Zoloft . . .by any other name would . . .

My apologies to Shakespeare.

Whenever one of the antidepressants goes generic, there is a small percentage of people that have a return of symptoms of anxiety or depression that had previously been in good control. When the medicine gets switched back to the brand name only, the symptoms become under control again. This, of course, . . . → Read More: Zoloft . . .by any other name would . . .

Minimal Bipolarism–how cautious do you have to be?

Very.

OK, I guess you want more than that for an explanation, right? This is an issue that comes up frequently. Since many of the medications that we use to treat other issues can potentially aggravate an underlying Bipolar Disorder, psychiatrists have been increasingly conservative in their prescribing and more aggressive in probing for latent . . . → Read More: Minimal Bipolarism–how cautious do you have to be?

Tapering antidepressants . . . more art than science

I get numerous inquiries about how to stop antidepressants. I get the impression that most people want to stop on their own, and not in collaboration with their psychiatrist. As always, I recommend that you change medicine only after consultation with your doctor. If you don’t feel like your doctor will listen to you, then . . . → Read More: Tapering antidepressants . . . more art than science

Doped Up On Too Many Medications???

I put the following comments in back to back for a reason. Read on . . .

K writes in to say . . . I find being on so many medications made everything worse- not all- but most. The side effects where at times unbearable. But when I was on so many…it made . . . → Read More: Doped Up On Too Many Medications???

Seroquel . . .XR . . . SR . . .CR . . .whatever . . .

All right, here I am, first day back from vacation . . . and one of the first messages handed to me by my secretary is . . . “a drug rep wants to set up a lunch to discuss Fizzilrexcrap XR . . . a new version of Fizzilrexcrap”. . . OK, OK it . . . → Read More: Seroquel . . .XR . . . SR . . .CR . . .whatever . . .

Combining Effexor and Cymbalta–a good example of what not to do

On the search engine terms on my blog stats the other day, I had “combining Effexor and Cymbalta” listed multiple times. LIKE 25 TIMES. Seems someone had a question that was not getting answered too quickly. It brought to mind, once again, how mysterious these medications can be to people. To most folks (and some . . . → Read More: Combining Effexor and Cymbalta–a good example of what not to do

Trial of no medicine–knowing when to stop and think

There comes a time in my work with some of my patients that I have to stand back and say . . . “what are you doing???” When patients come in with a cascade of difficult problems, the knee jerk reaction is to change the medicine. Initially, this might be adding an antidepressant (say . . . . → Read More: Trial of no medicine–knowing when to stop and think

Irritability during antidepressant trials

What does it mean when someone has a negative reaction to antidepressants? Most people put on antidepressants do well. They have minimal to no side effects and have a gradual improvement in their mood/anxiety. For some people, a trial of an antidepressant is a nightmare. Any time an antidepressant is initiated, you can experience irritability, . . . → Read More: Irritability during antidepressant trials

High Blood Pressure with Effexor

The following comment/question brings up a number of issues that are important. I reprint the following without editing . . .

I have been on effexor xr for a long time. it’s the only thing that works.

I recently spiked a high BP. I thought I might be going through perimenpausal symtoms. I think . . . → Read More: High Blood Pressure with Effexor

Which requires a higher dose of medicine, anxiety or depression?

A therapist writes in with the following question:

I had a disagreement with a psychiatrist. I’d thought that in using SSRI’s to treat anxiety–social phobias, social anxiety, etc.–LOW doses are usually given. (5-10mg of Celexa/day). Treating depression usually requires HIGHER doses, (20-60mg Celexa/day). She maintained that higher doses of SSRI’s are required to treat . . . → Read More: Which requires a higher dose of medicine, anxiety or depression?