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Suggest Treatment For Depression
Question: i my wife in depression for last few moonths almost 11 months.no interest in any work,donot sleep whole day treatment was given for 2 month then she left the medicine.in mean time she was litill beat fine now not taking any medicine we stop the medicine because someone told that will make her habitant of that medicine she will always require medicine to sleep.she has worry about her baby she think she is not taking care of the baby properly she also had doubt how to feed we often told her but she is not understanding any of us
Brief Answer:
She needs proper treatment
Detailed Answer:
Hi
Thanks for using healthcare magic. I, Dr Abhishek Kapoor, would help you in this query.
The way, you have explained her symptoms, definitely she is in depression. In that case, she needs antidepressant like escitalopram. I think, you should remember, patients do not become dependent upon antidepressant. These drugs help to control depressive symptoms, which happens due to serotonin imbalance. It is myth most of people say that they will become habitual to these drugs, but if they do not take drugs, then it could suffer. For sleep, she can take benzodiazepine on sos basis, that would avoid dependence tendency.
Same in your wife case. Right now, just consult a psychiatrist and get her antidepressant prescribed. With medicine, she would become fine and later
psychiatrist will taper down or stop medicine accordingly. In depression, treatment depends upon number of episodes. For first episode, duration of treatment is 6 to 9 months and it would increase if number of episodes increase. Better to give her medicine to avoid further episodes.
In case, you need further help, you can ask.
Regards
Dr. Abhishek Kapoor
Psychiatrist
She needs proper treatment
Detailed Answer:
Hi
Thanks for using healthcare magic. I, Dr Abhishek Kapoor, would help you in this query.
The way, you have explained her symptoms, definitely she is in depression. In that case, she needs antidepressant like escitalopram. I think, you should remember, patients do not become dependent upon antidepressant. These drugs help to control depressive symptoms, which happens due to serotonin imbalance. It is myth most of people say that they will become habitual to these drugs, but if they do not take drugs, then it could suffer. For sleep, she can take benzodiazepine on sos basis, that would avoid dependence tendency.
Same in your wife case. Right now, just consult a psychiatrist and get her antidepressant prescribed. With medicine, she would become fine and later
psychiatrist will taper down or stop medicine accordingly. In depression, treatment depends upon number of episodes. For first episode, duration of treatment is 6 to 9 months and it would increase if number of episodes increase. Better to give her medicine to avoid further episodes.
In case, you need further help, you can ask.
Regards
Dr. Abhishek Kapoor
Psychiatrist
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
thnks for the reply and ur guidance can you suggest me the best physterist doctors name and address in XXXXXXX (UP).
Brief Answer:
Do not know any one in XXXXXXX
Detailed Answer:
HI
Sorry for that. I do not know anyone in Gorakhpur(UP).
In case, you have more query, you can ask.
Regards
Dr. Abhishek Kapoor
Do not know any one in XXXXXXX
Detailed Answer:
HI
Sorry for that. I do not know anyone in Gorakhpur(UP).
In case, you have more query, you can ask.
Regards
Dr. Abhishek Kapoor
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
sir can u suggest me which medicine to be given for depression to her .almost 7 month she had not taken any medicine.i will be greatful to u.and ur contact no. and address.
Brief Answer:
Escitalpram and clonazepam
Detailed Answer:
Hi
If she was my patient, then i would have preferred to give her tablet escitalopram 10mg with clonazepam 0.5mg. Medicine would take time to show response. Keep her on same dose for next few days and better to consult a psychiatrist for proper monitoring.
In case, you need my help, you can ask.
Regards
Dr. Abhishek Kapoor
Psychiatrist
0000 XXXXXXX
Escitalpram and clonazepam
Detailed Answer:
Hi
If she was my patient, then i would have preferred to give her tablet escitalopram 10mg with clonazepam 0.5mg. Medicine would take time to show response. Keep her on same dose for next few days and better to consult a psychiatrist for proper monitoring.
In case, you need my help, you can ask.
Regards
Dr. Abhishek Kapoor
Psychiatrist
0000 XXXXXXX
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
k sir other than medicine what else we have to do she doesnot have any interest either in household work or talking with the people she used sit alone without showing interest in any thing what else we can do .she always has feeling that she is not feeding her baby proprely whatever she is doing is wrong she used to to have fear that she is not taking care of her baby properly.what else we can do she donot have any interest in any thing. how we can make her feel good.
