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03ka7 · 3 years
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イフェクサーお姉さん
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mividaconansiedad · 3 years
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Tipos de antidepresivos
1. Inhibidores selectivos de la recaptación de serotonina: fluoxetina (Prozac), paroxetina (Paxil, Pexeva), sertralina (Zoloft), citalopram (Celexa) y escitalopram (Lexapro).
2. Inhibidores de la recaptación de serotonina y norepinefrina: duloxetina (Cymbalta), venlafaxina (Effexor XR), desvenlafaxina (Pristiq) y levomilnacipran (Fetzima).
3. Antidepresivos atípicos: trazodona, mirtazapina (Remeron), vortioxetina (Trintellix), vilazodona (Viibryd) y bupropión (Wellbutrin SR, Wellbutrin XL, etc.).
4. Antidepresivos tricíclicos: imipramina (Tofranil), nortriptilina (Pamelor), amitriptilina, doxepina y desipramina (Norpramin).
5. Inhibidores de la monoaminoxidasa: tranilcipromina (Parnate), fenelzina (Nardil) y isocarboxazida (Marplan).
*Recuerda NO automedicarte*
https://www.mayoclinic.org/es-es/diseases-conditions/depression/in-depth/antidepressants/art-20046273
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altheterrible · 4 years
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I've been sleeping better at night. Sleeping like the dead, really. The magic combination is 100 mg of trazodone, 25 mg of Benadryl, 1 mg of prazosin. I'm down to taking 150 mg of Effexor and 100 mg Wellbutrin SR for psych medications. I think getting off the norepinephrine freight train has helped with sleep. Ideally I could get treatment for my mild sleep apnea. I'm seeing my PCP soon, massive she can refer me for another sleep test and get the ball rolling there.
I also rearranged the pillows on my bed which has... Helped more than I thought it would.
Heading to bed early tonight because it's been go go go all weekend.
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the-courage-to-heal · 4 years
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If you have moderate to severe depression that affects your daily life, you and your doctor may discuss treatment: usually a combination of antidepressants and a referral to a therapist. In research, antidepressant medications have been found to be similar when it comes to safety and how well they work. Still, my patients tend to bring up similar concerns about using them—and you might, too. Let’s look at 10 of the most common myths and misconceptions about antidepressants here.
1) My depression can go away on its own
Some people think, “Maybe I should just ride it out and not take any medication at all.”
Depression tends to get worse the longer it isn’t treated, and untreated depression can lead to a number of other problems, including weight gain, physical pain and illness, alcohol and drug use, relationship difficulties, and suicidal thoughts or attempts. Additionally, the longer you have untreated depression, the harder it is to achieve full recovery.
2) Antidepressants don’t work
In many folks, they do work. Studies show that anywhere between 40% to 60% of people who take antidepressants see their symptoms improve within 6 to 8 weeks.
Are there differences in how well they work? Not major ones, according to research. For example, selective serotonin reuptake inhibitor antidepressants (SSRIs) like sertraline (Zoloft) and fluoxetine (Prozac) are just as effective for depression as SNRI antidepressants like duloxetine (Cymbalta) and venlafaxine (Effexor).
In controlled research environments, small differences have been observed. Studies seem to show that some of the most effective antidepressants are amitriptyline (Elavil), mirtazapine (Remeron), duloxetine, venlafaxine, and paroxetine (Paxil). Trazodone, fluoxetine, and bupropion (Wellbutrin) may be less effective.
But again, the differences in how well they work are very small. Which one you choose will likely depend on other factors, like if you experience side effects or are taking other medications.
3) Antidepressants have horrible side effects
Antidepressants do cause side effects, but these effects will vary depending on the person, dose, and type of antidepressant.
As a whole, SSRIs such as escitalopram (Lexapro) and fluoxetine (Prozac) reportedly cause the fewest side effects, while tricyclic antidepressants (TCAs) such as imipramine (Tofranil) and nortriptyline (Pamelor) and monoamine oxidase inhibitors (MAOIs) such as tranylcypromine (Parnate) and phenelzine (Nardil) tend to cause more side effects. It’s worth discussing with your doctor if you have concerns.
Antidepressant side effects often go away after a few weeks, but your doctor may adjust your dosing or recommend a different treatment regimen if needed.
