HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest An Alternative Anti-depressant To Celexa

default
Posted on Fri, 28 Mar 2014
Question: I have bi-polar illness and slight depression. I'm taking 12.5 mg per day of Olanzapine per day for the bi-polar illness which works 100%. I take 10mg of Celexa for the depression, but get a drunkiness side effect occasionally. Wish to take another anti-depressant drug. Can't take Prozac because it interferes with the Olanzapine. Could you select another anti-depressant instead of Celexa. Kidneys only 30% efficient.
doctor
Answered by Dr. Abhishek Kapoor (20 minutes later)
Brief Answer: Sertraline can be used Detailed Answer: Hi Thanks for using healthcare magic. I, Dr Abhishek Kapoor, would help you in this query. In your case, due to poor kidney function, i will suggest sertraline as an antidepressant of choice. It has good effect on patient with renal impairment. Less than 0.2% of drug is excreted unchangeable through kidney and metabolism of drug remain unchanged even in kidney impairment. Dosing would remain same and it would not interfere with olanzapine. Rest you can discuss with your treating psychiatrist. In case, you have more query, you can ask. Regards Dr. Abhishek Kapoor Psychiatrist
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Abhishek Kapoor

Psychiatrist

Practicing since :2007

Answered : 2496 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest An Alternative Anti-depressant To Celexa

Brief Answer: Sertraline can be used Detailed Answer: Hi Thanks for using healthcare magic. I, Dr Abhishek Kapoor, would help you in this query. In your case, due to poor kidney function, i will suggest sertraline as an antidepressant of choice. It has good effect on patient with renal impairment. Less than 0.2% of drug is excreted unchangeable through kidney and metabolism of drug remain unchanged even in kidney impairment. Dosing would remain same and it would not interfere with olanzapine. Rest you can discuss with your treating psychiatrist. In case, you have more query, you can ask. Regards Dr. Abhishek Kapoor Psychiatrist