Brief Answer:
She will be better with medicine
Detailed Answer:
Hi
Low mood, decrease interest in household activity, not caring her baby, negative thoughts or excessive worries are part of depression. These symptoms would improve in few days with medications and her mood would become like before. Just give her medications regularly and wait for few days to get response.
In case, you need further help, you can ask.
Regards
Dr. Abhishek Kapoor
Psychiatrist
She will be better with medicine
Detailed Answer:
Hi
Low mood, decrease interest in household activity, not caring her baby, negative thoughts or excessive worries are part of depression. These symptoms would improve in few days with medications and her mood would become like before. Just give her medications regularly and wait for few days to get response.
In case, you need further help, you can ask.
Regards
Dr. Abhishek Kapoor
Psychiatrist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
sir,
thnks for ur feedback in the morning.now i only want to confirm whether to stop all medicine which she used to take kabhi kabhi the medicine which was perscribed by her doctor the details of the medicine are- LITAB SR 400MG(LITHIUM CARBONATE EXTENDED RELEASE TABLET),TOLPAZ-MD(RX OLANZAPINE RAPDLY DISSOLVE TABLET),XS(FLUOXETINE CAPSULES IP 20 MG),AXITAN1(LORAZEPAM TABLET BP 1MG).PLS CONFIRM SIR SHOULD I STOP THESE TABLET AND GO ON WITH THE TABLETS PERSCRIBED BY U ESCITALOPRAM 10 MG AND clonazepam 05 MG.what doses i have to give her and any addition medicine reqired pls mention sir.
thnks for ur feedback in the morning.now i only want to confirm whether to stop all medicine which she used to take kabhi kabhi the medicine which was perscribed by her doctor the details of the medicine are- LITAB SR 400MG(LITHIUM CARBONATE EXTENDED RELEASE TABLET),TOLPAZ-MD(RX OLANZAPINE RAPDLY DISSOLVE TABLET),XS(FLUOXETINE CAPSULES IP 20 MG),AXITAN1(LORAZEPAM TABLET BP 1MG).PLS CONFIRM SIR SHOULD I STOP THESE TABLET AND GO ON WITH THE TABLETS PERSCRIBED BY U ESCITALOPRAM 10 MG AND clonazepam 05 MG.what doses i have to give her and any addition medicine reqired pls mention sir.
Brief Answer:
You can give her these drugs
Detailed Answer:
HI
If she does not have any history of mania, then you can stop these drugs. Mania means over-talkativeness, decrease need for sleep, grandiose ideas, easy irritability, increase religiosity or sexuality etc. If she does not have any episode with these symptoms, then stop all these drugs and start with escitalopram and clonazepam. In case, she feels problem in sleep, you can take two or three tablet at night.
If you have more query, you can ask.
Regards
Dr. Abhishek Kapoor
Psychiatrist
You can give her these drugs
Detailed Answer:
HI
If she does not have any history of mania, then you can stop these drugs. Mania means over-talkativeness, decrease need for sleep, grandiose ideas, easy irritability, increase religiosity or sexuality etc. If she does not have any episode with these symptoms, then stop all these drugs and start with escitalopram and clonazepam. In case, she feels problem in sleep, you can take two or three tablet at night.
If you have more query, you can ask.
Regards
Dr. Abhishek Kapoor
Psychiatrist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
clonazepam is to be given when is has problem in sleep.can u tell 0.5mg is to be given or 1mg
Brief Answer:
Give 1 mg clonazepam
Detailed Answer:
Hi
Right now, she is on olanzapine and it is a sedative antipsychotic. Better to start at dose of 1 mg at night and in case, she needs more, you can give her 0.5 mg again. Rest, tell me the response after giving medications.
Regards
Dr. Abhishek Kapoor
Psychiatrist
Give 1 mg clonazepam
Detailed Answer:
Hi
Right now, she is on olanzapine and it is a sedative antipsychotic. Better to start at dose of 1 mg at night and in case, she needs more, you can give her 0.5 mg again. Rest, tell me the response after giving medications.
