Can i take lexapro at night

Switching Lexapro From Night to Morning: What to Know

Medically reviewed by Katelyn Hagerty, FNP

Written by Our Editorial Team

Last updated 6/24/2022

If you have major depressive disorder (MDD) or an anxiety disorder such as generalized anxiety disorder, your healthcare provider may prescribe the antidepressant Lexapro® (escitalopram) to help you gain more control over your symptoms.

Lexapro can be taken once per day, either in the morning or in the evening. If you currently take your medication in the evening, switching Lexapro from night to morning is usually a simple and straightforward process.

Below, we’ve explained what Lexapro is, as well as how it works as a medication for depression and anxiety.

We’ve also explained how you can switch Lexapro from night to morning usage without causing any unwanted side effects or withdrawal symptoms.

Finally, we’ve shared some things that you should know before switching your Lexapro dosage schedule, as well as a few simple tactics that you can use to get the best results from Lexapro going forward.

What Is Lexapro?

Lexapro is an antidepressant that contains the active ingredient escitalopram. It belongs to the selective serotonin reuptake inhibitor (SSRI) class of antidepressants and works by increasing the amount of serotonin in your brain and body.

Serotonin is a neurotransmitter, or natural type of chemical, that plays a major role in managing your moods and feelings. It’s involved in regulating your feelings of happiness and anxiety. Low levels of serotonin are associated with depression, anxiety and suicidal behavior.

By increasing serotonin levels, Lexapro and similar medications can help to reduce the severity of the symptoms of depression, improving your quality of life and letting you focus your attention and efforts on getting better.

Reasons to Switch Lexapro From Night to Morning

Lexapro should be taken once per day. It’s okay to take Lexapro in the morning or at nighttime, as long as you take your medication on a consistent schedule.

There are a few reasons why you may want to change your dosage schedule for Lexapro. One is that some of the potential side effects of Lexapro can have a bigger impact on your quality of life when they occur at night rather than during the day.

Common side effects of Lexapro include:

Insomnia
Nausea
Sweating
Fatigue

Lexapro can also cause sexual side effects, including a reduced sex drive and difficulty reaching orgasm during sex.

Several of these side effects can be quite an annoyance at night. For example, if you’re prone to insomnia or sleep disturbances from Lexapro or similar antidepressants, taking your medication at night may have a serious impact on your well-being and general health.

By switching to a morning schedule, you may be able to reduce the impact of Lexapro and other antidepressants on sleep and benefit from improved sleep quality.

Since it’s more common to have sex at night than in the daytime, any sexual dysfunction caused by Lexapro can quickly become an irritating side effect if you usually take your medication in the evening.

Switching to a morning dosage schedule may reduce the severity of these side effects and stop them from having such an impact on your quality of life.

Another reason to switch from a night to a morning dosage schedule with Lexapro is that you find it easier to remember your medication in the morning.

Remembering to take medication at night can be challenging, as it’s easy to slip into “relaxation mode” an hour or two before bedtime. You may find that you miss doses of Lexapro more often if you stick to an evening dosage schedule.

Finally, if you’re prescribed other medication that you need to take in the morning, switching to a morning dosage schedule with Lexapro can help to keep things simple.

How to Switch Lexapro From Night to Morning

Switching Lexapro from night to morning is a simple process. If you normally take your dose of Lexapro before going to bed, simply skip one dose, then take it the next morning following your new dosage schedule.

There’s generally no need to adjust your dosage, take a double dose or do anything else overly complicated during the “switching” process. Instead, you can continue to take the same dosage of Lexapro, just in the morning instead of at night.

If you often forget to take your medication and need help adapting to a new dosage schedule, it may help to set a reminder on your phone letting you know that you need to take Lexapro in the morning.

After a few days, taking your medication in the morning should become a new habit that you can easily stick to.

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What to Know When Changing Lexapro Schedule

Although switching Lexapro from night to morning usually doesn’t cause any issues, it’s always best to talk to your healthcare provider before you make any changes to the way you take your medication.

Your healthcare provider may give you a specific schedule to follow when switching from night to morning usage of Lexapro or give additional instructions to help you use your medication as safely as possible.

Here are a few other things to keep in mind when changing your Lexapro dosage schedule:

There’s no “best time of day to take Lexapro” for every person. The side effects of Lexapro can vary from person to person, meaning there’s no perfect time of day to take this medication.
If you’re prone to insomnia or sexual health issues from Lexapro, taking it in the morning will usually be best for you. However, if you get nausea or fatigue from Lexapro, you may prefer to take Lexapro before you go to bed.
Lexapro may take several weeks to start working. Many antidepressants take several weeks to start working. You may need to take Lexapro for four weeks or more before you notice any improvements in your sleep, appetite, concentration or mood.
Your healthcare provider may suggest waiting for Lexapro to start working before making any changes to your dosage schedule.
Many side effects of Lexapro are temporary. It’s far from uncommon to deal with side effects during the first few weeks or months of taking Lexapro, only to have these issues become less severe over time.
If you’ve just started to use Lexapro, make sure to talk to your healthcare provider about side effects before changing your dosage schedule.
Lexapro can cause withdrawal symptoms if it’s stopped abruptly. It’s okay to switch from taking Lexapro at night to in the morning, or vice-versa. However, it’s important not to suddenly stop taking Lexapro, as this may trigger withdrawal symptoms.
If you want to stop taking Lexapro, talk to your healthcare provider first. They’ll give you a special tapered dosage schedule to follow so that you can limit withdrawal symptoms and stop using your medication safely.

Our detailed guide to Lexapro explains more about how Lexapro works, as well as how you can use it safely and effectively to treat depression or anxiety.

What to Do if Lexapro Still Isn’t Right for You

Changing from a night to morning dosage schedule can make some side effects of Lexapro less severe. However, if you have persistent side effects that don’t improve, or if you simply don’t feel like Lexapro is working for you, then you may need to make further changes.

It’s common to use several antidepressants before finding one that provides the right balance of effectiveness and manageable side effects for you.

If you’ve switched your Lexapro dosage schedule and still have side effects, or if you don’t think that Lexapro is helping you, it’s important to let your healthcare provider know.

In order to better treat your depression or anxiety symptoms, they may adjust your dosage, ask you to wait for longer, switch you to a different type of SSRI or, in some cases, switch you from Lexapro to a different class of antidepressant.

They may also suggest that you make certain changes to your habits and lifestyle to reduce the severity of your depression symptoms. These may include:

Exercising on a regular basis, even if it’s just a short walk or bike ride
Spending more time with your friends, family members and other supportive people
Meeting with a therapist in your area or taking part in online therapy from your home
Participating in a support group to learn new strategies for coping with depression
Limiting the number of major life decisions you make until you’re feeling better

Our guide to dealing with depression goes into more detail about how good habits and therapy can help you to overcome depressive symptoms and improve your life.

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Learn More About Treating Depression

Major depression is a serious mood disorder that can have a real impact on your well-being and quality of life. For many people, medications like Lexapro make dealing with depression a much easier process.

If you’re prescribed Lexapro for depression, it’s okay to take your medication during the daytime or at night. It’s also alright to switch between different Lexapro dosage schedules if you often get side effects at night but not in the day, or vice versa.

You can find out more about Lexapro, SSRIs and other types of antidepressant medication with our full list of antidepressants.

If you think you might have major depression or an anxiety disorder and want to seek treatment, you can connect with a provider from home using our online mental health services.

4 Sources

Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. We rely on peer-reviewed studies, academic research institutions, and medical associations. We strive to use primary sources and refrain from using tertiary references.

