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Suggest Treatment For Depression

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Posted on Tue, 7 Oct 2014
Question: hi this is XXXXXXX from XXXXXXX i m suffering from depression from last 10 years and i m taking the medicine venla xr 37.5 some tmes in that period lots of time i left the medicine but again and again i was started this medicine so but from last one month i feel the sleep problem and headache what i have to do now my mail id - YYYY@YYYY and XXXXXXX number is 0000
doctor
Answered by Dr. Vishal Garala (27 minutes later)
Brief Answer:
It is the part of mood variability and depression

Detailed Answer:
Hi dear

I had gone through your query.

I understand your concern. Depression has long and chronic course. I don't understand why you discontinued medicines. If you are better and you do not have side effect then need to take medicines regularly.

Do you have side effect related to venlar xr means velnafaxin? If yes then what type of side effect?

Headache and sleep disturbances are indicator of depression and they are very intial symptoms of depression. So need to start venlar xr if you do not have side effect.

There are many good alternative medicines for depression. Among them SSRI is the choce and have less side effects. Tab mirtazapine has dual role in depression and sleep disturbances. I treat my patient with escitalopram or mirtazapine in my clinic who presented with headache, sleep disturbances or depression.

So please start therapy again and stick on it.

For sleep you will take zolpidam 5 mg as and when require.

Do exercise and meditation.

Ensure work and schedule.

wish you a good health.

I hope I have answered your question.

Still if you have a query then feel free to ask.

Happy to help you.

Thank you.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Vishal Garala (42 minutes later)

Thanks for your good advice.

i have some confussion like this.

1. i always tooked the medicine venla xr 37.5 if i will change it any poblem

2. i want to know if taking this medicine to much there is also a problem

3.how long i have to take it , there is any other treatment to recover fastly

4.zolpidam5mg is very hard another low dossages

5. what difference between venla xr 37.5 and mirtazapiine

6. if i will start the medicine mirtazapine so what mg.

7. is it requirement of physically appointment of any respecteble psychetiarist.

8. can i do yoga in depression like anulom vilom because i will started it in past some days i feel good but after some time sleep problem arrised.

plz reply as soon as possible

thanking you XXXXXXX

doctor
Answered by Dr. Vishal Garala (17 minutes later)
Brief Answer:
Proper choice and compliance to drug is essential.

Detailed Answer:
Hi XXXXXXX

Glad to see you again.

Coming to answer your query.

1.If you took it since long and if you are better with that then no need to change it, if you change then it will not cause any problem.

2. This is low dose and it will not cause any major problem if you take it for a long time.

3. you can take it as long as you have symptoms. There are some alternative that i have mentioned in earlier answer. But choice of that depend upon your clinical history of 10 year of illness.

4.You can take 2.5 mg zolpidam if require.

5.Venla xr and mirtazapine both are different group of antidepressant with different kind of indication.

6.usually starting dose of mirtazapine is 7.5 mg preferably.

7. Please search in your town like XXXXXXX

8.Yoga is the best way to relax your mind. please continue it along with medicines. There are many other relaxation techniques you can search it on net.

But all depend upon selection of drug and your compliance to take it. So contact best psychiatrist.


I hoped i have answered your questions but still if you have a query then feel free to ask.

Thank you.

Happy to help you.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Vishal Garala (23 minutes later)

Thanks for given the valuable time for me.

one and last question, currently i m taking venla xr 37.5 medicine from last one year

regullary and now this problem occured so now i want for sleep problem so i start

the medicine zolpidam 2.5mg when the sleep problem solved then i will start the

medicine mirtazapine 7.5 it will be ok or not .


doctor
Answered by Dr. Vishal Garala (5 minutes later)
Brief Answer:
Yes you can take zolpidam 2.5 mg with venlor.

Detailed Answer:
Hi

Thank you for reply.

You can take venlar xr 37.5 and zolpidam 2.5 mg for 2 weeks. However, please be sure to take them unde your doctor's prescription.

sleep will improve on very first day after taking this.

If still have problem then increase venlor xr to 75 mg .

And it will improve all symptoms.

Mirtazapine will take time and can be use as add on to venlor xr.
Mirtazapine will work slowly and beneficial in both depression and sleep.


Thank you.

Happy to help you.

Still have a query then feel free to ask.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
Answered by
Dr.
Dr. Vishal Garala

Psychiatrist

Practicing since :2009

Answered : 1714 Questions

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Suggest Treatment For Depression

Brief Answer: It is the part of mood variability and depression Detailed Answer: Hi dear I had gone through your query. I understand your concern. Depression has long and chronic course. I don't understand why you discontinued medicines. If you are better and you do not have side effect then need to take medicines regularly. Do you have side effect related to venlar xr means velnafaxin? If yes then what type of side effect? Headache and sleep disturbances are indicator of depression and they are very intial symptoms of depression. So need to start venlar xr if you do not have side effect. There are many good alternative medicines for depression. Among them SSRI is the choce and have less side effects. Tab mirtazapine has dual role in depression and sleep disturbances. I treat my patient with escitalopram or mirtazapine in my clinic who presented with headache, sleep disturbances or depression. So please start therapy again and stick on it. For sleep you will take zolpidam 5 mg as and when require. Do exercise and meditation. Ensure work and schedule. wish you a good health. I hope I have answered your question. Still if you have a query then feel free to ask. Happy to help you. Thank you.