Which antidepressant works best for someone who's be on several already?
I was on Zoloft from ages 13-17 and it worked great for me; in fact it worked so great I stopped taking it which be a BIG mistake and was hospitalized for the first time. Then I was put on Paxil from ages 17-26 (I'm still 26 now but I will be 27 contained by late Sept) and it worked beautifully, but then I have a bad reaction with Reglan and it cause Serotonin Syndrome, which is a toxic buildup of serotonin on the brain and nerves. Ever since then I've been on an assembly line of antidepressants: Remeron, Elavil, Prozac, hindmost on Paxil which stopped working and caused extreme restlessness. I'm now on Effexor XR and it's making me worse--I'm having fruitless crying spells and suicidal ideation. I'm thinking of either going back on Zoloft or trying Lexapro. The doc in outpatient wishes to put me on Symbyax but the side effects are many, including obesity and diabetes. Which antidepressant works best for you besides Paxil? Also, which one worked best for you for anxiety? I know everyone's different but I'm desperate and would like some feedback. Thanks
Answers:
Maybe Lexapro or even Lamictal.
try zoloft or lexapro. The lexapro doesn't come in generic, but celexa, the parent drug of lexapro, does. Either of the three might work for you.
good luck in your search out!
Keep informed on your medications and the drug interactions that will keep you our of the hospital (lexapro has the fewest drug interactions) and you'll procure it worked out. I'm glad you have a doctor who's willing to work with you; you've get the right idea. Source(s): Pharmacist
First of all, forget about the SPECT. It's a debris of 2000-3000 dollars, and is useless in terms of medication selection, diagnosis and treatment. The one and only justification I've ever heard from it, ironically from a student, is that if it improves medication compliance. Do not bother near this. In twenty years this may be common practice, but there is zero evidence to support its use outside of a research setting at present.
I own to agree with ToxLabRat. There's a LOT of trial and error that goes on in here. There's no comfortable way to predict which medication will achieve the desired results, and there's a growing amount of interest in what's term treatment resistant depression - the sort that's usually profound, disabling, accompanied by anxiety and resistance to SSRI and SNRI interventions as well as other treatment modalities.
Well, there's two useful things I can bestow. Jerod Poore's Crazymeds: http://www.crazymeds.us/ Possibly the best resource on the internet related to psych meds of all sorts. They have a forum where on earth you can get some really excellent information.
The second is, I recall a study done some years ago on a drug called Emsam, which be someone's clever idea of how to get the power of an MAOI antidepressant without the food interactions or other problems. The study be preliminary, but well designed and quite strong, and reported a 70-80% remission rate in treatment resistant depression that have failed four or more other antidepressant therapies, including ECT. The stuff is expensive, but results like that are noticeable.
You should try alcohol.
It's cheaper and more fun.
Medication is not the answer for such a condition, clinicla psychoanalysis is what is needed Source(s): (a)j
I am sorry to enlighten you, but unfortunatley there are a lot of patients who are diagonsed with clinical depression who are surrounded by the same boat as you, meaning they have tried just about every anti-depressant in the book and nothing seems to back them.
The problem with psych meds, is it is just not an exact science. It is not like a blood thinner or a beta blocker, where on earth for the most part, these drugs are going to do the same thing for just about every patient that is on them. One of the main reason is because we know what causes a heart issue, it is tactile, meaning we can see it. Maybe it is an abnormal spout, maybe it is fluid around the heart, etc. and so when you know what the root cause to the problem is, it is much easier to select a drug to treat the problem.
Because no one have been able to prove the cause of depression, it is adjectives speculation. Some scientists and researchers believe it is genetic, some believe it is environmentally induced, some belive it is a little bit of both. Many believe that chemicals and receptors in the brain play a large role within it, but again it is no proven. So, when handing out these meds, it takes a lot of time, because it is nil but trial and error. It may be that you have not had the right combination of the above drugs at the right dosages. It may also be true that none of the above drugs, no matter the combo or dosage will ever minister to you. In this case, you may be someone who had to get involved within a clinical trial to try out new meds undergoing the final stage of FDA approval, or you may need to try some drugs that be not formulated to treat depression, but have shown that they can help some patients with thier depression. This type of medication would be prescribed as stale label use, and usually the dosage is adjusted for the off sign use.
About the only advice that I can give you is to find the best psychiatrist possible, and next stick with he or she. If you change doctors a lot, because you provide up on them or for whatever reason, it is like you hold to start all over again at the begining. You may do well with Tramadol (off sign use)..this is a drug for treating pain, but some doctors are beging to prescribe it for depression. Source(s): Toxicologist
dude just get some weed it works best i swear
Medication is sometimes not a cure-all for depression. They are designed to help with your symptoms of depression so that you can function well ample to want and find happiness.