Escitalopram. (2022, January 15). Retrieved from https://medlineplus.gov/druginfo/meds/a603005.html
Brain Hormones. (2022, January 23). Retrieved from https://www.endocrine.org/patient-engagement/endocrine-library/hormones-and-endocrine-function/brain-hormones
Lexapro® (escitalopram oxalate) Tablets. (2017, January). Retrieved from https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/021323s047lbl.pdf
Depression. (2018, February). Retrieved from https://www.nimh.nih.gov/health/topics/depression

This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment. Learn more about our editorial standards here.

Lexapro® - Minded

What is Lexapro?

Lexapro is the brand name of the generic drug escitalopram. Lexapro is a selective serotonin reuptake inhibitor (SSRI), a type of antidepressant medication that also can be used to treat anxiety. Prescription drugs like Lexapro (escitalopram) are not available over-the-counter.

SSRIs, including Celexa (citalopram), Zoloft (sertraline), and Prozac (fluoxetine), are thought to boost the level of serotonin (a neurotransmitter that affects feelings of contentment, optimism, and satisfaction) in your brain by preventing it from being reabsorbed into the brain’s neurons where it was produced.

Doctors commonly use Lexapro to treat generalized anxiety disorder (GAD) and major depressive disorder (MDD).

In addition to depression and anxiety, Lexapro also may be prescribed for “off-label” uses to treat several other medical conditions. Off-label use means taking a medication to treat a condition other than what the Food and Drug Administration (FDA) has approved it to treat. This is a common and acceptable medical practice.

Off-label Lexapro uses include:

Eating disorders (including binge eating disorder or bulimia nervosa)
Obsessive-compulsive disorder (OCD)
Panic disorder (characterized by frequent panic attacks)
Post-traumatic stress disorder (PTSD)
Premenstrual dysphoric disorder (PMDD)

‍

Lexapro (escitalopram oxalate) is available in tablet and liquid forms:

Lexapro tablet

5 mg
10 mg
20 mg

Lexapro liquid

1 mg/ml

Whether you are taking this medication for depression or anxiety, a typical starting dose of Lexapro is 10 mg taken once per day. If necessary, your doctor or prescribing nurse may gradually increase your dose of Lexapro over several weeks. While 10 mg is the maximum recommended dose for Lexapro for anxiety, the maximum recommended dose for Lexapro for depression is 20 mg. However, some people might find that a higher dose is needed to experience symptom relief.

Lexapro is typically taken one time per day. It can be taken in the morning or the evening, with or without food.

If you accidentally miss a dose of Lexapro, you should either go ahead and take your missed dose as soon as you remember or, if it is closer to the time when you would take your next dose, just take your next dose.

For more information:

Lexapro vs Prozac: which antidepressant is better?
What's the difference between Celexa and Lexapro?
Lexapro vs Zoloft: What's the difference?
Wellbutrin vs Lexapro: Which medication is better suited for me‍

Lexapro side effects, warnings, and drug interactions

Lexapro side effects

Common side effects of Lexapro include:

Anxiousness
Appetite loss
Constipation
Difficulty sleeping
Dizziness
Dry mouth
Infections
Nausea
Sexual problems (such as decreased sex drive or sexual dysfunction)
Shaking
Sleepiness
Sweating
Weakness
Yawning

‍

Lexapro side effects in men and Lexapro side effects in women tend to be similar. Always let your doctor, prescribing nurse, or Minded healthcare provider know if you experience these (or any other) side effects or if you experience an allergic reaction.

Rare or serious side effects of Lexapro include:

Angle-closure glaucoma (symptoms include: eye pain, vision changes, or swelling or redness in or around your eye)
Low sodium levels in your blood (symptoms include: headaches, feeling weak, or having a hard time concentrating or remembering things)
Seizures
Serotonin Syndrome (symptoms include: shivering, diarrhea, confusion, severe tightness in your muscles, fever, or seizures. Serotonin Syndrome is very serious and can be fatal if not properly diagnosed and treated.)
Teeth grinding
High blood pressure

Lexapro (and SSRIs generally) may also potentially increase your risk for life-threatening bleeding problems—particularly in your gums, intestines, nose, or stomach. This risk of bleeding can be even higher if you are also taking certain other medications, including:

Anticoagulants (blood thinners, such as Eliquis or Warfarin)
Aspirin
Nonsteroidal anti-inflammatories (NSAIDs, such as ibuprofen or naproxen)

Immediately seek medical attention from healthcare professionals if you experience any of these (or other) serious side effects.

Lexapro weight loss and Lexapro weight gain

Few studies have looked at Lexapro weight loss. While one 2011 study found that Lexapro may cause weight loss, most studies indicate that weight gain is more common.

Even though antidepressant medications themselves may not always be the direct cause of weight gain in people who are taking antidepressants, some studies—including a 2015 study in General Hospital Psychiatry—have found that a number of antidepressant medications, including Lexapro, may, in fact, lead to significant weight gain.

Lexapro drug interactions

Always let your prescribing doctor, nurse, or Minded professional know about any and all medications and/or supplements, like St. John's Wort, you are taking. This is important so that they can determine if Lexapro may have any potential negative interactions.

Lexapro may interact with:

Amphetamines
Coumadin (warfarin)
Medications that may cause bleeding, such as Advil (ibuprofen), aspirin, or Motrin (ibuprofen)
Migraine medications (triptans)
Monoamine oxidase inhibitors (MAOIs—another type of antidepressant medication—such as isocarboxazid, phenelzine and tranylcypromine)
Other selective serotonin reuptake inhibitors (SSRIs)
Some pain medications, such as Ultram (tramadol)
Zyvox (linezolid)

Lexapro and alcohol

You should not drink alcohol if you are taking Lexapro (or any other antidepressant medication).

Alcohol can lead to worsening anxiety and depression symptoms in the long term, even if they seem to boost or calm your mood in the short term. And alcohol can increase the negative effects of antidepressant medications—such as sedation—as well as decrease their benefits. There is also a risk of accidentally overdosing on Lexapro if it is taken with alcohol.

Symptoms of a Lexapro overdose may include:

Convulsions
Coma
Dizziness
Drowsiness/sleepiness
Hypotension (low blood pressure), including fainting
Insomnia
Irregular heartbeat
Nausea and/or vomiting

Lexapro warnings

Lexapro comes with an FDA “Black Box” warning, which means that the FDA has identified certain serious safety risks from taking this medication. However, while these are serious safety warnings, the actual risk may be low or even rare.

The Lexapro Black Box warning says:

Antidepressant medications may increase the risk of suicidal thoughts or behaviors in children, adolescents, and young adults.
Lexapro is not approved for use in children under the age of 12.

Lexapro and pregnancy

Discussing your treatment plan with your prescribing doctor, nurse, or Minded provider is important if you are pregnant, breastfeeding or planning to do either. Because Lexapro (and other SSRIs) may harm your baby during pregnancy—and can be passed to your baby through your breast milk as well—you and your provider may need to discuss adjusting your treatment plan with that in mind.

Lexapro withdrawal symptoms

If you need to stop taking Lexapro (or any other SSRI medication), work with your prescribing doctor or nurse to get medical advice and come up with a plan to gradually and carefully taper off of the medication in order to avoid withdrawal symptoms.

Lexapro withdrawal symptoms may include:

Dizziness
Headache
Irritability
Nausea
Nightmares
Paresthesias (a prickling and/or tingling sensation on your skin)
Vomiting

For more information:

Lexapro vs Prozac: which antidepressant is better?
What's the difference between Celexa and Lexapro?
Lexapro vs Zoloft: What's the difference?
Wellbutrin vs Lexapro: Which medication is better suited for me?

What you should know about antidepressants

Ekaterina Kushnir

treats anxiety disorder

I have generalized anxiety disorder.

For a long time I coped without pills and other help, but one day I got tired of constant anxiety and began to interfere with my normal life. As a result, I turned to a private psychiatrist.

