been used as an antidepressant for many years (at much higher doses 100-300mg/day vs 3-6mg for silenor). It works similar to OTC sleep aids like Benadryl (diphenhydramine) and doxylamine by blocking histamine. Zolpidem works in a more complex way on hormones that regulate sleep. ...Read more
Which is better when weight gain is being troublesome, celexa or Zoloft (sertraline)?
Which one is better with anxiety and depression combination?
What is better for anxiety, depression, fatigue, and insomnia? Prozac, remeron, (mirtazapine) or celexa? Or maybe other?
Depends on person: All of the medications you mention can be highly effective. It can take awhile to find the one that has the best benefit with fewest side effects. At present, it's trial and error. We have no tests to match person to best antidepressant--although that is an area under active study. ...Read moreSee 2 more doctor answers
Neither: Valium is a brand of diazepam which is member of benzodiazepine class, used to treat many conditions but not w/o side effects & risks eg addiction, confusion, falls/fractures, even some link to Alzheimer's disease. Seroquel is a brand of quetiapine which is an antipsychotic with its own can of worms: weight gain, diabetes, high cholesterol & movement disorders ie tics. So try http://goo.gl/wTWbEv ...Read moreSee 1 more doctor answer
What puts you to sleep faster? 150 mg Trazodone or lunesta (eszopiclone) 3 mg? Which med is a stronger sleep aid?
Lunesta (eszopiclone): Trazodone was originally introduced as an antidepressant, but was found to help induce normal sleep. Lunesta (eszopiclone) was developed for use in chronic primary insomnia, and has demonstrated rapid onset, adequate duration, and no significant tolerance or side effects over time. ...Read more
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