4) Antidepressants will make me gain weight
How an antidepressant affects weight depends on the specific drug, and it can also vary from person to person.
In general, most SSRI antidepressants do not cause weight gain. Paroxetine is the only SSRI that might be associated with weight gain, while the others tend to have no effect on weight. Mirtazapine is also a culprit in weight gain. On the flipside, bupropion SR and bupropion XL might actually cause weight loss.
5) I won’t be able to sleep if I take antidepressants
This is a valid concern if you experience insomnia. First, insomnia can be a symptom of depression, so treating your depression might resolve your insomnia. Second, know that different antidepressants have different effects on sleep.
The antidepressants that may lead to trouble sleeping are paroxetine, sertraline, and bupropion.
On the other hand, folks struggling with sleep might want to take advantage of antidepressants with drowsy side effects like amitriptyline, trazodone, and mirtazapine, which may counteract insomnia.
6) If I choose to stop taking antidepressants, I’ll have horrible withdrawal symptoms
Antidepressant withdrawal is possible if you abruptly stop taking an antidepressant. You’re more likely to have withdrawal symptoms if you’ve been taking the antidepressant for at least 6 weeks.
Certain antidepressants are more likely to cause withdrawal symptoms than others. In general, medications that leave your system faster, such as paroxetine, are more likely to cause withdrawal symptoms than those that stay in your system longer, such as fluoxetine.
Symptoms are similar for SSRI and TCA antidepressants and include headache, tiredness, nausea, appetite problems, insomnia, dizziness, and anxiety. Symptoms for MAOIs tend to be more serious and include trouble thinking clearly, agitation, delusions, and hallucinations.
Weaning your dose down over 1 to 3 weeks is the best way to minimize side effects and help prevent withdrawal. Work with your provider on the best dose/schedule.
7) Antidepressants cause sexual side effects
Several types of antidepressants do have sexual side effects, particularly the SSRIs, SNRIs, TCAs, and MAOIs. Effects include lower sexual desire, delayed orgasm, and erection and ejaculation problems.
Bupropion, for example, has very little effect on sexual function and is a good alternative if you are having sexual side effects with another antidepressant. Of the SSRIs, the risk of sexual dysfunction is highest with paroxetine and lowest with fluoxetine and sertraline.
Also, it’s important to find out if your sexual problems are a symptom of your depression, or if they’re actually due to a medication side effect.
8) Antidepressants will make my headaches worse
Not true. Headaches are not commonly reported with antidepressants. In fact, some may even help with headaches. If you have chronic, tension-type headaches, amitriptyline taken at night has been shown to help prevent them. Mirtazapine and venlafaxine are second-line choices that may also help prevent tension-type headaches.
9) Antidepressants will make me sick to my stomach
Most antidepressants do not cause an upset stomach once you and your provider have settled on a fixed dosage. SSRIs cause higher rates of nausea than bupropion and mirtazapine, and rates between SSRIs and trazodone and duloxetine are about the same. Venlafaxine is known for causing nausea more often than SSRIs
10) Antidepressants are expensive
Also not true. Just stay away from newer, brand-name antidepressants because the rest are significantly cheaper. Viibryd and Trintellix are brand-name antidepressants that cost a lot more than generic SSRIs, but they haven’t been found to be much better in terms of treating depression. The only side note is that researchers are looking into whether Trintellix might have an added benefit. In a study from 2018, Trintellix significantly improved cognition (thinking and understanding) among study subjects. Interesting.
