Q. Which medicine, according to you, is best for my psychological disorders?
Hi doctor,
I would like to know some treatment recommendations for my condition. I have bipolar disorder type II, social and generalized disorder, and panic disorder. I am having depression for a year. My hypomania is very mild and short-lived. I am afraid to get out of my home due to my constant anxiety symptoms such as sweaty palms and feet, chest pain, high blood pressure, and racing heart.
I need some advice to reduce my depression symptoms. Currently, I am taking Lamictal 200 mg, Tranxene 3x5 mg, Olanzapine, and Venlafaxine 75 mg. Previously, I was taking Lithium Depakote, Carbamazepine, Anxiolytics, Escitalopram, Zoloft, Quetiapine, and Risperidone. I am wondering about Paroxetine, Citalopram, and Prozac. Is it good to take Citalopram for me? I have tried taking Prozac in the past but I was unable to bear its side effects. Which is the best one for me?
Hi,
Welcome to icliniq.com.
Regarding your anxiety symptoms, you have tried taking SSRI (selective serotonin reuptake inhibitor) and SNRI (serotonin-norephedrine reuptake inhibitor) class of medications. I suggest you try taking TCA (tricyclic antidepressants) class of antidepressants like Amitriptyline 75 to 100 mg, Dosulepine 100 mg, or Nortriptyline 75 to 100 mg. They are used in people having partial results with SSRI or SNRI medications. If you are not willing to take TCA, you can try to have alternative options. You can take Paroxetine 12.5 to 37.5 mg, and Citalopram 20 mg. You can also take Mirtazapine 7.5 mg at night along with it. I suggest you reduce the dose of Olanzapine to 2.5 mg. It helps with your anxiety issues. You can also try to have CBT (cognitive behavioral therapy) by consulting a psychologist.
Was this answer helpful?
|Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Related Questions:
Is it safe to take Risperidone for hallucination for a long time?
.. usually required for long-term. But if the person is suffering from acute and transient psychotic disorders, then these drugs are used for three months to one year depending upon the situation. After completing the drug treatment, relapse of psych... Read full
I have anxiety and panic disorder. Can I drink occasionally?.. good that you do not have any symptoms even after stopping the medicines eight months back. There is always a chance that panic disorder and anxiety relapse. So you have to be careful and watchful that if any previous symptoms reappear or any new... Read full
Having depression and not getting well with SSRI. Can you suggest any treatment?Hi doctor, I am suffering from depression, anxiety, and OCD ... Please suggest me the treatment for depression ... Read full
Also Read Answers From:
Comprehensive Medical Second Opinion.Submit your Case
Also Read
Malaria Prevention Using Monoclonal Antibodies
A recent phase 1 study proved monoclonal antibodies effective in preventing malaria. Read the article to know more. Read more»
Surgical Ostomy - Types, Causes, Procedure, and Complications
This article briefly discusses ostomy, a surgical procedure where an opening is created between the segment of the gastr... Read more»
Rotavirus Infection - Symptoms, Diagnosis, and Treatment
Rotaviruses are among the most common causes of severe diarrhoeal disease in young children worldwide. Read the article ... Read more»
Ask your health query to a doctor online?
Ask a Psychiatrist Now* guaranteed answer within 4 hours.
