Doctor insights on:
Zoloft Generalized Anxiety Disorder
Tried Zoloft and Viibryd (vilazodone hydrochloride) with some success. What would you recommend to treat generalized anxiety disorder? Found any particular SSRI/SNRI better?
Anxiety is a general term for several disorders that cause nervousness, fear, apprehension, and worrying. These disorders affect how we feel and behave, and they can manifest real physical symptoms. Mild anxiety is vague and unsettling, while severe anxiety can be extremely debilitating, having a serious ...Read more
I was 150mg of Zoloft for over a decade for an anxiety disorder and it worked well for me. Last year I went down to 50mg and have been having lots of near panic attacks lately. There seems to be no trigger either. It's happening multiple times e
Physical?: This is challenging but workable both medically and psychologically. If one rules out abnormal blood tests with attention to thyroid, liver, and blood counts, then consider several options for alleviating anxiety and near panic. Charting times, environment, activity, thoughts and feelings for a week, and/or doing brief breathing or relaxation techniques 2x/day, and weekly therapy to start. ...Read more
I was diagnosed with dysthymia. Are there similarities between dysthymia and an anxiety disorder? Also is zoloft safe with pregnancy?
Discuss tx /w/ dr.: Dysthymia is thought of as a milder form of depression but can be just as debilitating as major depression. There's mixed data on safety of SSRIS in pregnancy. Zoloft is safer than Paxil which has been linked to a slightly increased rate of cardiac defects in some studies. Some studies showed a link to rare form of respiratory distress in infants exposed to SSRIs while others didn't. ...Read more
Had bad panic/anxiety disorder with limited depression. Been on Zoloft (sertraline) for two 1/2 months. Anxiety minimized but depression raised. Normal?
Yes that is expected: As anxiety starts to regulate and the patient feels better, a good percentage of patients ( more than 50%) experience some depressive symptoms in the form of decreased interest, energy and motivation and decreased ability to enjoy. We have been observing that in our anxiety center. It is not clear why. Treatment and adjustment of meds correct that and the person regain normal mood. ...Read moreSee 2 more doctor answers
I take Ultram for fibro, Zoloft and Xanax (alprazolam) for panic anxiety disorder, and a Ambien at night for sleep is this a safe combo?
Xanax (alprazolam): I don't really recommend short acting benzos like xanax (alprazolam) for panic, they are associated with inter-dose withdrawal, faster tolerance and gradual elevation of baseline anxiety , discuss the issue with your psychiatrist, otherwise the combination is ok. ...Read moreSee 3 more doctor answers
26 yr old daughter downs has OCD , tic and anxiety disorder, Zoloft was great for 7 yrs , symptoms returned , tried Effexor (venlafaxine) no change , any suggestions?
Disease activity: In addition to the reasons mentioned by my respected colleague, it appears that mood & anxiety disorders as well as the body response to medication can change with time and that is part of the reason we see resurfacing of symptoms after a long time of stability. The disorders that your daughter suffer from , respond best to ssri;s not to snri's . Please see a specialist in anxiety. Good luck. ...Read moreSee 3 more doctor answers
Anxiety disorder on Zoloft (sertraline) 50mg & Ativan 0.5mg have suicidal thoughts but I do not feel that depressed what to do ? See my pysch doctor?
Consult your doctor : Suicidal thoughts are a known side effect of all antidepressants in young people in their late teens. Most of the time the thoughts go away quickly and do not return. However, you should notify your doctor as soon as possible so the two of you can make a decision whether it is best for you to stop the medication or not. ...Read more
I've suffered from a sever anxiety disorder for 10 years & have been put on sertraline. Will this help & how will it help? Life is very difficult.
Sometimes...: It is difficult to tell who will respond to which medication, but sertraline is a good one and often helps. Be patient...These meds can take up to 6 weeks for full effectiveness. Counselling (such as behaviora modification therapy) with a psychologist can also be helpful, adding to that of the meds. ...Read moreSee 2 more doctor answers