source
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celestedavidso · 7 years
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estelagellison9 · 7 years
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Anti Depressants
New Post has been published on http://ift.tt/2CCYBat
Anti Depressants
setREVStartSize(c: jQuery('#rev_slider_126_9'), responsiveLevels: [1240,1024,778,480], gridwidth: [1400,1240,778,480], gridheight: [300,500,400,400], sliderLayout: 'fullwidth'); var revapi126, tpj=jQuery; tpj(document).ready(function() if(tpj("#rev_slider_126_9").revolution == undefined) revslider_showDoubleJqueryError("#rev_slider_126_9"); else revapi126 = tpj("#rev_slider_126_9").show().revolution( sliderType:"hero", jsFileLocation:"//www.therecover.com/wp-content/plugins/revslider/public/assets/js/", sliderLayout:"fullwidth", dottedOverlay:"none", delay:9000, responsiveLevels:[1240,1024,778,480], visibilityLevels:[1240,1024,778,480], gridwidth:[1400,1240,778,480], gridheight:[300,500,400,400], lazyType:"none", parallax: type:"mouse", origo:"slidercenter", speed:2000, speedbg:0, speedls:0, levels:[2,3,4,5,6,7,12,16,10,50,47,48,49,50,51,55], , shadow:0, spinner:"off", autoHeight:"off", disableProgressBar:"on", hideThumbsOnMobile:"on", hideSliderAtLimit:0, hideCaptionAtLimit:0, hideAllCaptionAtLilmit:0, debugMode:false, fallbacks: simplifyAll:"off", disableFocusListener:false, ); ); /*ready*/
Anti Depressants
Anti-Depressants Overview
Anti-Depressants are medicines used to help people who have depression. Most people with depression get better with treatment that includes these medicines: Lexapro, Effexor XR, Buspar, Buspirone , Zoloft, Bupropion HCL, Paxil, Prozac, Wellbutrin SR, Celexa, Fluoxetine.
Antidepressants And Birth Defects
In recent years, information has been emerging about pregnant women taking certain antidepressants and children being born with various forms of birth defects.  These birth defects can include heart defects, brain and spinal cord defects, club foot, cleft palate, cleft lip, limb defects, abdominal and anal defects, and many more.  The FDA has issued alerts and warnings regarding antidepressants being linked to birth defects.
Pregnant women were told that taking prescription antidepressants during their pregnancy was safe, so they may have unknowingly put their babies at risk.
The types of prescription antidepressants being studied and evaluated as possibly causing birth defects include:
Prozac
Paxil
Celexa
Zoloft
Lexapro
Anti Depressants Side Effects
In these modern times, it is very common to find people who have a hard time dealing with life on the whole. Mental problems like depression, bipolar disorders, and manic depression are common. Quite a few people also commonly use antidepressants to soothe their minds and to control the symptoms of the disease. But if you use antidepressants, here are a few things you should know about the most common antidepressant side effects that can happen to patients:
Nausea
Vomiting
Headaches
Dizziness
Weight gains or weight loss that is difficult to get rid of
Increased appetite or loss of appetite
Restlessness
Anxiety
Decreased libido
Tremors
Sleepiness
Fatigue
Diarrhea
Frequent insomnia in some patients
Constipation
More about Antidepressant Side Effects
Please note too that most researchers don’t exactly know how antidepressants work. Studies that have been carried out are also very contradictory on the nature of the disease and how the medications can work to control them. For a few people with depression, the medications don’t work at all! You also have to remember that there is a range of antidepressants that are present in the market. The actual side effects that will present in a patient will depend on the exact medication that is used. The antidepressant side effects will also differ according to the patient, his individual body reactions, the dosage that he is on, and the reaction that the body has with it. Just as all humans are unique, we cannot predict the exact antidepressant side effects that will occur in each and every patient. For this reason, we advise every patient to get them checked over completely before they take any kind of antidepressant medication.
Apart from these common antidepressant side effects, a whole range of antidepressant side effects can occur in patients who are in different age groups. For example, people who are older than 65 have to be very careful about their antidepressant use if they have kidney and hepatic failure. The same medications can cause side effects if they are combined. Most people over the age of 65 usually are being treated for heart problems, cholesterol and even for blood pressure. Before using SSRI antidepressants most doctors will suggest that you do a complete medical checkup to prevent fatal antidepressant side effects.
Doctors also recommend that patients in younger age groups have to be closely monitored for a potential of increased suicides. Most researchers have stated that an increased suicide rate in younger patients is a potentially dangerous antidepressant side effect although the exact cause is not known.
