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Hormonal treatment for anxiety - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Anxiety and Stress
Answered by

General & Family Physician
Practicing since : 2009
Answered : 675 Questions
User :   I had lab work done and am 60 I had a tsh of 4.5, testoterone of 270, free test. 7.3, dhea 621. Everthing else was normal. I have a history of gad and take 1mg ativan 2-3 a day for years, sometimes depression mostly stress related and have taken wellbutrin 75mg 2x a day or prozac 10mg a day. My doctor likes all those meds. Prozac helped the most with anxiety and mood but I get angry thinking when I come off it or first take it. Wellbutrin works somewhat but tends to make anxiety worse. I have enlarged prostate and take hytrin2mg a day. My MD does not want to use hormone replacement now because he thinks it is better to focus only on anxiety and mood treatment. What do you think of not treating hormone issues-what do you think of the lab results? Do you think any other meds might help for anxiety/depression? Sometimes I am more tired now. I find it hard to lose weight despite working out daily and being on a low carb diet. Sometimes have ed and use viagra which works. What would you treat and what would you recommend? xxxx
Doctor :   Hi
Doctor :   I am Dr. xxxx
Doctor :   Give me couple of minutes
User :   hi
Doctor :   Let me read the query
Doctor :   Honestly this a lot to think over scenario to handle both physically and online
Doctor :   by any doctor
Doctor :   However I try to give my suggestions quickly
Doctor :   Coming to Lab results
Doctor :   TSH is normal, I guess the free thyroxine should be good enough so it does not require treatment
Doctor :   The total testosterone and free testosterone, low normal and Normal respectively
Doctor :   For the age, I still think it is Ok
User :   whatever you think will be helpful because I dont know if I should push for hormone treatment or just stay with the anxiety/depression meds only but I need to find a better med than prozac or wellbutrin
Doctor :   So no need of hormone replacement actually
User :   ok good that is what my family md says
Doctor :   Now giving hormone replacement shall change the pharmocodynamics of other medications
Doctor :   Hence not recommended too
User :   how so
Doctor :   They interact with the action of other medicines
User :   do they lessen their effect for anxiety or depression
User :   do they counter the effects of wellbutrin or prozac
Doctor :   Secondly, the decision of anxiety / depression medication is better taken critically analysis of the doctor / treating physician after carefully observing your symptoms, other issues socially
Doctor :   yes
Doctor :   Wellbutrin and Prozac are age old drugs and certainly proven to benefit most
Doctor :   But they come with their own package of side effects
Doctor :   If you are able to tolerate them
User :   should i take both and what combination is better for anxiety
Doctor :   Prozac is better and if not beneficial, a combination is good
User :   just one question yet do thyroxine or testosterone negate the effects of prozac or wellbutrin
User :   just curious I heard they do
Doctor :   Yes they interact
Doctor :   hence the dose is regulated
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