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Re: Which Antidepressant LEAST likely to cause anxiety Mtom

Posted by SLS on May 3, 2018, at 11:31:34

In reply to Which Antidepressant LEAST likely to cause anxiety, posted by Mtom on May 2, 2018, at 17:15:53

There are several ways to go, as have been suggested. From a more traditional medical perspective, I don't often hear of Zoloft being effective for anxiety disorders. If your doctor opts for Prozac, beware that anxiety occurs as a side effect. It is most often temporary. Some doctors actually prescribe a drug like Ativan to make the patient more comfortable during the period of start-up anxiety. Maybe 1-2 weeks.

I've never tried Celexa, but it might be the gentlest of the SSRI drugs. Even though it isn't as popular as Lexapro, its sister drug, it is still effective and produces less anxiety as a side effect. If your doctor is adamant about usinng Lexapro, just know that anxiety as a side effect sometimes emerges during the second or third week of treatment, and then disappears.

I happen to like an older drug called nortriptyline. It is a TCA. If anything, it is somewhat sedating at first. It is more dangerous in a suicide overdose than the SSRIs, which was a great motivator for doctors to switch to SSRIs. There is a fairly new drug called Trintellix (vortioxetine) that I will be trying next. It looks similar to a SSRI, but includes other receptor effects not seen in any other antidepressant.

So, the three drugs I mentioned are:

citalopram (Celexa)
nortriptylin (Pamelor)
vortioxetine (Trintellix)

* Vortioxetine still needs more time to prove its worth.

There are tons of drug and drug combinations available, but you might as well keep it simple, unless there is a history of treatment resistance.

Be aware that you can line up 10 people and get 10 different reactions to the same drug. For some people, Zoloft is their wonder drug. For me, not so much.

- Scott

Some see things as they are and ask why.
I dream of things that never were and ask why not.

- George Bernard Shaw




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