Trintellix causing anxiety

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Throw away the check immediately after buying Brintellix, otherwise another wave of depression will overtake you, because you will see the price of this drug! I do not argue, it is effective, restores mental health, but damn it, why is it so expensive? nine0003

Brintellix tablets 20 mg 28 pcs.

Brintellix - slightly yellow Danish-made tablets, belong to antidepressants and are prescribed for people with an unstable psyche. After my mother's funeral, my sister struggled with me for a long time, but then she simply took me to the hospital. Now I have almost finished the course of these pills.

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After giving birth, instead of the joy of motherhood, something incomprehensible began to happen to me: panic, anxiety, gloomy thoughts, apathy. The hospital was diagnosed with neurosis. I took pills for 3 months, only now I started to look at the world in colors, I had a desire to do something, I’m even thinking about a second education while I’m on maternity leave. nine0003

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The pills did a good job of helping me clean up my head when I was depressed. But I had a strong salivation, a constant feeling of hunger, sometimes for no reason, the pressure dropped. So I would not risk taking the drug without a doctor's prescription.

Brintellix tablets 10 mg 28 pcs.

When I was admitted to the hospital with mixed anxiety-depressive disorder, affective disorder within bipolar and borderline personality disorder, I took these pills along with other drugs, then continued to drink them at home. Some of the problems passed by the end of the first month, anxiety - the third month of admission. nine0003

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The tablets were prescribed by a doctor, because after the disease, thoughts of suicide constantly visited, depression began. I took a course for 3 months, the improvement was noticed not only by the doctor and I, but also by my close circle. Now I do not take the drug, I go to see a psychotherapist once every two weeks.

Brintellix tablets 20 mg 28 pcs.

I have never met with depression before, and my relatives were not prone to such conditions either. But when, against the backdrop of complete quarantine, I lost my job, I felt all its “charms” on myself: apathy, anhedonia, anergy. In a word - a vegetable, without energy, thoughts and any desires. The medicine was prescribed by a psychotherapist. The treatment lasted 4 months, now everything, thank God, has passed. nine0003

Brintellix tablets 10 mg 28 pcs.

It's like a joke to me, even though it wasn't funny at first. It all started with panic attacks, a constant feeling of anxiety (as if something very bad was about to happen). The drug helped me cope with these symptoms, but had a bad effect on the gastrointestinal tract (nausea, upset). After the end of the course, everything went away.

Brintellix tablets 10 mg 28 pcs.

I quickly got back to normal thanks to Brintellix, I already thought that I would go straight out of depression into a binge. The drug helps well, does not cause inhibition or drowsiness, works clearly and to the point. I drank once a day, 10 mg. nine0003

Brintellix tablets 10 mg 28 pcs.

Brintellix 10 mg tablets was prescribed to me by a psychotherapist to help get rid of increased anxiety and, as a result, IBS. Anxiety states began to visit less and less, and their intensity was manifested less and less. By the end of the course, I felt much better.

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These pills didn't work for me at all. Added to my depression was a constant feeling of tiredness and lack of sleep. I could sleep for days, but I didn’t get enough sleep anyway. Also, different nonsense constantly dreamed. nine0003

Brintellix tablets 20 mg 28 pcs.

I often get nervous with or without cause. This is bad for health. And although I try to react less emotionally to everything that happens, it does not always work out. So take these pills.

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I have been taking the drug for two months already, I have not yet got rid of depression, but my mood has stabilized. In parallel, she worked with a psychotherapist. I've taken other medications in the past and had a lot of side effects. nine0003

Brintellix tablets 10 mg 28 pcs.

My diagnosis is an anxiety disorder, the doctor prescribed this drug. After two months I felt better, but the doctor insisted that I complete the entire course. But not without a drop of tar, half an hour after taking the pill, I began to feel sick. I began to take them immediately before bedtime, I no longer felt nausea.

Brintellix tablets 5 mg 28 pcs.

I broke up with a young man, graters began at work, because of this I stopped sleeping and eating normally. In general, I had to look for support, which turned out to be this drug. I took it for more than 4 months, the condition stabilized, after another month life began to acquire colors. nine0003

Brintellix tablets 20 mg 28 pcs.

I entered into a depression by negligence. A year ago, I had the same state of apathy: nobody and nothing interests me. In general, there is no interest in life. I was on another medication at the time, but there were side effects. From these pills in just two weeks I wanted to do something.

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I had to take a course of brintellix because, against the backdrop of life's problems, I developed persistent depression and even had suicidal thoughts. The doctor prescribed "weak" tablets of all forms of release, but that was enough for me. nine0003

Brintellix tablets 10 mg 28 pcs.

