Tag archives for Effexor

Case: Antidepressant agents. Questions – Answers

Posted By Kelly On Thursday, June 3rd 2010   under:  Pharmacotherapy   Tags: , , ,    
Questions Which of the following agents is contraindicated in a patient with epilepsy? A. Bupropion B. Fluoxetine C. Mirtazapine D. Venlafaxine The antidepressant action of imipramine is thought to be caused by which of the following? A. Blockade of prejunctional α2-adrenoceptors B. Blockade of prejunctional neuronal norepinephrine and serotonin uptake transporters in the CNS C. Increased numbers of β-adrenoceptors D. Inhibition of monoamine oxidase Which of the following antidepressant agents inhibits hepatic microsomal enzymes to cause clinically significant ... Read More

Suicide Attempt

Posted By Kelly On Saturday, April 17th 2010   under:  Question - Answer   Tags: , , , , , ,    
Question. Last month I attempted suicide. I still feel that my family would be better off without me, that there is no future for me, that there is no light at the end of the tunnel, and I'm utterly exhausted. There is no more fight within me. I am currently on Zoloft and Valium. I have taken Prozac, Elavil, Pamelor and Doxipan. I am also in outpatient counseling, which helps ... Read More

Depression and Weight Gain

Posted By Kelly On Friday, January 15th 2010   under:  Question - Answer   Tags: , , , ,    
Question. I used to take 100 mg of imipramine per day for depression. Then I was diagnosed with mixed bipolar and was switched to 750 mg Depakote and 225 mg of Effexor per day. I gained about 50 pounds during the first three months and have not been able to lose any of it. I have a lot of problem with my weight and it has been starting to make ... Read More

Meds in the Second Trimester

Posted By Kelly On Tuesday, January 12th 2010   under:  Question - Answer   Tags: , , , , , , , , , , , , , , , , , ,    
Question. My patient is in the second trimester of her pregnancy. She has panic disorder and depression. In the past, she responded well to Zoloft and Klonopin. What are the safest medications for the next few months? Answer. The short, no-frills answer to your question is that any of the major antidepressants or anxiolytics are probably safe, now that the most vulnerable period of organ-formation (the first trimester) has passed. I ... Read More

Meds for Depression and Anxiety

Posted By Kelly On Monday, January 11th 2010   under:  Question - Answer   Tags: , , , , , , , , , , , , , , , , , , , , , , , , ,    
Question. Do you have a list of drugs for depression, and non-addictive medications for anxiety? Tricyclics of the older vintage would be helpful. Answer. I am providing you with a list of commonly used antidepressants, as well as their usual doses: Maintenance Dosage and Tablet Size for Non-MAOI Antidepressants Antidepressant Tablet/capsule sizes Usual daily adult dose Amitriptyline (Elavil, Endep) 10, 25, 50, 75, 100, 150 mg 75-250 mg Amoxapine (Asendin) 25,50, 100, 150 mg 200-300 mg Bupropion (Wellbutrin) 75, 100 ... Read More

Paxil and Weight Gain

Posted By Kelly On Wednesday, December 23rd 2009   under:  Question - Answer   Tags: , , , , , ,    
Question. I have been taking 30 mg of Paxil daily for nearly two years. I have gained about 15 pounds that I can't drop even though I've increased my activity level and decreased my food intake. All the literature mentions weight loss but nothing is said about weight gain. A friend taking Paxil also experienced weight gain, as have my husband and three friends who are on Prozac. How can ... Read More

Depression Medication Recommendation

Posted By Kelly On Friday, December 18th 2009   under:  Question - Answer   Tags: , , , ,    
Question. I am writing this e-mail on behalf of my dad. He was diagnosed with depression about 7 years ago. ECT Treatments did not help. Although he has been on several anti-depressants over the years, none appear to help. His major symptoms include tiredness and a lack of interest in the things that always were important to him. Unfortunately, he lives in a small rural town and expert medical attention ... Read More

Antidepressants Exacerbating Hypertension

Posted By Kelly On Sunday, December 13th 2009   under:  Question - Answer   Tags: , , , , , ,    
Question. I have a problem with antidepressants exacerbating my hypertension. Are there any that don't increase blood pressure? Are there new antidepressants that might soon be available? Answer. There are many antidepressants that do not increase blood pressure for MOST adults, but there are always exceptions. For example, the older tricyclic antidepressants (such as imipramine or nortriptyline) typically result in decreased blood pressure. (Children can sometimes have hypertensive reactions to some ... Read More

Ruling out symptoms

Posted By Kelly On Saturday, December 12th 2009   under:  Question - Answer   Tags: , , , , , , , ,    
Question. I have a diabetic patient in her early 30s who is also exhibiting signs of anxiety and depression. She's on 100mg Glucophage as well as 100u Humulin Ultralente and 100-150u Humalog (extreme insulin resistance). I am aware that some of her symptoms of anxiety may be related to the gastric side effects of the Glucophage and that her mood problem may be tied to the diabetes itself, but how ... Read More

Recurring Depression

Posted By Kelly On Thursday, December 3rd 2009   under:  Question - Answer   Tags: , , , , ,    
Question. I am a 33-year-old male who has suffered from major depression for about 10 years. I was also anorexic and bulimic around age 25. I have been in lengthy therapy several times, but every few years I seem to cycle back into a very depressed, immobilizing state. Medications (Prozac, Zoloft, Paxil, Serzone, anti-anxiety) don't seem to help. I've always been emotional and sensitive. I am interested in hypnotherapy - ... Read More
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