from The Recover http://ift.tt/2kgJWe2
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therecoversite · 7 years
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Anti Depressants
New Post has been published on https://www.therecover.com/anti-depressants/
Anti Depressants
setREVStartSize(c: jQuery('#rev_slider_126_9'), responsiveLevels: [1240,1024,778,480], gridwidth: [1400,1240,778,480], gridheight: [300,500,400,400], sliderLayout: 'fullwidth'); var revapi126, tpj=jQuery; tpj(document).ready(function() if(tpj("#rev_slider_126_9").revolution == undefined) revslider_showDoubleJqueryError("#rev_slider_126_9"); else revapi126 = tpj("#rev_slider_126_9").show().revolution( sliderType:"hero", jsFileLocation:"//www.therecover.com/wp-content/plugins/revslider/public/assets/js/", sliderLayout:"fullwidth", dottedOverlay:"none", delay:9000, responsiveLevels:[1240,1024,778,480], visibilityLevels:[1240,1024,778,480], gridwidth:[1400,1240,778,480], gridheight:[300,500,400,400], lazyType:"none", parallax: type:"mouse", origo:"slidercenter", speed:2000, speedbg:0, speedls:0, levels:[2,3,4,5,6,7,12,16,10,50,47,48,49,50,51,55], , shadow:0, spinner:"off", autoHeight:"off", disableProgressBar:"on", hideThumbsOnMobile:"on", hideSliderAtLimit:0, hideCaptionAtLimit:0, hideAllCaptionAtLilmit:0, debugMode:false, fallbacks: simplifyAll:"off", disableFocusListener:false, ); ); /*ready*/
Anti Depressants
Anti-Depressants Overview
Anti-Depressants are medicines used to help people who have depression. Most people with depression get better with treatment that includes these medicines: Lexapro, Effexor XR, Buspar, Buspirone , Zoloft, Bupropion HCL, Paxil, Prozac, Wellbutrin SR, Celexa, Fluoxetine.
Antidepressants And Birth Defects
In recent years, information has been emerging about pregnant women taking certain antidepressants and children being born with various forms of birth defects.  These birth defects can include heart defects, brain and spinal cord defects, club foot, cleft palate, cleft lip, limb defects, abdominal and anal defects, and many more.  The FDA has issued alerts and warnings regarding antidepressants being linked to birth defects.
Pregnant women were told that taking prescription antidepressants during their pregnancy was safe, so they may have unknowingly put their babies at risk.
The types of prescription antidepressants being studied and evaluated as possibly causing birth defects include:
Prozac
Paxil
Celexa
Zoloft
Lexapro
Anti Depressants Side Effects
In these modern times, it is very common to find people who have a hard time dealing with life on the whole. Mental problems like depression, bipolar disorders, and manic depression are common. Quite a few people also commonly use antidepressants to soothe their minds and to control the symptoms of the disease. But if you use antidepressants, here are a few things you should know about the most common antidepressant side effects that can happen to patients:
Nausea
Vomiting
Headaches
Dizziness
Weight gains or weight loss that is difficult to get rid of
Increased appetite or loss of appetite
Restlessness
Anxiety
Decreased libido
Tremors
Sleepiness
Fatigue
Diarrhea
Frequent insomnia in some patients
Constipation
More about Antidepressant Side Effects
Please note too that most researchers don’t exactly know how antidepressants work. Studies that have been carried out are also very contradictory on the nature of the disease and how the medications can work to control them. For a few people with depression, the medications don’t work at all! You also have to remember that there is a range of antidepressants that are present in the market. The actual side effects that will present in a patient will depend on the exact medication that is used. The antidepressant side effects will also differ according to the patient, his individual body reactions, the dosage that he is on, and the reaction that the body has with it. Just as all humans are unique, we cannot predict the exact antidepressant side effects that will occur in each and every patient. For this reason, we advise every patient to get them checked over completely before they take any kind of antidepressant medication.
Apart from these common antidepressant side effects, a whole range of antidepressant side effects can occur in patients who are in different age groups. For example, people who are older than 65 have to be very careful about their antidepressant use if they have kidney and hepatic failure. The same medications can cause side effects if they are combined. Most people over the age of 65 usually are being treated for heart problems, cholesterol and even for blood pressure. Before using SSRI antidepressants most doctors will suggest that you do a complete medical checkup to prevent fatal antidepressant side effects.
Doctors also recommend that patients in younger age groups have to be closely monitored for a potential of increased suicides. Most researchers have stated that an increased suicide rate in younger patients is a potentially dangerous antidepressant side effect although the exact cause is not known.
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bt-ash · 7 years
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mistydbowen-blog · 8 years
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altheterrible · 4 years
Text
Talked with my psych NP today and changed some of my meds up.
I'm apprehensive because I haven't made serious changes to my meds in about 2 years, but my current regimen just wasn’t working.
The great thing about working at a psychiatric facility is that my EAP (employee assistance program; a bundle of services offered to employees for free) includes free therapy and free psychiatric consults. So hopefully I can get established with a decent psychiatrist and get this mess completely figured out.