You are not the same person you be when you began medication for depression at the age of 13. Your constant search for the next best drug is a syndrome adjectives on it's own.
How about exploring the idea of slowly weaning yourself away from the person "on medication" until you are not taking any at adjectives. Think about how free you will be. Ready for your new life as a 26 year frail adult.
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Answers:
Maybe Lexapro or even Lamictal.
try zoloft or lexapro. The lexapro doesn't come in generic, but celexa, the parent drug of lexapro, does. Either of the three might work for you.
good luck in your search out!
Keep informed on your medications and the drug interactions that will keep you our of the hospital (lexapro has the fewest drug interactions) and you'll procure it worked out. I'm glad you have a doctor who's willing to work with you; you've get the right idea. Source(s): Pharmacist
First of all, forget about the SPECT. It's a debris of 2000-3000 dollars, and is useless in terms of medication selection, diagnosis and treatment. The one and only justification I've ever heard from it, ironically from a student, is that if it improves medication compliance. Do not bother near this. In twenty years this may be common practice, but there is zero evidence to support its use outside of a research setting at present.
I own to agree with ToxLabRat. There's a LOT of trial and error that goes on in here. There's no comfortable way to predict which medication will achieve the desired results, and there's a growing amount of interest in what's term treatment resistant depression - the sort that's usually profound, disabling, accompanied by anxiety and resistance to SSRI and SNRI interventions as well as other treatment modalities.
Well, there's two useful things I can bestow. Jerod Poore's Crazymeds: http://www.crazymeds.us/ Possibly the best resource on the internet related to psych meds of all sorts. They have a forum where on earth you can get some really excellent information.
The second is, I recall a study done some years ago on a drug called Emsam, which be someone's clever idea of how to get the power of an MAOI antidepressant without the food interactions or other problems. The study be preliminary, but well designed and quite strong, and reported a 70-80% remission rate in treatment resistant depression that have failed four or more other antidepressant therapies, including ECT. The stuff is expensive, but results like that are noticeable.
You should try alcohol.
It's cheaper and more fun.
Medication is not the answer for such a condition, clinicla psychoanalysis is what is needed Source(s): (a)j
I am sorry to enlighten you, but unfortunatley there are a lot of patients who are diagonsed with clinical depression who are surrounded by the same boat as you, meaning they have tried just about every anti-depressant in the book and nothing seems to back them.
The problem with psych meds, is it is just not an exact science. It is not like a blood thinner or a beta blocker, where on earth for the most part, these drugs are going to do the same thing for just about every patient that is on them. One of the main reason is because we know what causes a heart issue, it is tactile, meaning we can see it. Maybe it is an abnormal spout, maybe it is fluid around the heart, etc. and so when you know what the root cause to the problem is, it is much easier to select a drug to treat the problem.
Because no one have been able to prove the cause of depression, it is adjectives speculation. Some scientists and researchers believe it is genetic, some believe it is environmentally induced, some belive it is a little bit of both. Many believe that chemicals and receptors in the brain play a large role within it, but again it is no proven. So, when handing out these meds, it takes a lot of time, because it is nil but trial and error. It may be that you have not had the right combination of the above drugs at the right dosages. It may also be true that none of the above drugs, no matter the combo or dosage will ever minister to you. In this case, you may be someone who had to get involved within a clinical trial to try out new meds undergoing the final stage of FDA approval, or you may need to try some drugs that be not formulated to treat depression, but have shown that they can help some patients with thier depression. This type of medication would be prescribed as stale label use, and usually the dosage is adjusted for the off sign use.
About the only advice that I can give you is to find the best psychiatrist possible, and next stick with he or she. If you change doctors a lot, because you provide up on them or for whatever reason, it is like you hold to start all over again at the begining. You may do well with Tramadol (off sign use)..this is a drug for treating pain, but some doctors are beging to prescribe it for depression. Source(s): Toxicologist
dude just get some weed it works best i swear
Medication is sometimes not a cure-all for depression. They are designed to help with your symptoms of depression so that you can function well ample to want and find happiness.
You are not the same person you be when you began medication for depression at the age of 13. Your constant search for the next best drug is a syndrome adjectives on it's own.
How about exploring the idea of slowly weaning yourself away from the person "on medication" until you are not taking any at adjectives. Think about how free you will be. Ready for your new life as a 26 year frail adult.
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