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Suggest Antidepressants Without Any Side Effects

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Posted on Mon, 14 Jul 2014
Question: Hi I need help on the medication I am taking , I don't think is the right one, I have been taking Paxil 20mg for 8 years I lower it to 12.5 mg after a while of feeling better 2 months I start to feel depressed I went to a doctor to get a another medicine like paxil withouth the side effects , lower energy , lower libido and weight gain.
My Dr prescribe Viibryd 20mg plus Librium 20mg in the morning and 20mg at night but I feel over medicated I am sleeping 5 hours after taking the Librium in the morning , which is exactly the opposite of what I want , I know there are other options in the market with less side effects that could replace the paxil but it seems I am taking too many medicines right now
doctor
Answered by Dr. Abhishek Kapoor (2 hours later)
Brief Answer:
You can try bupropion

Detailed Answer:
Hi
Thanks for using healthcare magic. I, Dr Abhishek Kapoor, would help you in this query.

Viibryd contains vilazodone and it causes little bit sedation. In your case, you can try another antidepressant like escitalopram or sertraline or bupropion etc. I would suggest you bupropion as it does not have much side effects like lower energy, decrease libido and weight gain. It would help to control anxiety symptoms in better way. Discuss about this drug with your psychiatrist and in case, you need further help, you can ask.

Regards
Dr. Abhishek Kapoor
Psychiatrist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Abhishek Kapoor (1 hour later)
Since i a, taking viibryd for depression but my main problem is anxiety does buprobion works mainly for anxiety? Also i am taking librium 20mg twice a day that is the medicine that actually puts me too sleep, do you know options and anxiety and depresion medicine that can help both ways instead of librium and viibryd?
doctor
Answered by Dr. Abhishek Kapoor (3 hours later)
Brief Answer:
You can try venlafaxine or paroxetine or bupropion

Detailed Answer:
Hi

Bupropion is a good antidepressant and effective in controlling anxiety as well as depression. The effective antidepressants for both depression and anxiety are venlafaxine and paroxetine. You had tried paxil and got good response. If you want, you can either start with venlafaxine or paroxetine. There are few side effects with these antidepressant like hypertension with venlafaxine and sexual side effects with paroxetine. If you want a antidepressant with few side effects, you can try bupropion. It is effective in depression and anxiety, but lesser than these two.

In benzodiazepine, you can try xanax or klonopin in low dose and that would too help to control anxiety. Beside drugs, you can also try some relaxation exercise like JPMR or deep breathing exercise. That would help you stay calm and relax.

In case, you have more query, you can ask.

Regards
Dr. Abhishek Kapoor
Psychiatrist
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Abhishek Kapoor

Psychiatrist

Practicing since :2007

Answered : 2496 Questions

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Suggest Antidepressants Without Any Side Effects

Brief Answer: You can try bupropion Detailed Answer: Hi Thanks for using healthcare magic. I, Dr Abhishek Kapoor, would help you in this query. Viibryd contains vilazodone and it causes little bit sedation. In your case, you can try another antidepressant like escitalopram or sertraline or bupropion etc. I would suggest you bupropion as it does not have much side effects like lower energy, decrease libido and weight gain. It would help to control anxiety symptoms in better way. Discuss about this drug with your psychiatrist and in case, you need further help, you can ask. Regards Dr. Abhishek Kapoor Psychiatrist