Regards
Dr. Abhishek Kapoor
Psychiatrist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thnks for ur guidance ihave started giving her the medicine the way u told only i give her olanzapine at 1000hrs in the morning because she has bechaini and gabhrahat in the morning and in night she has no ptoblem of sleeping bechaini so i m giving her only escitalopram . suggest whether to give her clonazepam or not if so when
Brief Answer:
Give her clonazepam 0.5 mg
Detailed Answer:
HI
Olanzapine is a antipsychotic and there is no need to give her olanzapine for anxiety. In case of anxiety disorder or sleep, give her clonazepam rather than olanzapine. You can give her clonazepam 0.5 mg on sos basis on any time. She can also try relaxation exercise like deep breathing or life style modification in form of morning or evening walk.
Regards
Dr. Abhishek Kapoor
Give her clonazepam 0.5 mg
Detailed Answer:
HI
Olanzapine is a antipsychotic and there is no need to give her olanzapine for anxiety. In case of anxiety disorder or sleep, give her clonazepam rather than olanzapine. You can give her clonazepam 0.5 mg on sos basis on any time. She can also try relaxation exercise like deep breathing or life style modification in form of morning or evening walk.
Regards
Dr. Abhishek Kapoor
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Sir, now it seems she is responding little bit fine showing improvement but not much as 1 yr has been completed hiw much time it will take how much month atleast she has to take medicine.from two days she had more behani and gabrahat mostly in morning till afternoon 8 to 1pm.i had given her clonazepam 0.5mg . Sir one more thing she feels hungry but ushka maan kuch bhi khane ko nahi karta she is not eating anything after forcily she eat little bit .can u guide me regarding this.she is getting weak day by day
Brief Answer:
Just wait for few days.
Detailed Answer:
HI
Antidepressant takes at least 10 to 14 days to show response. Just keep her on escitalopram 10 mg once a day and give her clonazepam whenever she feels anxiety symptoms. With medicine, depressive and anxiety symptoms would subside and that would help to improve her appetite. Usually in first episode of depression, antidepressant stays for nine months and if episodes are more than two, then for 2 to 5 years or more. Same protocol would be for your wife case also. Just wait to get response with medications.
In case, you need further help, you can ask anytime.
Regards
Dr. Abhishek Kapoor
Psychiatrist
Just wait for few days.
Detailed Answer:
HI
Antidepressant takes at least 10 to 14 days to show response. Just keep her on escitalopram 10 mg once a day and give her clonazepam whenever she feels anxiety symptoms. With medicine, depressive and anxiety symptoms would subside and that would help to improve her appetite. Usually in first episode of depression, antidepressant stays for nine months and if episodes are more than two, then for 2 to 5 years or more. Same protocol would be for your wife case also. Just wait to get response with medications.
In case, you need further help, you can ask anytime.
Regards
Dr. Abhishek Kapoor
Psychiatrist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thats k sir but since 1 year she had this problem.but k i will continue with this as suggested by u.but plesse suggest what to do with her she feels hungery but not eating the food she used to tell bhook lagti hai par khana kahne ka maan nahi XXXXXXX raha.she is getting thin day by day
Brief Answer:
Give her liquid diet in that case
Detailed Answer:
HI
Low mood is part of depression. With time that symptoms will be improved. You can give her any appetizer or tell her to eat any thing after short interval. That would help to give the required energy content for a day. You can also try liquid diet for her like shake, juice etc that would also give her few energy.
Regards
Dr. Abhishek Kapoor
Give her liquid diet in that case
Detailed Answer:
HI
Low mood is part of depression. With time that symptoms will be improved. You can give her any appetizer or tell her to eat any thing after short interval. That would help to give the required energy content for a day. You can also try liquid diet for her like shake, juice etc that would also give her few energy.
Regards
Dr. Abhishek Kapoor
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Sir the problem is she refuse for every thing we tried everthing. is there any medcine for hunger or tonic of vitamin which can be given to her.
Brief Answer:
Give her mirtazapine
Detailed Answer:
HI
You can either give her appetizer Aptimust twice a day or antidepressant mirtazapine 7.5 mg at night. Both help to increase appetite. I would suggest you mirtazapine. It has dual effect antidepressant as well as appetizer. With this, there is no need to give clonazepam at night due to its sedative effect.
Regards
Dr. Abhishek Kapoor
Give her mirtazapine
Detailed Answer:
HI
You can either give her appetizer Aptimust twice a day or antidepressant mirtazapine 7.5 mg at night. Both help to increase appetite. I would suggest you mirtazapine. It has dual effect antidepressant as well as appetizer. With this, there is no need to give clonazepam at night due to its sedative effect.
