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Suggest Treatment For Anxiety And Depression While On Luvox
Question: I have been taking Luvox -100mg at night &1 mg of clonazapam to treat anxiety, sleeplessness & depression for over 15 yrs. I have been so tired & disinterested in any thing the last 6 months & now my DR wants me to put me on Welbutryn. I'm worried about whether the new antidepressant will help & especially about going off the clonazapam. But I've read so many things about long term use of it I feel very anxious about using it anymore. Help!
Brief Answer:
wellbutrin; mirtazapine can be alternative.
Detailed Answer:
Hello
Welcome to HCM.
I can understand your concerns.
Luvox is a SSRI drug and Wellbutrin is NDRI drug.
In simple terms, their mechanism of action as an antidepressant is different.
If luvox has stopped working for you, I think adding wellbutrin should help as it will broaden the spectrum of antidepressant action.
Regarding clonazepam, 0.5-1mg is a low dose. If you take 0.5mg at night for sleep and the dose requirement has not increased, you have still not developed delendence.
However, I understand your apprehension about clonazepam.
The alternative to this could be drug mirtazapine. This is an antidepressant with sedative property. This can help you sleep without clonazepam.
Kindly discuss this with your doctor.
Hope this helps.
Take care.
Thanks.
wellbutrin; mirtazapine can be alternative.
Detailed Answer:
Hello
Welcome to HCM.
I can understand your concerns.
Luvox is a SSRI drug and Wellbutrin is NDRI drug.
In simple terms, their mechanism of action as an antidepressant is different.
If luvox has stopped working for you, I think adding wellbutrin should help as it will broaden the spectrum of antidepressant action.
Regarding clonazepam, 0.5-1mg is a low dose. If you take 0.5mg at night for sleep and the dose requirement has not increased, you have still not developed delendence.
However, I understand your apprehension about clonazepam.
The alternative to this could be drug mirtazapine. This is an antidepressant with sedative property. This can help you sleep without clonazepam.
Kindly discuss this with your doctor.
Hope this helps.
Take care.
Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Would the mirtazapine be used in conjunction with the wellbutrin or by itself?
Also, I take a very low dose of Flecainide (50mg at night) For SVT. Would there be any drug interaction? Thank- you for your help
Also, I take a very low dose of Flecainide (50mg at night) For SVT. Would there be any drug interaction? Thank- you for your help
Brief Answer:
mirtazapine would be a safer choice.
Detailed Answer:
Hi again.
Bith drugs are not to be used together.
Either of the two drugs (wellbutrin and mirtazapine) has to be used.
Since you take flecainide, I would recommend the use of mirtazapine.
Wellbutrin can increase blood flecainide levels by drug interactions.
Mirtazapine has no significant drug interaction with flecainide.
Kindly discuss this with your doctor.
Hope this helps.
Please close the discussion if you are satisfied with the response and give your valuable feedback.
Take care.
Regards.
mirtazapine would be a safer choice.
Detailed Answer:
Hi again.
Bith drugs are not to be used together.
Either of the two drugs (wellbutrin and mirtazapine) has to be used.
Since you take flecainide, I would recommend the use of mirtazapine.
Wellbutrin can increase blood flecainide levels by drug interactions.
Mirtazapine has no significant drug interaction with flecainide.
Kindly discuss this with your doctor.
Hope this helps.
Please close the discussion if you are satisfied with the response and give your valuable feedback.
Take care.
Regards.
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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