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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Going Through Depression And Anxiety

I am 44 y/o and I started st johns wort 6 days ago for mild depression. I feel really restless and agitated. I am stopping it but is there something I could take to counteract it or calm me down? I have had anxiety for the last 4 years and take Valium on occasion but I didn't know if I could take that? Please help, I feel like I'm going to just explode!
Wed, 26 Mar 2014
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Psychiatrist 's  Response
Hello
St. John Wart has been said to have some very mild effect in psychistric diagnosis but no where has this been studied properly to be used in depression or anxiety. However, peopel commonly use it without any benefit at all.

The best choice in your case would be mirtazapine 7.5mg to 45mg at night.
This will take care if both anxiety and depression and sleep.

Hope the reply is useful
Dr. Manisha Gopal
MD Psychiatry
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Going Through Depression And Anxiety

Hello St. John Wart has been said to have some very mild effect in psychistric diagnosis but no where has this been studied properly to be used in depression or anxiety. However, peopel commonly use it without any benefit at all. The best choice in your case would be mirtazapine 7.5mg to 45mg at night. This will take care if both anxiety and depression and sleep. Hope the reply is useful Dr. Manisha Gopal MD Psychiatry