Which antidepressant is the safest to give with Vyvanse?
Serotonin Syndrome: Both Vyvanse and sertraline can increase serotonin levels in the brain. When taken together, there may be an increased risk of developing a condition called serotonin syndrome, which is a potentially life-threatening condition that can cause symptoms like confusion, hallucination, seizure, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - October 17, 2023 Category: Universities & Medical Training Authors: the5thelement Tags: Psychiatry Source Type: forums
Algorithm for GAD
Wondering of some of the more experienced practitioners here can comment on their general GAD algorithm, or how they conceptualize GAD.
I've essentially boiled it down to a 3 level system as such:
First line, therapy and medicine (SRI - escitalopram or sertraline)
Second line, reiterate they should try therapy. Medication wise class switch to SNRI (duloxetine preferred)
Third line, reiterate that at this point medications are less established to work, and therapy is the most likely option...
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Source: Student Doctor Network - December 13, 2022 Category: Universities & Medical Training Authors: mistafab Tags: Psychiatry Source Type: forums
Antidepressants and Breastfeeding - Safest?
This article provides background information and presents practical advice and recommendations ...
www.ncbi.nlm.nih.gov
"Paroxetine and sertraline are most likely suitable first-line agents. Although some concern has been expressed for fluoxetine...
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Source: Student Doctor Network - October 4, 2022 Category: Universities & Medical Training Authors: Blitz2006 Tags: Psychiatry Source Type: forums
Antidepressants and platelet inhibition
I have a patient on Zoloft who is having a lot of bruising. Any antidepressants that don't have this side effect? I have looked it up and can't find ones that don't and I looked into tcas too, and they have it also. But maybe you guys will have more data (Source: Student Doctor Network)
Source: Student Doctor Network - September 21, 2022 Category: Universities & Medical Training Authors: Heist Tags: Psychiatry Source Type: forums
Medication Trail
I have some parents who don't want any records of psych treatment. They fill medication like Zoloft with cash. I thought that would still leave a paper trail.
However, the parents today said there is only a trail if social security number is used as it's tracked that way.
I disagree as I can look people up on the prescription monitoring with only their name and date of birth.
Who is correct? (Source: Student Doctor Network)
Source: Student Doctor Network - July 28, 2022 Category: Universities & Medical Training Authors: Heist Tags: Pharmacy Source Type: forums
lymphocytic colitis on sertraline
have a patient who was started on zoloft 50 mg , was having acutely worsening diarrhea over 4-8 weeks, was dx with c. diff and then had a colonoscopy dx with lymphocytic colitis. GI Doctor believes it is related to sertraline.
I found one articel report of this in the literature (dont have acceess to this) . Is this actually possible. I have never heard of this.
Lakartidningen
. 2012 Jan 11-17;109(1-2):38.
[Possible connection between lymphocytic colitis and sertraline treatment] (Source: Student Doctor Network)
Source: Student Doctor Network - July 11, 2022 Category: Universities & Medical Training Authors: liquidshadow22 Tags: Psychiatry Source Type: forums
OCD tx after SJS on sertraline?
Does anyone know of papers/guidance on SSRI or TCA use for patient with history of stevens johnson syndrome after starting sertraline?
I could only find a couple of case reports in languages I am not fluent in regarding antidepressant rechallenge.
Tried memantine monotherapy with limited response, pt hesitant about SGAs and asked to reconsider antidepressants, but I can't locate any very specific discussion about risk of recurrence with various options, just vague 'avoid class' stuff...
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Source: Student Doctor Network - March 13, 2022 Category: Universities & Medical Training Authors: Penguin10 Tags: Psychiatry Source Type: forums
Help with tough case.
70 year old female with bad spondy. Predominant leg symptoms. Too osteopenic for TLF. Moderate dementia and depression.
Lyrica and Gabapentin worsen mental function to the point she can't use. SCS trial failed due to dementia limiting proper management of device. On SSRI for depression (sertraline.) I added tramadol with the hopes it would not worsen mental function and tapered off sertraline. Patient now having crying spells and worsening depression. It was thought if the pain improved...
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Source: Student Doctor Network - November 24, 2020 Category: Universities & Medical Training Authors: gator2886 Tags: Pain Medicine Source Type: forums
Why would you choose Zoloft over Lexapro as a first-line SSRI for MDD?
I thought Lexapro generally had a better side effect profile and less of a taper issue--not so? (Source: Student Doctor Network)
Source: Student Doctor Network - May 22, 2020 Category: Universities & Medical Training Authors: futureapppsy2 Tags: Psychiatry Source Type: forums
Re: Sertraline is better at reducing anxiety than depressive symptoms
(Source: BMJ Comments)
Source: BMJ Comments - September 20, 2019 Category: General Medicine Source Type: forums
Kevin MD: Doctors being killed for not writing opioids...
Physicians are being murdered for not prescribing opioids
I would argue that a large portion of what we are truly treating with chronic opioid therapy is psychological.
www.kevinmd.com
"Why is it that I as a double board certified pain physician have to consider whether or not I should have a firearm in my office to protect myself or my staff? Should I carry one at home in the event someone tries to find me or my children? It is easy to think, “Wow, this lady needs some Zoloft and a few...
Kevin MD: Doctors being killed for not writing opio...
Source: Student Doctor Network - July 16, 2019 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
Random Psychiatry venting
My patient's GF: (at appt with pt) "Doctor, I too have bipolar disorder. My psychiatrist has me on Zoloft and Klonopin".
Me: "Oh, anything else?
Her: "Nope, those two meds are what works for my bipolar disorder."
Me: "Uh....alrighty then, I will leave that to your psychiatrist". (Source: Student Doctor Network)
Source: Student Doctor Network - April 10, 2018 Category: Universities & Medical Training Authors: Messerschmitts Source Type: forums
Sertraline side effects on first day?!
Forum: Mental health
Posted By: tagliatilly
Post Time: 01-03-2017 at 00:31 (Source: The Student Room)
Source: The Student Room - March 1, 2017 Category: Universities & Medical Training Source Type: forums
Taking Sertraline anti-depressants
Forum: Mental health
Posted By: BlakMan
Post Time: 14-12-2016 at 22:28 (Source: The Student Room)
Source: The Student Room - December 14, 2016 Category: Universities & Medical Training Source Type: forums
Sertraline and pregnancy
I have a 28 yr old female patient with MDD, recurrent, moderate and GAD who responded well to sertraline and we increased dose to 150 mg daily to target residual symptoms. She has had some nipple discharge but prolactin levels were normal. She was told by PCP that sertraline may be causing the nipple discharge. She also had a pregnancy test which came back positive. She reports numbness and tingling in her hands and fingers and reports that became more of an issue when sertraline dose was...
Sertraline and pregnancy (Source: Student Doctor Network)
Source: Student Doctor Network - December 10, 2016 Category: Universities & Medical Training Authors: chillax9 Source Type: forums
