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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can I take Nexito for anxiety and depression?

Dr. I am suffering from anxiety depression for last many years. Can i take nexito. If yes of how much strength and one tab and what time. Few months back i was taking protheadin 75, serta 50, and revotril. 5. These medicines were doing well. But i wanted to get rid of. So under doctors guidance medicines were gradually withdrawn and now i have not taken them for last four months. But now i suffer from same problem. Pl advise me. My email address YYYY@YYYY
Tue, 8 Apr 2014
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Psychiatrist 's  Response
Hello,
Escitalopram 5-10 mg in morning after breakfast can.help you. But if you take my advice, looking at your drug history, i would suggest that you should try to take one of the old molecules. Sertraline ( serta) is very good and safe antidepressant and anti anxiety drug. It is almost same as escitalopram ( even better than this).

The reason being that when you are ready to take a drug or your problems and you have been keeping fine on some molecule- then it is intellegent to use one amongst them (so, try a tested and tried molecuel and save a newer drug for emergency and difficult situatuon.).
So, if there is no particular reason , taking sertraline 25-50mg in morning and increasing it to100-150mg , should suffice the need. I am not against escitalopram at allm but avoid trying several types of antidperessant when.you can.keep fine otherwise.


Hope this helps you.
Please feel free to ask more questions for clarification.

Dr. Manisha Gopak
MD psychiatry
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