Talk to Psychiatry on Psychiatric
Asking for Self, Male, 38 years old, Karachi
AOA Doctors. I have long journey of my depression tried all of the antipsychotic antidepressants without any good results. In short one of my psychiatrist Dr. Tried me on firstly zylex sr 300 mg Dowvigil 200 mg I found this combination of medicine excellent result but the Dowvigil discontinued from company he prescribed then attentra that was also good. But when I moved another city there one of psychiatric stopped all of above medicine and prescribed vegadon 6 mg 2 times Dosik 5 mg once at night kempro 2 time the results are good but I want to increase kempro due to restleg and anxiety and Dosik from 5 mg to 10 mg because I found very good results when I increased sometime taken before the the end of time of others kempro and Dosik. Can I do that I want to know your valuable advices. I also jump from one combination to this and then other zylex sr attentra revotril I have been do this 4 times but don't want to do it again. Thanks Doctors.
Dr. Marium Khan - Psychiatrist
MBBS, FCSP Psychiatry | Karachi
you need to book an appointment for a details discussion. a full history is needed for prescription
show to psychiatrist for evaluation and treatment
Walaikum Assalam. It is good that you are noticing which medicines help, but please avoid changing doses on your own,as it can disturb your progress or cause side effects. Discuss your current response and restlessness with your psychiatrist he/she can safely adjust Kempro or Dosik if needed. Staying consistent under one doctor’s guidance will help you achieve stable, lasting improvement.
please get appointment for detail assessment and treatment
It seems like you're looking for information on the medications you mentioned and potentially others that might be suitable for treating depression and related conditions, especially after having had a good response to certain combinations but facing medication changes. I'll provide a brief overview of the medications you've mentioned, as well as some general information on psychiatric drugs typically used for depression and their profiles.
Medications Discussed
Zylex SR (Escitalopram)
Indication: Major Depressive Disorder, Generalized Anxiety Disorder.
Mechanism: Selective serotonin reuptake inhibitor (SSRI) that increases serotonin levels in the brain.
Contraindications: Hypersensitivity to escitalopram or citalopram, concomitant use of monoamine oxidase inhibitors (MAOIs).
Side Effects: Nausea, insomnia, fatigue, sexual dysfunction, dry mouth.
Adverse Reactions: Increased risk of suicidal thoughts in young adults, serotonin syndrome.
Dowvigil (Modafinil)
Indication: Primarily used for narcolepsy, sleep apnea, and shift work sleep disorder.
Mechanism: Promotes wakefulness by affecting neurotransmitters in the brain.
Contraindications: Severe hypersensitivity to modafinil or armodafinil, history of valvular heart disease.
Side Effects: Headache, nausea, anxiety, insomnia.
Adverse Reactions: Serious skin rashes, psychiatric symptoms like anxiety.
Attentra (Atomoxetine)
Indication: Attention Deficit Hyperactivity Disorder (ADHD).
Mechanism: Selective norepinephrine reuptake inhibitor (NRI).
Contraindications: Narrow-angle glaucoma, severe cardiovascular disorders, MAOIs.
Side Effects: Decreased appetite, dry mouth, fatigue, mood swings.
Adverse Reactions: Increased risk of suicidal thoughts, particularly in children and adolescents.
General Considerations for Depression Management
SSRIs & SNRIs: Other SSRIs (like fluoxetine, sertraline) or SNRIs (like venlafaxine, duloxetine) may also be considered if previous medications were ineffective.
Atypical Antidepressants: Bupropion or mirtazapine could be alternatives, particularly for patients with fatigue or insomnia.
Psychotherapy: Cognitive-behavioral therapy (CBT) or other therapeutic modalities can be effective adjuncts or alternatives to pharmacotherapy.
Lifestyle Modifications: Regular exercise, diet, and sleep hygiene can also improve depressive symptoms.
Medication Management: It’s essential to closely monitor for side effects, drug interactions, and the overall efficacy of the treatment plan.
Get a second opinion!!
Dr. Scholar Syeda Kiran Zehra Bukhari Naqvi Sheeba Functional Medicine Practitioner FMU USA
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I do not know. Maula Imam Ali As
Abbas Ali - Psychologist
M.Sc Applied Psychology, Professional Psychologist Training from PYPA | Lahore
13 Positive Reviews
You must also try psychotherapy along with medicine. This will help you recover from your depression.
Farhana Shams - Clinical Psychologist
BS.Hons (Psychology), Post Graduate Diploma (Clinical Psychologist), M.Phil (Applied Psychology) | Mansehra
110 Positive Reviews
you should consult a clinical psychologist for therapy. you can also book an appointment with me. thanks
Dr. A Z Barkat Ullah - Psychiatrist
MCPS Psych (Pakistan), MRC Psych (UK), MBBS | Lahore
58 Positive Reviews
Why dont u take advice from same doctor who gave you this prescription. Changing doctors is not good practice especially if u r getting benefit from their medicne . Good luck
you need psychological sessions to resolve all the problems, if feasible book your appointment
Dr. Aslam Pervez - Psychiatrist
MBBS, DPM, BCPsych, MRCPsych (UK), FRCPsych (UK), Diploma in Psychiatric Practice (UK) | Karachi
51 Positive Reviews
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Aneeqa Amin - Clinical Psychologist
BS Applied Psychology, MS Clinical Psychology, PGD Speech and Language Pathology | Lahore
39 Positive Reviews
Self adjusting dosage can be risky so its better to follow medication prescribed by your psychiatrist. alongside medication. Regular therapy, relaxation training and a consistent daily routine can improve your depression and anxiety in long-term.
Rizwan Ali Khan - Clinical Psychologist
| MSc (Psychology) | MS (Clinical Psychology) | Certified (Crucial Conversations) | | Lahore
36 Positive Reviews
https://www.marham.pk/doctors/lahore/psychologist/dr-rizwan-ali-khan
20 times regularly sessions required
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