The doctor prescribed an antidepressant from the SSRI group - these are selective serotonin reuptake inhibitors. Such drugs are the first thing prescribed in the treatment of depression and a number of other conditions, including my disease.

The doctor immediately warned me about some peculiarities associated with taking the drug. Some of them I then felt on myself. I think everyone who plans to be treated with antidepressants should know about them.

At the same time, it should be taken into account that most of the negative effects of therapy are temporary and not dangerous, and if they do not go away, one medicine can be replaced with another. Antidepressants help many people with mental disorders and other illnesses get rid of their symptoms and return to a full life, so you definitely should not be afraid of them. The main thing is to take such drugs when they are really needed: as prescribed by a competent doctor and under his control.

See a doctor

Our articles are written with love for evidence-based medicine. We refer to authoritative sources and go to doctors with a good reputation for comments. But remember: the responsibility for your health lies with you and your doctor. We don't write prescriptions, we make recommendations. Relying on our point of view or not is up to you.

Fact No. 1

Antidepressants may make symptoms worse at first

Antidepressants can increase anxiety in anxiety disorders, as well as cause irritability and agitation - this is the name for causeless motor arousal, the inability to sit still. It's not dangerous, but rather unpleasant. This condition is sometimes referred to as initial anxiety, that is, the anxiety of starting therapy. Up to 65% of people face it.

Antidepressant-induced anxiety syndrome - a systematic review in the British Journal of Psychiatry

There is also evidence that some classes of antidepressants, including SSRIs, may increase suicidal ideation in depression in young people aged 18 to 24 years. These data are not very reliable, and in older people, the risk of suicide no longer increases and even decreases.

Without treatment, depression is more likely to lead to suicidal thoughts, and in case of anxiety, you just need to prepare for such an effect, then it will be easier to survive the attacks.

The doctor told me that in the first two or three weeks there may be an increase in anxiety, but I did not take it too seriously.

Everything was fine for the first week. After about seven days, I became nervous and irritable. And then I woke up at night and after a while I felt an incomprehensible fear. My heartbeat increased, my head was spinning, my throat was constricted. Because of this, I felt a real panic - I spent the rest of the night fighting terrible thoughts, in the morning I got up completely broken.

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I have never had such panic attacks before medication - my anxiety was background, general. I got scared and wrote to the doctor, who reassured me and said that it was not dangerous and would pass soon.

After that, I already expected these panic attacks, immediately tried to relax, calm down, remember that this was just a temporary effect of the drugs. And they ended faster, and then they completely disappeared.

My letter to a psychiatrist. I was scared: I expected an increase in background anxiety, but not panic attacks. I even thought about giving up the medicine

Fact No. 2

The effect of antidepressant treatment will not be immediate

Increase the dose of antidepressants gradually to reduce side effects. They usually start with the minimum, and then bring it up to the working one. For example, for SSRIs with the active ingredient "sertraline", the working dose is from 100 mg per day. I started taking such a drug with 25 mg, and then gradually, in several steps, under the supervision of a doctor, raised the dose to 100 mg.

SSRI dosage - NHS

What doses of antidepressants will be optimal - an article in The Lancet

The process of reaching a working dose can take from two weeks to a month or more. It depends on the drug and its tolerance. I turned out to be sensitive to the medicine, it was hard for me to survive every increase in dosage: anxiety increased again, there were other side effects that then stopped. However, this is not the case for everyone, sometimes the process goes faster.

The full therapeutic effect, that is, the disappearance or a strong improvement in the symptoms of the disease, occurs some time after reaching the working dosage. As a rule, this is a week or two, although some positive changes may be earlier. For some people, this process stretches for a longer period: 6-12 weeks. Minimum initial doses of drugs usually do not work.

It is better to prepare for the fact that the symptoms of the disease will not disappear in the first weeks of treatment. And remember - this does not always mean that the drug needs to be changed, sometimes you just need to wait or further increase the dosage under the supervision of a doctor.

Fact No. 3

Antidepressants are usually taken in combination with other drugs

Another way to mitigate the side effects of antidepressants is to prescribe an additional drug along with them: for example, from the group of tranquilizers. Such drugs may have their own side effects, they should not be taken for a long time. Unlike antidepressants, some of them can be addictive. They are usually appointed for a month, but this period may be shorter or longer.

Antidepressants together with benzodiazepines work better for depression - BMJ magazine

My doctor prescribed a rather mild drug for me. However, he did not suit me. At first, it caused increased drowsiness: during the period of increased anxiety, it went away for a while, but then returned - even with half a pill I turned off and could sleep all day. And if I drank at night, I woke up with difficulty in the morning. The psychiatrist prescribed another medicine, but I could not buy it: the drug was not available in any pharmacy nearby.

As a result, I simply endured all the side effects of therapy - they were unpleasant, but tolerable. When discussing with the doctor, she called this option acceptable if the side effects of the second medicine only worsen the situation.

My prescriptions for drugs. I never used one, because there was no such medicine in pharmacies

Fact No. 4

Side effects are not always, but they are

Modern antidepressants, including SSRIs, are mild and have almost no side effects. Older drugs - tricyclic antidepressants and monoamine oxidase inhibitors - cause more side effects. Doctors usually use them when milder first-line drugs don't work or when they can't be prescribed.

Side effects of antidepressants - the National Health Service of the UK

Side effects of various antidepressants - Uptodate

Side effects of antidepressants and their impact on the treatment of a large depressive disorder - the journal NATURE

STRICTIC STRICTIC OF REDITION

. effects of antidepressants - advice from the Mayo Clinic staff

Choosing an SSRI drug does not guarantee the absence of side effects - many people tolerate treatment easily, but sometimes a change in drug may be necessary.

The first couple of weeks of taking there is a risk that the state of health will be so-so - it's worth thinking about. It may be worth scheduling the start of therapy on vacation.

I work remotely, and it was easier for me: the first pill was taken on Saturday, I slept through the weekend. Then she continued to work, but refused any additional loads: housework, part-time jobs, training and everything else.

It was hard work: I wanted to sleep, then I began to worry and get distracted. I also had diarrhea, nausea, headaches, tremors, i.e. hand trembling, hot flashes, sweating, palpitations. At night, panic attacks began, in the morning I had difficulty getting up because I was in pain and dizzy.

There are mixed data on how common the side effects of antidepressants are. If we summarize them, then the numbers look something like this:

nausea - about 25% feel it;
diarrhea - it happens in 15% of people, and 5%, on the contrary, will have constipation;
sweating and a feeling of heat occur in about 20% of people;
sexual dysfunction, decreased libido may occur in 80% of cases;
insomnia - in 11% of cases;
headache and dizziness - in about 10-11% of cases;
weight gain - not all drugs give this effect. Some, on the contrary, can reduce weight. On my medicine, I lost 2 kilograms in the first month, despite the fact that I quit training due to poor health. True, then they returned back.

It can be seen that most side effects occur in less than half of the cases. In addition, in most cases they pass in the first weeks and are not dangerous.

Side effects not listed above are very rare. I was "lucky", and I faced one such - a decrease in visual acuity. Once in the morning I noticed that I see worse without glasses. A little later, I realized that something was wrong with the glasses.

I wrote to the doctor, she replied that this happens, as a rule, is not dangerous and passes, but it is better to visit an ophthalmologist. I went to the ophthalmologist, everything was fine with my eyes, there was nothing terrible, but my vision really worsened - it was not a subjective feeling. On the right eye, it was -0.5 diopters, it became -0.75, and on the left eye it was -1.5, and it became -3.5.

I was offered to try changing the drug, but I decided to wait. Vision was then restored. I have not yet gone to the doctor to have it measured, but according to subjective feelings, it is at the same level as before: I am comfortable again in my glasses.