Changes:
Venlafaxine XR is going from 225 mg to 300 mg
Wellbutrin XL 300 mg is changing to Wellbutrin SR 200 mg
Vyvanse 40 mg is going to Vyvanse 30 mg
Trazodone 100 mg PRN insomnia is going to 100-200 mg PRN
Temazepam 15 mg PRN super insomnia isn't changing
Latuda 40 mg isn't changing, but I might start actually taking it again. Concerns: weight gain, metabolic issues, EPS, TD, brain fog. It was better than Abilfy in terms of weight gain and metabolic issues, but not completely benign. Risk of TD increases with long term use, though 40 mg is a low dose. I would like to find an endocrinologist to consult.
I generally think antipsychotics are overprescribed, especially when you consider how much money drug companies are raking in with the new ones. My Latuda is $1400 per month without insurance. I'm diabetic, I don't need any help with increasing insulin resistance and cholesterol. But, it helps me not do impulsive shit. And might help the COVID hallucinations?
I want to get off Wellbutrin because it doesn't help and the side effects are…unpleasant. But every time I try to decrease my dose, I get withdrawal symptoms. Still, my long term goal is to DC that med.
I'm hoping to stick with Effexor bc trying to stop that med is hell. I've had success with it for almost 3 years, so I'm hoping increasing the dose can give it some more longevity.
I'm thinking of giving mirtazepine another shot. There's some evidence that combining it with Effexor can be effective. But I really, really hated it when I took it before. I took 2 doses and couldn't keep going. It made me sleep for 40 hours over 2 days and eat everything in the kitchen. I can't stand feeling that kind of heavy, drugged feeling. It makes me extremely anxious. If I do give it a shot, maybe temporarily increase the Vyvanse? Idk.
I'm going to be working 2nd shift once I'm done with training, so hopefully my insomnia will get better when I’m not trying to put my ADHD brain to bed 6 hours before it wants to be asleep.
I love my psych NP because she really values my input and listens to my suggestions to the point that I'm essentially designing my own treatment regimen. But being 300 miles away is an issue.
I also need to get established with a primary care physician here. I really need a full physical to figure out wtf is going on with my pos body post-COVID. I'm going to need new lung imaging and probably new pulmonary function tests. I need at head CT at least and ideally an MRI. I'm pretty convinced I had a stroke back in April. Seriously. I'm also having brain fog and memory loss that's way beyond anything I've ever experienced with my depression or ADHD. And loss of coordination. I was playing the piano tonight and…ugh. I just couldn't get my hands to do the Thing. So I have some concerns on that front.
COVID caused peripheral nerve damage in my hands, so now my palms feel permanently scalded. My NP agreed to increase my gabapentin but won't do so until I send my positive COVID results. Weirdly, the place I had it done closed forever since I was there? Wtf.
Then there's these weird fucking allergic reactions I can't figure out. I've never had serious allergy issues in my life. I have a very mild mold allergy that I control with prn Zyrtec. I'm allergic to a specific kind of cephalosporin antibiotic that no one even used anymore. But in the last 3 months, I've started having these anaphylactic reactions to…nothing? I can't identify a trigger. I haven't added anything new medication wise, hygiene product wise, or food wise to my life. I thought maybe it was something in my house up north, but we moved and the reactions persisted.
It starts with my tongue tingling and swelling. Then I start getting itchy, tingling palms and feet. Then I get this feeling like bugs under my skin on my arms and legs. Then I break out in hives and my skin just…starts to slough off. Breathing gets harder. My heart rate goes up, my blood pressure goes down. When I was in the ER for this crap, my d-dimer was elevated as well. Treatment is Benadryl+ Zyrtec+prednisone+famotidine. Then epinephrine if that doesn't work.
This is scary as shit because I am already Not a healthy person. I'm about 3 bad days away from having a stroke WITHOUT my body creating extra clotting factors. My heart rate is about 100 BPM WITH A BETA BLOCKER. I have an irregular heartbeat. Diabetes. Jacked up lungs. I don't need any help with my early death.
So, yeah. I'm alive for the moment but I really need to see like 6 doctors.
Oh lmao, I'm not eligible for my employers health insurance because I have a pre existing condition…or 10. God bless Fuhrer Trump.
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