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I daily take Pristiq antidepressant tablet 50 mg, when can I take 5-HTP after stopping Pristiq?

Query: Hello doctor, I daily take Pristiq antidepressant tablet 50 mg, which doctor had prescribed since a year. Now I am tapering the tablet gradually as per doctor's instruction. The first week every other day and second week every two days and the third week every three days. And now this is my fourth ...  Read Full »


Dr. Vishal Anilkumar Gandhi

Psychiatrist

Answer: Hello, Welcome to icliniq.com. As you are tapering your Pristiq (Desvenlafaxine), there will be no withdrawal at all. You need to restart because of anxiety or depression disorder, not because of withdrawal. 5-HTP (Hydroxytryptophan) is not FDA approved and no guideline for it to how to use and wh...  Read Full »

I am suffering from panic disorder. Should I use SSRI or 5-HTPn?

Query: Hi doctor, I am suffering from panic disorder. I am currently on Paroxetine CR 12.5. For anxiety, should I use SSRI or 5-HTPn?  Read Full »


Dr. Ashok Kumar Choudhary

Andrologist, General Practitioner, Geriatrician, Psychiatrist, Psychologist Counsellor, Psychotherapist, Sexologist

Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. Regarding treatment of choice for anxiety, SSRI (selective serotonin reuptake inhibitor) groups of medicines are very effective when compared with 5HTPn (5-Hydroxytryptophan). In fact, according to available literature, S...  Read Full »

Do you think low serotonin can cause fatigue, loss of energy and appetite?

Query: Hi doctor, I am a 21 year old male. For the past three weeks, I have been feeling sick. My symptoms are a feeling of general fatigue of my entire body with loss of energy and appetite. Before I got sick, I spent over a week working hard. I just had food once or twice a day, drank little water an...  Read Full »


Dr. Ashok Kumar Choudhary

Andrologist, General Practitioner, Geriatrician, Psychiatrist, Psychologist Counsellor, Psychotherapist, Sexologist

Answer: Hi, Welcome to icliniq.com. I read your query and understand your concern. Having a stressful life coupled with low energy, extreme fatigue, loss of appetite, feeling sick and sleepless nights are indicative of major depressive disorder. The depressive disorder is often characterized by low serotoni...  Read Full »

Will 5-HTPn help to increase serotonin level? Suffering from sleeping problem, depression and anxieties.

Query: Dear Doctor, I have a problem of sleeping at a scheduled time. I always sleep in a different time and it is getting delayed every day, like a cycle. For example: If today I sleep at 9:00 pm, in few days I will be sleeping at 10:00 pm. And in a few weeks, I would sleep at 4:00 AM. I also have depress...  Read Full »


Dr. Ashish Khandelwal

Psychiatrist

Answer: Hi, Welcome to icliniq.com.Yes. There is relation between low serotonin level and depression and anxiety. What is more important is how significant symptoms of these problem you have, how much are you distressed from these and whether they cause interference in your daily life (socio occupational de...  Read Full »

Can you recommend natural supplements to help treat depression?

Query: Hello doctor, My 17-year-old son is mildly depressed. This is not a surprise since I have been suffering with depression for 40 years. Can you recommend natural supplements that he could take to boost his mood and energy?  Read Full »


Dr. Ramchandra Lamba

Psychiatrist, Sexologist, Psychologist Counsellor

Answer: Hello, Welcome to icliniq.com. There are different supplements or natural products used in the management of depression. S-Adenosyl-methionine (SAM) is a metabolite of Amino acids which has mood elevation property and can be used in 200 to 1600 mg per day in divided doses. 5-Hydr...  Read Full »

I often feel very sad. Why?

Query: Hi doctor, Sometimes, I feel very sad inside. But, I do not know the reason for my sadness. During this period of sadness, I do not like to talk. I feel so depressed as I cannot do anything, including my studies? How to come out of this type of sadness? Please suggest.  Read Full »


Dr. Ashok Kumar Choudhary

Andrologist, General Practitioner, Geriatrician, Psychiatrist, Psychologist Counsellor, Psychotherapist, Sexologist

Answer: Hello, Welcome to icliniq.com. Persistent sadness along with decreased interest in communication is an indicative of clinical minor depression. If there are more symptoms, then it can be a major depressive disorder. In case of minor depression, I suggest 5-HTPn (5-Hydroxytryptophan), which is an he...  Read Full »

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Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.