Side effects should not be tolerated - if something greatly worries, scares or interferes with life, it is better to tell the doctor right away. The psychiatrist will be able to determine whether the side effect of the drug is dangerous and whether it is worth continuing to take it. There are several antidepressants of the SSRI group, in addition, there are groups of drugs with a slightly different mechanism of action. As a rule, doctors manage to find a medicine that gives a good effect without side effects.

If there is no danger, the doctor can adjust the dose or increase it more gradually - this often helps to cope with unpleasant effects.

I wrote to the doctor again when my visual acuity decreased

Fact No. 5

Antidepressants need to be taken long term

Antidepressants are not drugs that you can stop drinking as soon as you get better. They are taken for a long time: usually from several months, less often several years.

Anxiety Therapy - UpToDate

For example, for generalized anxiety disorder, the duration of treatment is at least a year. Moreover, the date is not counted from the very beginning, but from the moment when a lasting effect appeared from the pills. In fact, they will have to be drunk for about 1.5 years - it depends on how long it takes to reach the working dosage of the medicine.

The cost of a package of the most famous antidepressant "Zoloft" is about 700 R, enough for about a month. That is, a course of therapy will cost about 10,000 R - maybe more or less, depending on which drug is selected.

Psychotherapy review - UpToDate

Another drug of the same group already costs more than 2000 R per pack. Source: rigla.ru

The cost of an appointment with a good psychiatrist in Moscow is 3000-5000 R. At first, you will need to visit him about once every 1-1.5 months, then less often.

You can apply to the psycho-neurological dispensary at the place of residence under compulsory medical insurance - it's free. At the same time, they will not put you on psychiatric registration: it was canceled in 1993. People with disorders that do not threaten their lives or those around them are on consultative and diagnostic care. If you stop going to the doctor, he will not find out what happened: a person seeks help at will.

Psychotherapy, usually cognitive-behavioral, is also commonly prescribed to enhance and sustain the effects of antidepressants. In many cases, it improves the effectiveness of drugs, including depression and generalized anxiety disorder. An appointment with a psychotherapist in Moscow costs an average of 5000 R. For treatment, you will need about 10 sessions or more.

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How much does psychotherapy cost

Fact No. 6

Antidepressants should not be stopped abruptly

Antidepressants do not develop dependence. However, if you abruptly stop drinking them, there will be a withdrawal syndrome. This is felt as electric current discharges while moving or turning the head, headaches, dizziness, insomnia. Many people experience symptoms similar to the flu or an intestinal virus: low fever, diarrhea, general malaise, chills. Often there is anxiety, there are intrusive images.

Withdrawal symptoms after taking serotonin reuptake inhibitors - Journal of Clinical Psychiatry

How difficult it is to stop taking antidepressants - American Psychological Association

Stopping antidepressants in adults - UpToDate

treatment, they should be canceled only under the supervision of a doctor.

Antidepressant withdrawal occurs as gradually as the start of treatment. The dosage is slowly reduced, usually at this time again a cover-up drug is prescribed to alleviate side effects. As a rule, this is the same medicine that was at the beginning of the intake.

Withdrawal is usually harmless and resolves within the first weeks of stopping the drug. Sometimes even within a few days - it still depends on which medicine was prescribed. If severely disturbing symptoms appear during the withdrawal period, you should consult a doctor.

Fact No. 7

If you need to change the drug, everything will start over

It is far from always possible to immediately find the right antidepressant - sometimes the side effects do not go away and you need to take a new one.

Changing antidepressants in adults - UpToDate

Serotonin syndrome - MSD

Most often, it is started again with a small dosage, this delays the process of obtaining the effect of treatment. The new drug may also have side effects - the same or different. We will have to wait again until they pass.

You won't be able to change the drug on your own, since all antidepressants are sold only by prescription - and that's good. Switching from one drug to another can be dangerous if you do not know the characteristics of different groups of drugs.

For example, taking SSRIs is possible only some time after the withdrawal of antidepressants from the group of monoamine oxidase inhibitors - due to the risk of developing serotonin syndrome. This is a potentially fatal condition, accompanied by a change in mental state, high fever, increased muscle tone and other symptoms.

If the drug is changed correctly, there will be no dangerous negative effects, so consultation with a doctor is required.

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Fact No. 8

Among antidepressants there are original drugs and generics

Preparations may be original or generic. Originals are medicines first released by some pharmaceutical company that have passed all clinical trials and checks. Generics are drugs with the same active ingredient from another pharmaceutical company, that is, copied from the original drug.

Theoretically, the action of generics should not differ from the action of original drugs. However, this is possible, since generics may contain other additional substances or the manufacturer may use other raw materials.

Due to my anxiety, I did not read anything in detail about specific drugs before I bought my first antidepressant in a pharmacy so as not to be scared and not think about taking it. I also didn’t think to ask the doctor about this question.

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As a result, I first bought a generic because it was in stock. Then it turned out that, after all, according to the experience of my psychiatrist, the original drug often gives fewer side effects and is better tolerated. As a result, I changed the generic to the original drug - and, indeed, the side effects softened.

In my subjective opinion, which is supported by some data, in the case of antidepressants and other psychotropic drugs, you should always choose the original medicine. Moreover, the cost of originals and generics is not always very different.

Originals and generics of some SSRIs

Active ingredient	Original	Original cost	Generics	Cost of generics
Sertraline	Zoloft	About 700 R, 100 mg tablets	Serenata, Sirlift	500-600 R 100mg tablets
Escitalopram	Cipralex	3000 R, tablets 10 mg	"Selektra", "Elycea"	500-1300 R 10 mg tablets
Fluoxetine	Prozac	About 350 R, 20 mg tablets	Profluzak, Fluoxetine	100-200 R, tablets 20 mg

CERTRALIN

Original

"Zoloft"

Original cost of the original

about 700 r, tablets 100 mg

Generies

"Serenata", "Cerelift"

The cost of Jeeneriki

9000 500-600 r.

, tablets 100 mg

Escitalopram

Original

Cipralex

Original cost

3000 r, tablets 10 mg

generics

“Chektra”, “Elice”

The cost of generics

500-1300 r, tablets 10 mg

Fluoxetine

“Przak”

cost

cost cost

Cost cost cost original

About 350 R, tablets 20 mg

Generics

Profluzak, Fluoxetine

Cost of generics

100—200 R, tablets 20 mg

one remained unclaimed

Fact No. 9

Do not take alcohol along with antidepressants

Drinking alcohol while taking antidepressants may exacerbate unpleasant side effects. Also, alcohol is a depressant, that is, it has the opposite effect, and its intake can adversely affect the results of treatment.

Why you shouldn't mix antidepressants and alcohol - Mayo Clinic

Alcohol is strictly forbidden to drink with some groups of antidepressants, for example, tricyclic antidepressants and monoamine oxidase inhibitors: combination with the latter, for example, can lead to an uncontrolled increase in pressure. MAO inhibitors in general require a special diet - it is unlikely that a doctor will prescribe such drugs as the first antidepressants, but if necessary, he will issue a list of what is allowed and prohibited.

With other antidepressants, moderate use may not be dangerous and may even pass without consequences, but doctors still recommend abstaining so as not to increase side effects and improve treatment outcome.

The main thing is not to temporarily stop taking the drug in order to drink. This can lead to the development of a withdrawal syndrome.

/trevoga/

How I Treated Generalized Anxiety Disorder under CHI

Fact No. 10

Antidepressants are incompatible with certain drugs and have contraindications

It is important to tell your doctor what medications you are taking and what chronic illnesses you have. For example, SSRIs may not be suitable for epilepsy and bleeding disorders, and tricyclic antidepressants are usually not prescribed for those who have recently had a heart attack, suffer from glaucoma, or porphyria.

