Common "Ssri" queries answered by top doctors | iCliniq


SSRI refers to selective serotonin reuptake inhibitor. It is a class of drugs used to treat major depressive disorder and anxiety.

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Is there any pharmacological substitute for Duloxetine?

Query: Hello doctor, My mother is 53 years old, nondiabetic. She is hypertensive (150-100) and having all over body pain, fatigue and morning stiffness. We consulted a neurologist and she was diagnosed with fibromyalgia. She was going about daily activities by using painkiller every day (Innova-MR, Diclo...  Read Full »

Dr. Aida Abaz Quka

Answer: Hello, Welcome to Regarding your concern, I would explain that morning stiffness is not a typical sign of fibromyalgia, but it could indicate a rheumatological disorder. Coming to this point, considering her slightly elevated erythrosedimentation, I would recommend performing other...  Read Full »

My fantasy game has affected my perception. Please help

Query: Hello doctor, I am suffering from a strange problem. I have played an imaginary game. In the imagination, I had created a parallel universe. I was the head of my country and made the rules. I added the experiences of real life in that game. When I was alone, I played the role of different people lik...  Read Full »

Dr. Ramchandra Lamba

Answer: Hi, Welcome to Most probably you are suffering because in your imaginary world, you enjoy the things and in the real world you have to adjust yourself according to the situation. This is causing anxiety symptoms and headache leading to poor academic performance. Secondly, the situation ...  Read Full »

Does taking Stalopam affect the sound sleep of my mother?

Query: Hi doctor, My mother is 51 years old. Over 9 years she is unable to sleep properly either in the day as well as night. She started to feel irritated and we consulted one of our family doctor and he suggested to start Stalopam plus. But now a days even after taking the same medicine she is not gettin...  Read Full »

Dr. Srivastava, Sumit

Answer: Hello, Welcome to I have gone through the prescription attached (attachment removed to protect patient identity). Diagnosis was anxiety with insomnia for which Stalopam plus (Escitalopram) was prescribed. It seems she has developed tolerance to this drug. So, either dose should be in...  Read Full »

Please suggest a drug with less side effect than Paroxetine for treating social anxiety disorder.

Query: Hello doctor, I was affected by a social anxiety disorder. For the last two years, I first used Inderal for one year and then Paroxetine (SSRI) 20 mg for the second year. When I used SSRI for one year, my problem fully recovered, and later on, by doctors advise, I left the tablets. Now, 25 days pass...  Read Full »

Dr. Suresh Kumar G D

Answer: Hello, Welcome to You are reporting a relapse of some social anxiety symptoms after discontinuation of Paroxetine SSRI (selective serotonin reuptake inhibitor) medication. Depending on the extent of your social anxiety symptoms, you have two options: 1) If anxiety is predominantly s...  Read Full »

I ejaculate within two minutes of intercourse. Please help.

Query: Hello doctor, During intercourse with my wife, I ejaculate the entire semen within two minutes. After ejaculation, the erection goes away. I am unable to understand how to maintain the longevity of the erection during the intercourse. Please guide next course of action.  Read Full »

Dr. Ramchandra Lamba

Answer: Hello, Welcome to I have gone through your problem and understand your concern. Premature ejaculation is quite a common problem. There are two approaches to manage this problem Behavioral therapy Medicines Now coming to the behavioral therapy, there are different methods you ...  Read Full »

I suffer from depression despite of having medications. Is this normal?

Query: Hello doctor,I have depression. I have had this for some six to seven years. I am currently taking Mirtazapine, but it is not helping. I create scenarios where I am a different person living a life the complete opposite of mine. I have a whole array of family and friends in these scenarios and I rev...  Read Full »

Dr. Suresh Kumar G D

Answer: Hello, Welcome to How long have you been taking Mirtazapine 15 mg? It usually takes about four weeks to see any benefits. If there are no side effects, your doctor can consider increasing the dose further to 30 mg once daily. You need to be closely monitored by your doctor while t...  Read Full »

I am diagnosed with TB and get depressed. Please help.

Query: Hello doctor, I am a 22-year-old female. I weigh about 52 kg. So from the last one year, right after my graduation, I am at home as I was diagnosed with TB. So being at home I feel depressed. My mood changes every minute. My behavior from the last six months is irritating and arrogant. The people a...  Read Full »

Dr. Parth Nagda

Answer: Hello, Welcome to Your description and symptoms are typical of major depressive disorder. This happens very commonly, one in four women can have this at any point in their life. Due to any prolonged stresses, sometimes the stress handling capacity of the brain gets reduced due to the ...  Read Full »

SSRI is not helping with my bipolar disorder and panic attacks. Why?

Query: Hello doctor, I have bipolar disorder, panic attacks, social and generalized anxiety disorder. I have one to three panic attacks per day, constant anxiety, and fear of leaving the house. No motivation to work, no energy, apathetic, without mood. Right now I am in a depressive episode. I previousl...  Read Full »

Dr. Parth Nagda

Answer: Hello, Welcome to If your anxiety is not responsive to SSRI's (selective serotonin reuptake inhibitors), then you should consider trying TCA (tricyclic antidepressants) class of antidepressants. They will help with your anxiety and panic attacks. Apart from Tranxene and Benzodiazepin...  Read Full »

Why do I have anxiety symptoms even after taking medications?

Query: Hi doctor, I am on Effexor XR 150 mg daily morning (for chronic anxiety and GAD), and Crestor 10 mg daily (for controlling the lipid profile), and recently the doctor has added Cozaar 50 mg daily (because of high blood pressure). I used mostly all types of SSRIs, but I found Efexor is the best for a...  Read Full »

Dr. Subhan Ullah

Answer: Hi, Welcome to I read your case, and I found you are concerned about your treatment regimen and comorbid conditions. I found still you are taking Effexor 150 for GAD, and you continue to feel anxiety symptoms as well as sexual dysfunction and sleep disturbance. In my opinion, after re...  Read Full »

I am experiencing sexual problems. Please help.

Query: Hi doctor, I have no sugar and BP. I am living a healthy lifestyle. I am suffering severely from ED and PE since last 10 to 12 years (it lasts for two to three minutes only). Please advise proper medicine which is not harmful to my health.  Read Full »

Dr. Ramchandra Lamba

Answer: Hi, Welcome to There are many reasons for this condition, so you need to be evaluated and physical examination is required. For managing ED (erectile dysfunction), a drug like Sildenafil or Tadalafil are the first-line treatment. Sildenafil can be started from 50 mg for almost half a...  Read Full »

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