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Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 43438
Experience:  Board Certified Physician
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Dear sir I have been on a lot of depression and anxiety medications

Customer Question

Dear sir
I have been on a lot of depression and anxiety medications since 10 years .. I want to put an end to this suffering.
I can't sleep witout medical help .I take tritico 100 and xanax 0.5 and they are working fine not very good.
And I have a severe back pain when I sleep.. it really disappear if I am on cymbalta before sleeping.
But untill now my hands have an oblivious tension tremor ... and I still get depression episodes .. can you please tell me the best medicines for me with dosages .. I am afraid sideeffects like gaining weight and erection disfunction..I want to avoid these two side effects .. efexor and cymbalta didn't make weight gain for me.. but didn't cure me also.
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. David replied 2 years ago.

Dr. David :

This is Dr. David

Dr. David :

I am sorry you have been having such bad depression and anxiety.

Dr. David :

there usually is no cure for these symptoms, but they can be treated over time and you have been battling this for a long time, I know.

Dr. David :

many of the SSRI agents can cause erectile dysfunction as a side effect, but they are very effective in treating depression and anxiety.

Dr. David :

these are agents like zoloft or paxil or lexapro or prozac or celexa

Dr. David :

there is not one best medication for everyone.

Dr. David :

cymbalta is slightly different and is in the SNRI category and is in the same category as effexor.

Dr. David :

you have options for Wellbutrin or bupropion to treat depression.

Dr. David :

and you might do better with a long acting benzo


 

Dr. David :

xanax is short acting.

Dr. David :

you need something longer acting like klonopin (clonazepam) or valium (diazepam)

Dr. David :

to help decrease anxiety as well.

Customer:

I tried alot of medication.. I had no unwanted side effects with wellbutrin.. but didnt fix me too and plus I suffer from memory and concentration loss too

Dr. David :

severe anxiety can cause concentration loss.

Dr. David :

I think you need an SSRI agent like zoloft or paxil.

Dr. David :

to help treat depression and anxiety.

Dr. David :

along with klonopin or valium for anxiety.

Dr. David :

hello?

Customer:

What about back pain

Dr. David :

you could have a pinched nerve in your spine causing back pain.

Dr. David :

you should get an MRI scan of your spine to look for herniated disks and pinched nerves.

Dr. David :

have you had a spine MRI scan yet?

Customer:

No .. I went to doctors and got check out

Customer:

And it disappear with cymbalta .. ita low back muscles pain

Dr. David :

depression can cause body aches and pains.

Dr. David :

cymbalta is good at helping with pain from depression.

Dr. David :

you might need cymbalta along with another agent to help with your depression.

Customer:

Ok .. I ll take cymbalta and welbutrin andwhat else beside?

Dr. David :

I would ask your doctors for a spine MRI scan.

Customer:

Ok I will

Dr. David :

good luck to you

Dr. David :

I see.

Dr. David :

if done, please leave positive feedback below the chat box.

Customer:

So what is final for me to take?

Customer:

With doses

Dr. David :

you might need cymbalta along with another agent to help with your depression.

Dr. David :

cymbalta and zyprexa

Dr. David :

which starts at 5 or 10mg a day

Dr. David :

and cymbalta 60 to 120mg a day

Dr. David :

talk to your doctor about this option

Dr. David :

good luck

Dr. David :

you should see a psychiatrist and talk about options for cymbalta and zyprexa to help with your depression.

Dr. David :

do you have any other questions?

Dr. David :

good luck to you

Dr. David :

let me know if you have other questions.

Dr. David :

if done, please leave positive feedback below the chat box

Dr. David :

we only get credit for helping clients after positive feedback

Dr. David :

http://www.justanswer.com/medical/expert-dr-david/?rpt=3800

Dr. David :

is my website if you need to reach me again.

Dr. David :

thanks for using JustAnswer.com

Customer:

Thank you doctor last question ... can seroxat help me?

Dr. David :

seroxat is paroxetine, an SSRI agent also called paxil

Customer:

Thanks doctor your helped me .. just one question ..if seroxat would help or not?

Customer:

Thank you doctor last question ... can seroxat help me?

Dr. David :

it can have small risks for loss of sexual function.

Dr. David :

but can be very effective in helping to decrease depression and anxiety over time.

Customer:

Can I take it with cymbalta and welbutren ?

Dr. David :

that is not usually done.

Customer:

It harm?

Dr. David :

the combo can increase risks for cymbalta levels and could cause seizures

Customer:

Oh.. ok then if I take it should be only 30 gm cymbalta and 25 mg setoxat max

Dr. David :

I would not take the cymbalta and setoxat together either.

Customer:

Ok thank you so much for your help :)

Dr. David :

you are welcome

Dr. David :

don't forget to leave positive feedback below the chat box

Dr. David :

so I can get credit for helping you

Dr. David :

do you see the ratings area below

Dr. David :

we only get credit for helping clients after positive feedback.

Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 43438
Experience: Board Certified Physician
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