Antidepressant Warnings - NHS

Drug Compatibility Test - Drugs.com

It is also important to be careful if you are about to take any over-the-counter medicine. For example, ibuprofen, which people often take on their own to relieve pain and reduce fever. It should not be taken with SSRIs as it increases the risk of gastrointestinal side effects.

If it is not possible to consult a doctor before taking any medication, carefully read the instructions for it and your antidepressant. It is also worth informing all doctors who prescribe something to you during the therapy period about taking antidepressants.

Fighting depression 10 modern drugs

Depression is a real problem and the number of doctors is growing year by year. Contact psychosomatic medicine and solve it by taking antidepressants. These are drugs that regulate the production of hormones and biochemical processes in the body. It is strictly forbidden to prescribe yourself because it is a complex drug and has certain limitations and side effects. Physicians must authorize bookings and manage appointments. Here are some of the most effective and most common, how many advantages and disadvantages.

What is meant by depression

Doctors knew from ancient Greece and Egypt. Hipocrates describes restlessness, despair, insomnia, anorexia, and frustration as "melancholy". In many cases trauma in childhood and intense frequent stress since they become adults. There are various factors such as the death of an important person, deterioration of the living environment, alcoholism and brain disease. Such cases are called psychogenic depression.

The second type is internal. The problem is not a big shock from the outside, but from an internal cause. People are always dissatisfied with themselves and are criticized. Many patients experience a panic attack associated with fear and anxiety.

How long does a depressed period last?

Many people confuse normal mood depression with depression. If this state does not last long and is immediately restored, it is not a state of depression. Symptoms continue for several months, and when a person's life has changed dramatically, the problem becomes clear. Then you should see a doctor.

What happens to the body

The most common theory is that the neurotransmitters in the brain are malfunctioning. These substances transmit signals from neurons to neurons, affecting the human mood. Functional impairments cause this decrease in transmission rate and decrease in the irotransmitter itself. Serotonin, called the happy hormone, is the most affected. To make it easier to understand, this biochemical process can be compared to the drop in blood sugar in diabetes.

How depression is treated

There have been various treatments for depression. In ancient times a-vomiting and laxatives. In the Renaissance, wine and sunbathing. Age of Enlightenment - External stimuli, such as insects. In the 19th century, a piece of camphor was dissolved in tabular acid. At present, medicines that are prohibited from being sold and those that are recognized as medicines have been used for treatment.

Obviously, these drugs did not affect the increase in serotonin. And treatment only normalizes its production. This is after a modern antidepressant that has few side effects and does not become safe and becomes dependent on the body. It is a drug that targets a precise balance of a neurotransmitter such as serotonin, noruepinfrin, and dopamine.

Prescription

Even a healthy person takes an antidepressant, it will not be effective. For patients with depression, acceptance can be effective.

Improve psychological status.
Eliminate disappointment
Increased mental and physical activity
overcome sadness

Psychiatrists prescribe ant and depid agents for chronic back pain and headaches. Also, even if the painkillers are not produced in the body, such as irritable bowel syndrome and incontinence. Drug therapy helps restore the mechanism that suppresses pain.

These products can only be consumed according to a doctor's prescription because it is a strong stimulus. Independent goals are expensive o-conditions can get worse. Only doctors calculate the amount of medicine to be taken per day. It is necessary to consult with a psychotherapist in parallel with the treatment of psychiatrists and neurologists.

Precautions

Start your prescribed medicine at a low dose and take 1/4 tablet for the first two days. Gradually increase and use the normal amount. Thus, the body adapts better. Not enough to complete the course.
The first effect appears only two weeks after the start of hospitalization. Sustained effect-After six months, you need to continue taking the medication without interruption, without rest.

Remedies do not combine with Melatonin, St. Jung's Stars, Remedies, Cybbtramin and 5-ADR. These combinations can increase serotonin to dangerous levels. It should not be used in combination with monoamine oxidate inhibitors such as Cypralex. When writing a prescription, the doctor considers these points.

The best antidepressants

In 2017, an international team of scientists conducted a large-scale study on the effects of modern antidepressants. In the medical world, some drugs have long been claimed to be given only as a placebo. The goal is to find out what is the most efficient and active. The project monitored 116,000 patients, resulting in the authoritative Lancet journals. We provide.

1. Latin Island

This medicine is a new generation. Ectylatine is used for severe depression and severe anxiety. Promotes the release of dopamine and noruepinephrine and stimulates melatonin receptors. The standard treatment is e-25-50 mg 1 hour/day. It helps to restore the normal structure of sleep and eliminate anxiety and panic attacks.

+ Does not adversely affect attention or memory.

+ Do not suppress during the day.

+ No sexual deviation.

There is no relation to blood pressure.

+Don't lose weight as soon as you stop taking it.

In case e-1-10% sweating, diarrhea and constipation increased.

-It may increase fatigue and drowsiness.

-There is no evidence-based review for the safety of patients with renal and hepatic dysfunction, therefore it is recommended that these patients should avoid taking medicines containing the active substances agoline. Increase.

2. Amitripsis

Pe l-Antidepressant. Among the groups, amitripine is said to be the most reliable in the World Health Organization. Standard doses are 200-250 mg/day. Its effect is to suppress the reverse side of neurotransmitters. A good remedy for severe endogenous disorders. In addition, it contains sedative and hypnosis. It is effective in the treatment of neuropathic pain and the prevention of migraine.

+ Products containing amitripline are inexpensive.

+ High reliability, few side effects.

+ It is relatively safe even when breastfeeding.

- There is a possibility of visual dysfunction and dry mouth side effects.

- High blood pressure

- Patients are constipated.

3. ESSITARO SLUMA

It is staggering, belonging to the group of modern drugs that delay the reversal of serotonin (SIOS). Most often it is recommended to shoot with anxiety and panic attacks. Take 10mg per day once, once. Escitalopram is effective and indicated for patients who are contraindicated for the use of the triple county drugs.

+ Long-term effects occur after 3 months.

+ It is adapted to patients with cardiovascular diseases.

- Abnormal function of the gastrointestinal tract in each patient, which is most pronounced as diarrhea.

-B, during the first two weeks it is recommended to start treatment with a low dose and gradually increase.

- Mated pregnancy and breastfeeding are contraindicated.

4. Mirta Zapin

Tetra-a-cycline based on the drug. Mirazapine is an anxiety-suppressing stimulant with a mild sedative effect. The average amount is 30 mg/day, after use. It is usually given to patients who have lost interest in life and no longer feel joy or pleasure. Effective for sleep, especially for early growth.

+ Expression effect is faster than Shiore (one week).

+ Good compatibility with most drugs in general groups.

+ Full effect can be obtained after 4 weeks.

+ Do not affect sexual function.

- Mirasapin, the active substance, is contraindicated in diabetes, arterial hypotension and ascending.

-At the reception, you need to pay attention to driving cars and engage in dangerous work.

-18% of patients had drowsiness, 15% dropped out, and 5% lost weight. Other side effects are allowed at the level of 1-3%.

5. Paroxetine

It belongs to the SIOS group, most commonly used for severe anxiety, panic, social phobia, nightmares and stress after trauma. Paroxetine can solve the problem of anxiety depression, anxiety and phobia. Take 20 mg once a day.

+ The most powerful stimulant in SIO.

+ Excitement and insomnia will heal quickly.

+ There are several side effects such as vomiting and diarrhea.

+ Suitable for patients with cardiovascular problems.

- Impossible for patients with severe exercise inhibition and mental suppression.

- Pager for pregnant fetus.

6. Fluoxetine

One of the representative antidepressants of the SIOS group. Known as Prozac. Fluoxetine is also known as a stimulant that improves your mood. Patients have feelings of dread, tension, restlessness, and a grim hostility towards others. Depending on adaptation, an average of 20 to 60 mg per day is administered.