After severe stress, sleep worsened. For two days she could not sleep, then fall into half-asleep. There was no proper sleep. This began to affect the general condition of the body. My husband almost took me by force to the doctor, who prescribed me Brintellix tablets at a dosage of 10 mg. Sleep improved markedly by the third week of admission. The maximum effect came after 12-14 weeks.

Brintellix tablets 10 mg 28 pcs.

Somehow I noticed that I began to delve too deeply into any problems and look for some additional catch in them. I thought about them at home, at work, everywhere. If I found a solution, I immediately noticed another problem .. and so constantly - some kind of vicious circle. In addition, he began to sleep poorly, his appetite worsened. The doctor gave me these pills. They improved my condition, but without the help of a psychiatrist, they could not do

Brintellix tablets 5 mg 28 pcs.

Irritability, nervousness, sudden mood swings made me turn to a neurologist, because my mood directly affected my family and friends. The doctor prescribed these pills for me, there was no immediate effect, but after a month I was a little let down. The maximum effect came after 3 months of admission.

Brintellix tablets 20 mg 28 pcs.

Depression is a serious and long-term illness. For three days, you can’t get rid of it, like with acute respiratory infections. The doctor prescribed these pills for me, took them for more than two months and was very worried that addiction would not arise. But to my joy, the depression left me, and the refusal of the drug was completely painless. nine0003

Brintellix tablets 10 mg 28 pcs.

A good drug for depressive states in an advanced stage. After a couple of weeks of admission, interest in life returned, it became more fun at heart. The only downside is that you can buy it only with a prescription and nothing else, and getting to the doctors at the present time is difficult.

Brintellix tablets 10 mg 28 pcs.

This drug helped me to smile again and see the world in a new way. I took 1 tablet before meals for 12 weeks, my friends did not even immediately recognize me in the smiling girl when they saw me on the street. nine0003

Brintellix tablets 10 mg 28 pcs.

When the panic attacks started, it really interfered with my work. At first they were caused by stressful situations, but then they began to appear more and more often, they began to cover the whole body. The doctor advised these pills in parallel with psychotherapy. After 2 months it became easier, the full course - 3 months. The only negative is that it causes drowsiness.

Brintellix tablets 5 mg 28 pcs.

When problems both at work and in my personal life piled up at the same time, I almost broke down: I went into a deep depression. There are no more goals in life, the look is extinct - in a word, a zombie. When a friend came to visit me and saw that I had even stopped cleaning, she pulled me to the doctor. He prescribed Brintellix for me. I noticed the first glimpses in two or three weeks. Fully recovered in 3 months. nine0003

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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. nine0003

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. nine0003

Go 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 can increase anxiety in anxiety disorders, as well as cause irritability and agitation - the so-called causeless motor agitation, 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. nine0003

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. nine0003

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. nine0003

/list/antidepressant-myths/

8 myths about antidepressants

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.

Fact No. 2

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. nine0003

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

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. nine0003

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. nine0003

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.

Fact No. 4

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. nine0003

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. nine0003

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. nine0003

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;
• about 20% of people experience sweating and feeling hot;
• sexual dysfunction, decreased libido may occur in 80% of cases;
• insomnia - in 11% of cases;
• headache and dizziness - in about 10-11% of cases; nine0122
• 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. nine0003

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. nine0003

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. nine0003 I wrote to the doctor again when my visual acuity decreased

Fact No. 5

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. nine0003

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

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. nine0003

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. nine0003

/psychotherapy/

How psychotherapy works

Fact No. 6

Antidepressants are not addictive. 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. nine0003

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

How hard 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. nine0003

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

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. nine0003

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. nine0003

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.

/psychotherapy-search/

How to choose a psychotherapist

Fact No. 8

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. nine0003

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.

/list/covid-depression/

Psychoneurological complications after covid: memory problems and depression

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. nine0003

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

SERTRINLIN

Original

Zoloft

Original cost of the original

about 700 r, tablets 100 mg

generics

"Serenata", "Cerelift"

The cost of generies

Escitalopram

Original

Cipralex

Original cost

3000 r, tablets 10 mg

generics

“Chektra”, “Elice”

The cost of generics

500-1300 r, tablets 10 mg

Flioxetin

Original

“Prose”

Cost cost cost

About 350 R, tablets 20 mg

Generics

Profluzak, Fluoxetine

Cost of generics

100—200 R, tablets 20 mg

Fact No. 9

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. nine0003

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

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.

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