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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 11 of 11. This is the beginning of the thread.
Posted by Andrew B. D. on May 20, 2015, at 14:16:04
I've felt best with escitalopram but it had heart related issues (i.e. changes to heart beat etc. possibly related to the fact it affects the QT interval).
What drug would you recommend that is most similar to escitalopram in its therapeutic effect (I assume it must be another SSRI) but which does not have any heart related side effects?
Thanks.
Posted by Christ_empowered on May 20, 2015, at 14:36:27
In reply to Similar to escitalopram but without heart issues, posted by Andrew B. D. on May 20, 2015, at 14:16:04
I dunno man. What were you taking it for? Are you on anything right now? I read somewhere that Luvox is safer than a lot of other SSRIs, but I'm not a doc and Luvox carries its own set of problems.
If its depression...you have plenty of options. OCD...probably fewer options. Anxiety...lots of options. See where I'm going with this?
Could you lower the dose and augment? Some people can take an SSRI+Wellbutrin, SSRI+Remeron, SSRI+buspar, so on and so forth. I seem to recall reading that the cardio issues w/ escitalopram are dose related, so...I dunno...maybe try that?
Have you tried other SSRIs? Any problems? Successes? I mean, I'm not a doc, so I'm just asking what has worked, what you're treating, and what effects you need/want from your medication.
Good luck!
Posted by Andrew B. D. on May 20, 2015, at 15:40:18
In reply to Re: Similar to escitalopram but without heart issues, posted by Christ_empowered on May 20, 2015, at 14:36:27
It's for depression, anxiety and OCD. Most pronounced being the anxiety.
> I dunno man. What were you taking it for? Are you on anything right now? I read somewhere that Luvox is safer than a lot of other SSRIs, but I'm not a doc and Luvox carries its own set of problems.
>
> If its depression...you have plenty of options. OCD...probably fewer options. Anxiety...lots of options. See where I'm going with this?
>
> Could you lower the dose and augment? Some people can take an SSRI+Wellbutrin, SSRI+Remeron, SSRI+buspar, so on and so forth. I seem to recall reading that the cardio issues w/ escitalopram are dose related, so...I dunno...maybe try that?
>
> Have you tried other SSRIs? Any problems? Successes? I mean, I'm not a doc, so I'm just asking what has worked, what you're treating, and what effects you need/want from your medication.
>
> Good luck!
Posted by joe f on May 20, 2015, at 17:18:48
In reply to Re: Similar to escitalopram but without heart issues, posted by Andrew B. D. on May 20, 2015, at 15:40:18
how about luvox
Posted by Lou Pilder on May 20, 2015, at 19:36:29
In reply to Re: Similar to escitalopram but without heart issues, posted by joe f on May 20, 2015, at 17:18:48
> how about luvox
joe f,
You wrote,[...how about Luvox...]
I am unsure as to what you are wanting to mean. If you could post answers to the following, then I could respond accordingly.
True or False:
A. I know, Lou, that Luvox could not induce any adverse effects to one's heart.
B. I suggested Luvox, Lou, because it is a drug that could increase suicidal thinking.
C. I have no idea, Lou, why I suggested Luvox
Lou
Posted by Lou Pilder on May 21, 2015, at 6:28:20
In reply to Lou's response-lewvoks » joe f, posted by Lou Pilder on May 20, 2015, at 19:36:29
> > how about luvox
>
> joe f,
> You wrote,[...how about Luvox...]
> I am unsure as to what you are wanting to mean. If you could post answers to the following, then I could respond accordingly.
> True or False:
> A. I know, Lou, that Luvox could not induce any adverse effects to one's heart.
> B. I suggested Luvox, Lou, because it is a drug that could increase suicidal thinking.
> C. I have no idea, Lou, why I suggested Luvox
> Loujoe and friends,
The correction is in part B to read that [...I suggested Luvox, Lou, because it is a drug that can {decrease} suicidal thinking..], (instead of that Luvox could increase suicidal thinking)
Lou
Posted by Lou Pilder on May 21, 2015, at 6:55:56
In reply to Lou's correction-lewvoks, posted by Lou Pilder on May 21, 2015, at 6:28:20
> > > how about luvox
> >
> > joe f,
> > You wrote,[...how about Luvox...]
> > I am unsure as to what you are wanting to mean. If you could post answers to the following, then I could respond accordingly.
> > True or False:
> > A. I know, Lou, that Luvox could not induce any adverse effects to one's heart.
> > B. I suggested Luvox, Lou, because it is a drug that could increase suicidal thinking.
> > C. I have no idea, Lou, why I suggested Luvox
> > Lou
>
> joe and friends,
> The correction is in part B to read that [...I suggested Luvox, Lou, because it is a drug that can {decrease} suicidal thinking..], (instead of that Luvox could increase suicidal thinking)
> Loujoe, Andrew and friends
There are reports of Lexapro inducing intense compelling suicidal thoughts, more so that Luvox and other drugs in the same class as Lexapro.
Here is one such report.
Lou
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3195160
Posted by Phillipa on May 22, 2015, at 17:03:00
In reply to Lou's response-intense suicidal thoughts-lexapro, posted by Lou Pilder on May 21, 2015, at 6:55:56
Been on low dose luvox generic for over 11 years and never felt suicidal. It's also great for those with anxiety & ruminations
Posted by Horse on May 23, 2015, at 0:53:43
In reply to suicidal thoughts-lexapro » Lou Pilder, posted by Phillipa on May 22, 2015, at 17:03:00
Geez, lexapro extinguished my suicidiality. I'm sure glad I take it.
Posted by Phillipa on May 23, 2015, at 9:51:45
In reply to Re: suicidal thoughts-lexapro, posted by Horse on May 23, 2015, at 0:53:43
Oops take low dose lexapro also. Horse what dose do you take? Thanks and for how long have you been on it?
Posted by phidippus on June 11, 2015, at 0:52:29
In reply to Similar to escitalopram but without heart issues, posted by Andrew B. D. on May 20, 2015, at 14:16:04
They all kind of differ from one another. I would say Prozac would be closest.
Eric
This is the end of the thread.
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