+ The impact on the work of the mind is significant.

+ There is no sedative work.

+ A tool that is effective for patients with exercise inhibition and excessive sleepiness during the day.

-On may cause weight loss.

-D diabetes can cause hypoglycemia.

- Not contraindicated if renal function is greatly reduced.

7. Fluvaffosamine

Another medicine from the SIOS group. Fullbucamine is similar to fluo-exetin in spills, but has an immediate effect and can be reduced at low cost. The effect is to make the neuron's serotonin reuptake more active. There are various causes of depression and obsessive-compulsive disorder. The average dose per day is 100 mg.

+ Realizes lower prices than conventional projectors.

+ Compared to this, faster operation is possible.

+ Relatively mild side effects (diarrhea, dry mouth, drowsiness).

- Contraindicated in diabetes mellitus.

- Pregnant women - with caution, lactating women - prohibited.

- Nausea in some patients.

8. Thirteen

This is one of the widely used universal drugs of the SIOS group. Treatment of almost all depressions, panic disorders and social phobias. However, in severe clinical cases, teralen may not be effective enough. The usual dose is 50 mg per day.

+ No cardiotoxicity.

+ The psychomotor potential of the patient is not changed.

+ does not add weight.

+ Good compatibility with other antidepressants.

- Sleep disturbances and diarrhea may occur during the first two weeks.

- side effects of a sexual nature

9. Escitalopram

This tool is attributed to Siox. The difference lies in the effect of pressing with involuntary movements (ticking, shaking, biting, tapping). Escitalopram is prescribed to patients with panic, anxiety, phobias, obsessions and behaviors. The daily dose is 20 mg.

+ Effective against life delays.

+ One of the most powerful Saiox.

+ More pronounced thymotropic (improving mood) effect compared to many antidepressants of the same family.

- Some patients experience increased anxiety within 2 weeks of admission.

- May cause gastrointestinal disturbances, insomnia and agitation.

- Used during pregnancy only in extreme cases when breastfeeding is not possible.

10. Venlafaxine

It belongs to the group of schiosins. In addition to inhibiting the reacquisition of serotonin, venlafaxine is also effective against another neurotransmitter, norepinephrine. It is prescribed for various causes of depression, social phobias, anxiety, panic. The usual dose is 150 mg per day.

+ Better tolerated by patients than most tricyclics.

+ More pronounced effect than classic Syoks.

+ Fewer contraindications.

— Common side effects of most antidepressants are nausea, drowsiness, dry mouth, diarrhea, or constipation.

- May increase intraocular pressure.

- Withdrawal syndrome, the most severe of the antidepressants.

This list cannot be used as a recommendation. In any case, before buying, consult your doctor. Stay healthy!

The placebo effect was experienced by most people with high suggestibility. There are many examples of how a simple "vitamin" relieved a headache or how a drop of salt water improved the patient's condition literally before our eyes. Make a reservation. If you do not suspect that you have been given a "dummy", then a "miracle" has happened. It's a "cure" so it should work.

Well, what is a placebo, is it really possible to be cured by the power of thought alone, and what is the mechanism of action of the drug "placebo" on the body - I will tell in the article.

Placebo effect in psychology

Derived from the Latin word "placebo", which translates as "think". A placebo is a substance used as a drug without an apparent therapeutic effect. The therapeutic effect is achieved when the patient believes that "this medicine works." Placebo can be found in the treatment of a number of mental disorders, pain syndromes, asthma, Parkinson's disease, bowel disease, ischemia and hypertension. Placebo is more effective, the higher the degree of obedience of a person.

Here is an example from a long time ago. In the 18th century, TB patients were tested on placebo in a German clinic. At first he was said to be "a new drug to cure disease", brought his own medicine and prescribed the sick. With one month of treatment, 80% of people recovered. As I found out later, this "magic medicine" was normal aspirin, which did not affect the severity of tuberculosis, such as tuberculosis.

Much later, the "ignorance" of the placebo effect was scientifically proven. The scientists found that this was based on unconscious brain function. In other words, the brain determines how a drug affects people before it perceives drug information.

The placebo effect is associated with mental and emotional. A person who wants to be healed believes in the effects of prescribed drugs and thinks that this is the hand of salvation. Currently, vitality is mobilized, the recovery process begins, and the patient's physical and mental state returns to normal.

By the way, the price and appearance of the drug play an important role in the placebo. In other words, the higher the placebo price, the better. Speaking of color, for example, yellow drugs in depression, green medicine relieves anxiety, and white drugs have the effect of "hardening" stomach ulcers.

A disease that can be best treated with a placebo has also been found to be the best treatment. These are the following.

Headache … 62%.
Depression … 59%.
Cold … 45%, 59%.
Nausea: 58%.
Intestinal disease: 58%.

Placebo - what is it in simple words

The placebo effect was first announced by the American doctor Henry Villa in 1955. He found that taking a placebo (a pill without a drug component) would heal about one-third of the patient. However, the "dummy" has been known for a long time. It was mentioned in the 18th century. At that time, a placebo was called a drug that contains indifferent substances.

Matovay Mudrov, a famous doctor who played an active role at the end of the 18th century to the beginning of the 19th century, used three kinds of powder, plain, gold and silver for treatment. With this remedy, the patient's pain is miraculously relieved. Then, when Moodle died, it turned out that the main ingredient in the "magic" powder was normal crayon.

Another historical example of the Plasbo phenomenon dates back to World War II. During the absence of a cure, he administered physiological saline to shocked soldiers, faking morphine. And the pain has been reduced.

In the late 1970s, scientists proved that Plasbo promoted the production of endorphins, known as hormones of joy and pleasure, and worked in the same way as drugs. Dr. John Levin Medical Science did an experiment. The patient appears to have improved the physical condition of the patient who gave the pacifier to 40 patients with teeth who were extracting wisdom teeth instead of painkillers. And after the introduction of the antidote morphine, people began to experience pain. Hence, the placebo was found to give a sense of security as well as the patient's head, but the body was also suggested.

Placebo effect in medicine and psychology

Placebos are often used in medicine. It is used to relieve pain in a patient when there are no effective drugs, or to improve the patient's condition when there is doubt about the effectiveness of existing drugs. Also, because of impotence, the doctor may prescribe a "placebo" in the hope that the medicine will work, but in reality it turns out to be a useless substance.

Sometimes a placebo is the only way to avoid conflict between doctors and patients. There are patients who are convinced that they need to take some kind of medication, even if they do not have a medical indication. Therefore, the doctor prescribes a neutral treatment to help the person calm down.

Positive (most common). Increases the effectiveness of drugs and treatments.
Negative. Neutralize the therapeutic effect of the drug or aggravate the condition.
Neutral (very rare). As the name suggests, there is no placebo effect here.

Physician approval required. If the patient does not trust the doctor, the placebo effect will work negatively.
drug prices. Inexpensive drugs for severe disease also have a negative placebo effect.
Availability of medicines The placebo effect increases exponentially if you take medicines delivered from far away.

Placebos are also used in new drug trials. As a rule, the subjects are divided into two groups: one receives the active drug, and the other receives a "double" dummy. The participants in the experiment did not know what was a placebo and what was a real medicine. The researchers then analyze the results and evaluate the effectiveness of the new drug.

In psychology, the placebo effect is the effect that results from contact with our subconscious. As mentioned earlier, the more suggestive it is, the greater its effect.

Placebos give good results in the treatment of psychosomatic disorders. For example, if the patient himself invents a disease, it should be influenced psychologically, and not with the help of drugs. In this case, the task of the specialist is to convince the patient that the prescribed drug is not a dummy, but a miracle cure for a 100% recovery.

