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Suggest Treatment For Depression, Anxiety, And Fatigue

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Posted on Tue, 25 Nov 2014
Question: I was diagnosed with severe depression, anxiety, and fatigue plus some additional issues. I tried an SSRI but it was not effective. Then I was prescribed adderall and it seemed to help but I was still lacking in the motivation or energy to do things fun or social. My DR. then put me on parnate. I want to know what OTC supplements or drugs I can take with Parnate instead of adderall?
doctor
Answered by Dr. Dr. Muhammad Sareer Khalil (2 hours later)
Brief Answer:
explained

Detailed Answer:
Hello and Welcome

I appreciate your concern.

Though Adderall is widely used and comparatively safer in terms of interactions. I would recommend you not to alter the pharmacology via supplements especially with regards to serotonin excess that is associated with many of them. I practice evidence based medicine. You can only be safely taking these drugs if you have a documented proven deficiency requiring a supplement.

Methylphenidate and atomoxetine are alternatives to adderal but have dangerous interactions with parnate. Even Adderal should not be used with Parnate as there is risk of acute hypertensive episode. Clonidine and guanfecine are alternatives to Adderall. You may discuss these options with your Physician.

Let me know if you have any query

wishing you best of health

Thanks
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Muhammad Sareer Khalil (2 hours later)
So there is nothing that I can take over the counter to help with energy?
doctor
Answered by Dr. Dr. Muhammad Sareer Khalil (11 hours later)
Brief Answer:
Ginseng and supplement if deficient

Detailed Answer:
hi,

Documentation of deficiencies should be made first.

Iron, B 12 , Folic acid, Vitamin D, Calcium, Zinc and magnesium are deficiencies that are very common. Get your blood levels done for these and correct the deficiencies via supplements pertaining to it. It will markedly improve the energy status.

I found one OTC product which dose play a role in enhancing energy and overall well being. GINSENG. you may discuss about its use with your PCP as it can serve as alternative for ADHD.

Thanks

Ginseng is any of eleven different species of short, slow growing perennial plants with fleshy roots. Ginseng is believed to restore and enhance normal well-being.

Thanks.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Muhammad Sareer Khalil (9 hours later)
Hi - thank you so much this is very helpful. I will definitely discuss this with my doctor. Is there a specific kind of ginseng or brand, it looks like there is a lot of options.
doctor
Answered by Dr. Dr. Muhammad Sareer Khalil (5 minutes later)
Brief Answer:
Korean ginseng is the considered better

Detailed Answer:
hi

Ginseng is indigenous to Asia, although, as it gained popularity, it spread to different parts of the world. There are three main types of Ginseng, which are:

1. Korean/Asian/Panax Ginseng – This is the best form of Ginseng available and most recommended by herbalists and supplement pharmacies. Ginseng evolved on the Korean peninsula and it grows denser and richer in nutrients than Ginseng grown elsewhere (although Panax Ginseng can be forced to grow in other countries, it thrives when grown in Korea, its natural habitat). The benefits of Ginseng are on full display when you use Korean Ginseng. It is chock-full of Antioxidants, Vitamins and Minerals. Adding Korean Ginseng to your diet will allow your Immune System to rev into high gear and whip your whole body into shape! High-quality Korean Ginseng is certified as having been grown for 6 years; the highest standard in the Ginseng industry. Unlike other Asian countries, Korea additionally has strict standards for safety and efficacy, similar to the US.
1. Siberian Ginseng – Siberian Ginseng is the least potent of all of the different types of Ginseng. In fact, although many merchants tried to cash in on Siberian Ginseng, it is not a real Ginseng at all and it is now illegal to call it Ginseng in North XXXXXXX (due to labeling laws)! It is recommended to avoid this because you can get a much better product in the Korean Ginseng. One main reason why there are different potencies is because of the soil that was used. The best soil for growing Ginseng can only be found in Korea. Siberian Ginseng is almost never certified for the number of years it was grown for and is often raised by low-quality manufacturers.
1. XXXXXXX Ginseng – XXXXXXX Ginseng is generally of higher quality than Siberian Ginseng, but it is still considered “second best” when compared to Korean Ginseng. XXXXXXX refers to the species, not the region of growth. It may have been grown anywhere. XXXXXXX Ginseng is often mass produced for use by large corporation (instead of tended by multi-generation families concerned with artisanship, as with Korean Ginseng, for superior health products). It is not typically certified for years grown and is often harvested in only the fourth year of growth, often a sign of lower standards.


It is widely known that Korean Ginseng is the best and strongest Ginseng available. It’s not that it is “just” the best, but it also has more healing properties and more antioxidants and a richer variety of healthy plant saponins and functional ginsenosides than its counterparts, Siberian and XXXXXXX Ginseng.


let me know if you have any other query
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2906 Questions

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Suggest Treatment For Depression, Anxiety, And Fatigue

Brief Answer: explained Detailed Answer: Hello and Welcome I appreciate your concern. Though Adderall is widely used and comparatively safer in terms of interactions. I would recommend you not to alter the pharmacology via supplements especially with regards to serotonin excess that is associated with many of them. I practice evidence based medicine. You can only be safely taking these drugs if you have a documented proven deficiency requiring a supplement. Methylphenidate and atomoxetine are alternatives to adderal but have dangerous interactions with parnate. Even Adderal should not be used with Parnate as there is risk of acute hypertensive episode. Clonidine and guanfecine are alternatives to Adderall. You may discuss these options with your Physician. Let me know if you have any query wishing you best of health Thanks