This is Dr. David
I am sorry you have been having such bad depression and anxiety.
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.
many of the SSRI agents can cause erectile dysfunction as a side effect, but they are very effective in treating depression and anxiety.
these are agents like zoloft or paxil or lexapro or prozac or celexa
there is not one best medication for everyone.
cymbalta is slightly different and is in the SNRI category and is in the same category as effexor.
you have options for Wellbutrin or bupropion to treat depression.
and you might do better with a long acting benzo
xanax is short acting.
you need something longer acting like klonopin (clonazepam) or valium (diazepam)
to help decrease anxiety as well.
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
severe anxiety can cause concentration loss.
I think you need an SSRI agent like zoloft or paxil.
to help treat depression and anxiety.
along with klonopin or valium for anxiety.
What about back pain
you could have a pinched nerve in your spine causing back pain.
you should get an MRI scan of your spine to look for herniated disks and pinched nerves.
have you had a spine MRI scan yet?
No .. I went to doctors and got check out
And it disappear with cymbalta .. ita low back muscles pain
depression can cause body aches and pains.
cymbalta is good at helping with pain from depression.
you might need cymbalta along with another agent to help with your depression.
Ok .. I ll take cymbalta and welbutrin andwhat else beside?
I would ask your doctors for a spine MRI scan.
Ok I will
good luck to you
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So what is final for me to take?
cymbalta and zyprexa
which starts at 5 or 10mg a day
and cymbalta 60 to 120mg a day
talk to your doctor about this option
you should see a psychiatrist and talk about options for cymbalta and zyprexa to help with your depression.
do you have any other questions?
let me know if you have other questions.
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Thank you doctor last question ... can seroxat help me?
seroxat is paroxetine, an SSRI agent also called paxil
Thanks doctor your helped me .. just one question ..if seroxat would help or not?
it can have small risks for loss of sexual function.
but can be very effective in helping to decrease depression and anxiety over time.
Can I take it with cymbalta and welbutren ?
that is not usually done.
the combo can increase risks for cymbalta levels and could cause seizures
Oh.. ok then if I take it should be only 30 gm cymbalta and 25 mg setoxat max
I would not take the cymbalta and setoxat together either.
Ok thank you so much for your help :)
you are welcome
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