The nocebo effect: the other side of the coin

The placebo effect can also work negatively. This is when the patient expects side effects or worsening of well-being from the "placebo". This effect is called nocebo. Negative expectations are one of the main reasons for this phenomenon. After all, thoughts can have a very strong influence on emotions. The brain creates false sensations that are indistinguishable from real sensations. For example, the fear of pain leads to its intensity.

prone to anxiety and depression.
have a chronic disease;
I have a history of treatment failure.

Overview In many cases, the placebo effect speeds up recovery. However, it is less reliable than the effects of real drugs. Placebos provide a subjective improvement in symptoms but rarely cure the disease. In any case, it must be clearly understood that the placebo effect will work only if the person has a firm belief in recovery, a positive attitude and confidence in the success of the treatment.

Can antidepressants be bought without a prescription? What mood-enhancing drugs work best if you need a milder or stronger one, how they affect your body, and whether they can be taken alone. When choosing a drug, it is important not to harm your health.

I'm depressed!

Often heard from a friend or read on a bulletin board. However, those who make such remarks are fundamentally wrong. After all, what does “depression” mean in conversation? It usually refers to deterioration, frustration and fatigue in the short term and due to the consequences of the situation. Sometimes some people call it depression just because "I have something bad" or "I'm sick."

Modern people are always tense. The overflow of work, the intensity of life, the high demands on oneself and the vast information that flows everywhere. Many people cannot cope with many stressors, so it is not surprising that various symptoms will appear.

anxiety?
get annoyed?
Tired?
Sleeping disorder
Obsession
panic disorder

Do not panic if these symptoms naturally disappear within a short period of time. In most cases, only a good rest is useful for their victory. However, sometimes vacation alone is unsatisfactory and requires little help in the body. To do this, it is very important to choose the right tool.

What depression really is

This is accompanied by many additional symptoms, such as prolonged (two weeks or more) mood, reduced activity, decreased mental activity, and lack of enjoyment of life. In other words, if you are not touching your usual joys such as hobbies, family and friends, then you need to take this opportunity, observe your condition and ask a doctor to get to you.

If you do not touch your usual joy, this is an opportunity to think, and in some cases you will need to consult.

This depression is often severe and the psychiatrist needs to be forcibly treated with a specific drug.

What drugs are used to treat depression?

There is a common name called antidepressant. It should be noted that the adaptation of antidepressants has increased significantly in recent years. There have been a number of studies not only for depression, but also that antidepressants are effective for anxiety, sleep disorders (insomnia), neurosis, and neurophyllic pain. Today, psychiatrists, neurologists, and even therapists widely prescribe antidepressants of various groups.

The most commonly used medicines of the two groups.

Min based antidepressant

These are the oldest drugs that are the most powerful.

- a drug with a strong sedative effect and a strong antidepressant effect. A large administration is used to treat severe depression, while a small administration is used for mild disability. There are also sleeping pills, relieving anxiety. -Balanced drugs are usually more familiar than amitripine and relieve anxiety. He has excitement and is designated as Trump's card for depression.

Selected serotonin inverse inhibitor (SIOS)

This is a more modern drug group. The advantage is that they are good at resisting, have few or no side effects.

Often assigned by this group.

-Sodetsya analgesic effect and a good antidepressant. By using it for a long time, broken dreams are normalized.

- The antidepressant is quite strong during the day. Relieves anxiety and obsession without the need for sleep. - to the degree of awakening and is often prescribed for the treatment of panic disorder.

Most modern antidepressants have few side effects and are well tolerated.

However, strong antidepressants cannot be sold without a prescription. They can only be prescribed by doctors, such as psychiatrists, neurologists, and sometimes therapists.

Why can't I take antidepressants without a prescription?

Only a doctor can assess the risk of side effects for a particular patient.
Different types of antidepressants have different nuances in their therapeutic effects. If you choose the wrong medicine, at best it will do you no good, and at worst it will harm you.
The choice of dosage is made individually. A rapid increase in dosage on your own can have many unpleasant consequences.
Also, elimination should be carried out gradually under the guidance of a physician. Otherwise, you risk getting a withdrawal syndrome.

What to do?

Many medicines are sold without a prescription. It does not work for clinical depression, but it helps with stress, short-term sleep disturbances and irritability. With their help, I try to alleviate my state of mind.

Better understanding, relieves frustration and anxiety, improves sleep. During treatment, it is not recommended to engage in activities that require concentration, such as driving a car. Contains extracts of valerian, lemon balm and mint. It has a sedative and anti-anxiety effect. It works well for symptoms such as excitability, emotional instability, and tearfulness. It can be used in the complex treatment of mild restless depression, facilitating the withdrawal of potent drugs. • Increases the body's resistance to stress. Lack of magnesium can lead to nervous system imbalance, irritability and sleep disturbances, so Magne B6 can help in these situations too. It has calming, sedative and anti-anxiety properties and helps treat anxiety, mental and emotional stress. Relieves irritation and tension. It can also be used for neurotic symptoms.

When should I see a doctor?

If mood deterioration persists for more than 2 weeks and initial therapeutic efforts have failed.
If you have lifeless or suicidal thoughts.
Depression significantly impairs normal life, such as the inability to work, the inability to communicate well with family members, and the inability to enjoy the things that used to make you happy.

You can consult a psychiatrist in confidence. Information related to the complaint, not to mention diagnosis and treatment, is considered confidential medical information and will not be shared or disclosed in the workplace. It is better to diagnose depression early and start treatment than to bring it to a neglected state.

According to WHO, more than 40% of people on earth suffer from allergies. And this number is increasing every year. Doctors and scientists have never been able to figure out why such diseases occur. Lack of knowledge prevents us from developing a way to permanently get rid of allergies.

However, in connection with the development of science, today many drugs are produced for strong suppression of expression. Allergically proven tablets eliminate most allergic reactions and help to forget about unpleasant symptoms for a long time.

What is this disease

Allergy is a very strange disease. Since it is not caused by microorganisms, it is not contagious. Allergic reactions are “caused” by our own immune system, which reacts very aggressively to completely harmless substances. Main allergens: house dust, animal hair, plant pollen, product ingredients. As a result of pathological changes in the immune system, the body reacts to these substances and begins to produce antibodies that trigger an inflammatory response.

sneeze
cough
shortness of breath
Appearance of itching in the nose and discharge
Pimples
skin rash

A bright type of disease has less pronounced symptoms. However, symptoms can get worse for a variety of reasons.

If you have symptoms of an allergy, you should consult an allergist. Your doctor will order tests that will allow you to "detect" the allergen. By doing so, you can avoid contact and prevent an aggravation. However, complete separation from allergens can not always be avoided. In this case, drug therapy is carried out to eliminate or reduce the severity of the reaction.

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Allergy remedy

These drugs belong to the group of antihistamines. Prevents the production of histamine. This substance normally participates in many physiological processes. However, if the immune system is disrupted, histamine is actively produced as allergens enter the body. When ingested in large quantities, an inflammatory reaction occurs and allergic symptoms appear. There are currently three generations of antihistamines in medicine.

First generation drug

Relieve unpleasant symptoms quickly, but don't overdo it. And this long-term use is addictive. There seem to be side effects.

drowsiness
weakness
reaction suppression
Headache

But where there are disadvantages, drugs have advantages. These inexpensive drugs are available not only in the form of tablets, but also in the form of solutions, and are also used for emergency care.

The most popular among them. Not all are suitable for children, so be sure to consult a pediatrician before use.

second generation drugs

It is more effective, causes little to no drowsiness and has fewer side effects. Work up to 8-12 hours. Some of its features can cause heart rhythm disturbances. The most popular antiallergic agent.

third generation drugs

The drug is not yet officially developed. However, unofficially, advanced second-generation drugs include drugs of newer generations. They are characterized by high efficiency, instant effect and a small number of side effects. It is non-addictive and can be used for a long time.