Regards
Dr. Abhishek Kapoor
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Sir i m giving her the medicine as directed by u.since 10 days have completed her taking the medicine.i want u to know that she had beheni aur gabhrahat whole day .pls tell is there any requirement to change the medicine or what to do.
Brief Answer:
Carry on with same drugs
Detailed Answer:
Hi
I have already told that you drugs would take two weeks to show response. In between, if she feels anxiety symptoms, you can give her clonazepam 0.5 mg on sos at any time. Antidepressant would control her anxiety symptoms. These symptoms are part of depression, so nothing to worry about it. With time along with depressive symptoms, anxiety symptoms will also decrease. There is no need to change drugs. Just be patient.
Regards
Dr. Abhishek Kapoor
Psychiatrist
Carry on with same drugs
Detailed Answer:
Hi
I have already told that you drugs would take two weeks to show response. In between, if she feels anxiety symptoms, you can give her clonazepam 0.5 mg on sos at any time. Antidepressant would control her anxiety symptoms. These symptoms are part of depression, so nothing to worry about it. With time along with depressive symptoms, anxiety symptoms will also decrease. There is no need to change drugs. Just be patient.
Regards
Dr. Abhishek Kapoor
Psychiatrist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
sir,
as directed by u i m giving her the medicine as directed by u mirtazapine 7.5 mg, escitalopram 10 mg in the night and clonazepam 05 mg in the day time .but since one month has been completed but there is no improvement in her.so guide me whether to change the medicine or what to do.
as directed by u i m giving her the medicine as directed by u mirtazapine 7.5 mg, escitalopram 10 mg in the night and clonazepam 05 mg in the day time .but since one month has been completed but there is no improvement in her.so guide me whether to change the medicine or what to do.
Brief Answer:
Increase dose of escitalopram
Detailed Answer:
Hi
There is no need to change the drugs. What ever antidepressant she takes, it would take two weeks to show response. Better to increase the dose of escitalopram up to 20mg and then wait for another two weeks. Carry on with mirtazapine at same dose. Sometime, patient takes time to get improvement with drugs. Just be patient.
In case, you have more query, you can ask.
Regards
Dr. Abhishek Kapoor
Psychiatrist
Increase dose of escitalopram
Detailed Answer:
Hi
There is no need to change the drugs. What ever antidepressant she takes, it would take two weeks to show response. Better to increase the dose of escitalopram up to 20mg and then wait for another two weeks. Carry on with mirtazapine at same dose. Sometime, patient takes time to get improvement with drugs. Just be patient.
In case, you have more query, you can ask.
Regards
Dr. Abhishek Kapoor
Psychiatrist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
ok sir it means i have to wait for another two weeks but sir after taking medicine for one month there should be some improvement but it seems medicine is not working on her how much more time it will take sir .As said by u escitalopram up to 20mg means two tablet of 10-10 mg i have to give her.
Brief Answer:
You can give her drugs in divided doses
Detailed Answer:
Hi
She is in depression for last one year. Usually depressive episode stays for 6 to 9 months, but if a patient has depression more than nine months, that means he or she is towards chronic depression and needs longer treatment. In that case, patient should be on drugs and take time to get improvement. How long would she takes to get improvement, is difficult to tell. Better to give her drugs as i have advised. You can give her escitalopram in divided doses 10mg twice a day or 20 mg at night. In both way, she would get equal effect.
If you have more query, you can ask.
Regards
Dr. Abhishek Kapoor
Psychiatrist
You can give her drugs in divided doses
Detailed Answer:
Hi
She is in depression for last one year. Usually depressive episode stays for 6 to 9 months, but if a patient has depression more than nine months, that means he or she is towards chronic depression and needs longer treatment. In that case, patient should be on drugs and take time to get improvement. How long would she takes to get improvement, is difficult to tell. Better to give her drugs as i have advised. You can give her escitalopram in divided doses 10mg twice a day or 20 mg at night. In both way, she would get equal effect.
If you have more query, you can ask.
Regards
Dr. Abhishek Kapoor
Psychiatrist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
ok sir thnks for the guidance i will continue as directed my u .thnks once again
Brief Answer:
Thanks
Detailed Answer:
Thanks. Its my pleasure to help you.
Regards
Dr. Abhishek Kapoor
Psychiatrist
Thanks
Detailed Answer:
Thanks. Its my pleasure to help you.
Regards
Dr. Abhishek Kapoor
Psychiatrist
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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