One of the most popular allergy sufferers is Elios. Available in the form of tablets and syrup. Other Modern Remedies

Today's Best Allergy Remedy

Corticosteroids and histiocytic membrane stabilizers are used in addition to antihistamines for severe allergic symptoms. Food supplements can also be used as an allergy countermeasure. However, its use requires the consent of the doctor.

How to get rid of allergies forever

Antihistamines, even the most modern ones, only relieve the symptoms, they do not cure the disease. Currently, the most reliable way to eliminate allergies is immunotherapy (ASIT), in which substances that cause allergic reactions are introduced. With a gradual increase in dosage, symptoms of intoxication of the body with an allergen are formed.

AIS can significantly reduce allergies, reduce the duration of exacerbations, and often cure the disease. The disadvantage of immunotherapy is its duration (3-5 years).

Wash your hair and shower every night before bed to wash pollen from your skin and hair.
Rinse your nose daily. Even rinsing with plain water can help soften harmful particles that have settled on the mucous membranes of the respiratory tract.
Washing clothes in hot water at 30-40°C does not kill bed bugs, which are among the most common allergens.
It is also important to use a vacuum cleaner to remove dust from carpets and upholstered furniture.

Unfortunately, there is no universal approach to allergies. In addition, it often takes a long time to find the right fund. If you have any allergic symptoms, consult your doctor and let him choose a treatment method in accordance with the characteristics of your body.

There are contraindications. Need to see a specialist

Ask an expert about the topic of the article

Do you have questions? Write to us in the comments section below. The expert will answer. There you can share your experience with other readers of the Mega Council.

Buying good blood pressure medicine is not easy. The pharmacist at the pharmacy is rarely helpful and will send you to a doctor immediately. Is it really so difficult to recommend a reliable drug at an affordable price? Try to understand the types of drugs and the principle of administration.

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Hypertension

Most people today have never heard of the term “hypertension”. It is not surprising that in today's society, one in three faces this problem and is forced to look for a solution.

Blood pressure 140/90 mmHg Art. defined as hypertension. Art and above, regardless of age. In many cases, increased pressure is an independent disease called hypertension. However, high blood pressure can also be a symptom of other conditions (such as kidney, thyroid, or adrenal problems). In this case, it is necessary not only to reduce the figure, but also to treat the underlying disease.

Symptoms

Symptoms of high blood pressure include:

Headache
headache, headache, dizziness, dizziness, headache, headache, dizziness
Dizziness; pre-fainting state; "warmth" before the eyes.
In such cases, it is recommended to check blood pressure. If the threshold is exceeded, care should be taken to lower it.

Can your blood pressure go up even if you're not worried about anything? Unfortunately, such cases are not rare. That's why it's so important to keep your blood pressure under control, even if it seems normal. It seems that many people misunderstand that if there are no symptoms, then there is no need to lower the barometric pressure. Indeed, why take medication when you are in good physical shape? Unfortunately, the rate of complications of high blood pressure is not determined by whether you feel it or not.

High blood pressure can lead to serious complications.

Terrible complications.

Myocardial infarction?

Stroke?
renal failure.
The higher the pressure, the higher the risk of its development.

Most people with high blood pressure need medication to lower their blood pressure. In the early stages, when blood pressure is slightly elevated, lifestyle changes (diet, weight loss, stress relief, exercise) can bring the values back to normal. However, most patients still require ongoing treatment. If treatment is interrupted, high blood pressure and associated discomfort and risk of complications reappear. During treatment, it is very important to control the level of pressure and keep a diary, recording the patient's performance. This allows you to choose the optimal treatment and accurately evaluate its effectiveness.

Treatment

There are many drugs available today to lower blood pressure. Consider the main groups of these drugs.

ACE inhibitor

This medicine inhibits (blocks) one of the enzymes involved in hypertension and is often used as the first line of treatment for hypertension.

Advantages of this group

Does not affect the heart rate (possible prescription by index).

Does not increase cholesterol and blood sugar levels.
In diabetes and chronic kidney disease, it can not only lower blood pressure, but also prevent the development of kidney failure.
These drugs are also effective in chronic heart failure.
But for pregnant (or planning to become pregnant) women, this group is not suitable - it can adversely affect the fetus. Also, taking these medicines can sometimes cause a dry cough. If the patient's anxiety is great, it should be replaced with drugs from other groups.

ACE inhibitors are not suitable for pregnant women as they may harm the fetus.

Angiotensin receptor blockers (ARBs).

The mechanism of action is similar to the previous group of drugs, but blocks the process at a different level. In general, they have properties similar to those of ACE inhibitors. If you develop a dry cough while taking an ACE inhibitor, this group is often prescribed because it does not have these side effects.

beta-blockers

Reduces the pressure that acts on the β-adrenaline receptor in the heart and blood vessels. These drugs not only lower blood pressure, but also increase the pulse rate. It is preferable when the heartbeat is frequent, but it is better not to take it if the pulse is irregular. When choosing doses and treatments, pulse monitoring is required (preferably 50 or more per minute).

It is also recommended for high blood pressure, coronary artery disease and chronic heart failure. In addition, when used in combination with bronchial asthma or chronic obstructive pulmonary disease (COPD), caution must be taken as convulsive bronchodilation may be exacerbated.

Calcium antagonist

Lowers blood pressure by acting on calcium cells in cells. It can be used along with hypertension such as asthma, COPD, diabetes, and kidney disease.

Dirtiazem, Bella Pamil, Isoptine (extended type) - impulse-lowering effect can be used as a substitute for β-blockers.

It does not create Corda Flex, Normodipine, Lelkame n-pulse and has vasodilatation. In particular, it is effective for increasing the expansion of blood pressure (descent blood pressure).

Diuretics

Indpamid Leviard

Additional water and sodium are discharged outside the body. In particular, it is associated with people who have signs of edema and heart failure. Although the diuretic effect is not the strongest in the Indian pamid and has few side effects, it has a good blood pressure stabilizing effect.

Diuretics are suitable for people with signs of heart failure.

This group should be used with caution to increase blood sugar and uric acid levels.

Central nervous system

Reduces the pressure that acts on the brain receptor. In principle, if the desired effects cannot be obtained, it is added in combination with other drugs.

Complex instrument

In the treatment of high blood pressure, several combinations of active substances are often used. According to studies, the combination is more effective than increasing the number of drugs and has fewer side effects. Many co-administered drugs complement each other's effects and improve each other. As a result, many agents containing two agents in one tablet, and sometimes three agents at the same time, are produced. The technology is efficient and very convenient.

2. combined use

ACE inhibitor + Diuretic: ANAP N, Codlon, Noryprel.

Angiotensin receptor antagonist + diuretics: Rosla Plus, Balsacall N, Ederby KL.
Angiotensin receptor antagonist + calcium antagonist: LOL Tenza, Veroset, ex.
Beta blocker + calcium antagonist: Concole AM, Logimax.
3 combined use
ACE blocker + diuretic + calcium antagonist: KO DARNEF, Trick LAX.

Angiotensin receptor antagonist + diuretics + calcium antagonist: co-vamloset, Coxford.

When choosing to treat hypertension, it usually starts small and increases gradually as needed. If the pressure rises first, the normal pressure cannot be reduced. First of all, it is a good idea to stabilize with a less expensive value (for example, if the first blood pressure is 180/100 or more, the value does not exceed 150-160/90 mmHg bye. Treatment takes into account the allowable range.
It is not easy to choose the optimal treatment. Even doctors are needed this time. Actively participate in the patient's diary and oblige regular medication. Changing or stopping treatment can lead to unpleasant consequences of high blood pressure complications (heart attack, stroke). If you change the use of a medicine for any reason, do not hide it from your doctor.
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