Citalopram is an amazing medication. I’ve never slept so good in my life and I have energy and motivation during the day and get tired at night when I’m supposed to. Just upped it to 30mg because I felt I could get a tiny bit more out of it in terms of treating depression, but my panic attacks are gone and can’t see needing to go any higher. I’d say it’s a miracle but it’s just science and neurochemicals 😁
I think ur a liar, or work for evil meds company, anti depressive drugs don't work, never have, like telling u opioids aren't addictive, spread the word
Thank you! Absolutely correct about discontinuation syndrome for these medications. Getting off Zoloft was difficult, but Paxil was a nightmare I wouldn't wish on anyone. Now, whenever I feel the need to start up with an SSRI, its Fluoxetine all the way, and the lowest possible dose I can take to get some benefit.
By far the best intro to SSRI. But that people forget that those at it best have a moderate antidepressant effect, compared to Mirtazapine, venlefaxine and duloxetine.
They don’t even have a moderate response. They barely move the Hamilton score at all. They are placebo. Btw the so called snri drugs barely raise norepinephrine levels so they to are mostly SSRIs. Effexor hits mu opioid receptors and that is what is likely behind us extremely minimal improvement over the standard.
best for me is by far paroxetine. I am a 25 years old man and I have tried them nearly all. Because, all in all, for a very anxious patient who doesn't need activating effect, what would you prescribe? you should have gone into more details breaking serotonine receptors into subtypes : sert, HT51 or 2...
I LOVED PAXIL. It worked like a dream for my anxiety. The only issue I had with it was it isn’t good for libido. Other than that, it was perfect for me. Didn’t have withdrawal problems tapering down to start another SSRI.
Hi! Excellent video. Help help help help help help help help help help help help I am 7 2. Old and if I don't have a cup of coffee all I want to do is sit I'm in a daze I can't concentrate etc etc. I have gone off coffee for months but I literally have no motivation nothing! I just want to sit. What can I take pharmaceutically that would help? I'm not depressed or anxious I simply lack energy motivation Clarity concentration and things seem hard I'm not depressed what do you suggest
I am really thinking of trying a serotonin antidepressant. I am prescribed Wellbutrin for dopamine has been very helpful in motivation and drive. Also Seroquel at night, but I want off of that, because it doesn't help enhance my brain, but boyyyyyyy is it good for sleep😴
Thank you for this very informative video! I just wanted to add that Paxil has some deadly side effects and soon after it was released there was a major class action lawsuit due to those deadly side effects.
Hi Dr Your videos are so informative, Thank you!! I know Buspar is not a antidepressant, but I was just prescribed it for GAD, after suffering from it from 3 years. Do you think Buspar can be as effective as a antidepressant with out all of the side effects from ssri? Thank you God Bless you
I have experience with Buspar and it takes a very long time like an SSRI to be effective. At most it will get you dizzy but after some time your mind will be clear and you will be more confident. If it triggers mania it might be bi polar disorder so be very aware of yourself the next month or two. It takes a min for it to work but the best things in life take a min to be effective. Like seeds in a nurtured soil.
@@yosif8235 thank you Yosif. I also have been experiencing horrible chronic insomnia for 3 years. Nothing has worked, my anxiety wont shut off, hoping this might help. Any sleep problems from this medication? Thank you
@@michaelthau1007not with insomnia but look up melatonin and the synergistic levels Buspirone has with it. It is incredibly effective especially when taken with food. Look up a RUclips video called well now doctor buspar and he gives great details about it. It does take time but after time and dosage increase it will feel like nothing but you will feel more confident and powerful.
@@yosif8235 im very excited to start this medication, 7.5mg 2x daily. You know i tried everything for my insomnia, melatonin, sleep hygiene, everything. Was taking Lunesta for a while, doesn't always work. Thank you for your wonderful comments
@@michaelthau1007 lunesta and all the prescription meds really are hit or miss or worse. But taking Buspirone with melatonin with a meal at night will do wonders for rest. If you can look into propranolol. I used to take it for anxiety but Buspirone and Vyvanse and Fluoxitine is all I need now cause I figured the real root of my problems not just ADHD but OCD and anxiety in anger. So when I fixed that I didn't need propranolol during the day. I take that with a melatonin gummy at night with Buspirone. It will be really good for you. Just verify all this with your doctor or Psychiatrist.
Which would be the best option for someone with hypothyroidism and a poor metabolizer? I have SCD and am reluctant to be on meds due to my sensitivity to so many other medications. Thank you.
Years ago, I took Imipramine and it worked well for me, but isn't there a safety warning about it? I'm nearly 60 and should probably stay away from the ones that could possibly have heart-related side effects (family history).
Thank you! My doctor prescribed buproprion with my Prozac.. to help with SD and energy. I can’t help but wonder if that’s a bad combo for me. I do like the Prozac . I’m just not sure about the addition of wellbutrin . Do you ever prescribe them together.?
Only one question, does Fluoxetine 80 mg works like a mild antipsychotic,in addition to an antidepressant with stimulating effects ????? Thank You for uploading an informative video .
I am 75 and tried Zoloft starting with 12.5 mg. I have read that it works well for a lot of people but I was not one of them. I was only able to take it for a few days. The side effects were just too severe for me to handle, even at a low dose of 12.5 mg.
Dr. Ally, I am currently on 225mg venlafaxine and 7.5 buspar q.d. I'm getting some emotional blunting and low mood with this current dose. HCP wanted me to cut to 150mg venlafaxine and add 150mg Wellbutrin. The Wellbutrin caused extreme nausea to the point to where I had to stop it. Not sure what the next step would be and frankly I'm not sure if my HCP knows either.
Your doctor is on the right track. Lowering the Venlafaxine will likely help fix the emotional blunting. Add the 150 mg Wellbutrin and also ask your doctor about anti nausea medication called ondansetron, which will block the 5ht3 receptor. Stay on your buspar too! 150mg Venlafaxine 150mg Wellbutrin 7.5mg buspar Starting dose of ondansetron, which your doctor will determine
Good day Doc, one psychiatry resident told said that sertraline is good for CKD patients bec this drug is not eliminated during hemodialysis. I’m not sure if I heard him correctly. What is your comment on this statement? Thank you in advance for your response
Thankyou Pretty doctor my experience is totally against your recommendation.....paxil never fails to support me I think it's strongest and quickest to help me since my depressive symptoms appear during winters , but yes you are bang on about side effects.... I to switch over to prozac , doesn't work much and buprion and esctiplam Currently I am on 75 mg paxil What dosage will you recommend for these 2 drugs
Hello. Do you run a genetic test first on all your patients to see which meds are more effective for your patients, and those that aren’t as great for the patient? I was on lexapro and I really felt like it worked for me, but once I started to see a psychiatrist she ran a generic test showing lexapro was in the middle portion (yellow section) for me and the pristiq showed it coming back as a better one (green section) along with others but I don’t seem to feel right in pristiq. Is there a nice way to tell my provider (because I’m not the professional) that I would like to be back in lexapro?
Sounds like it's maybe time to find a new psychiatrist. Why would she change your medication that was working perfectly for the symptoms you have? Just directly ask to switch back to Lexapro because you "like it better". If you get any static about it I would drop them.
Consider getting a DNA test to assess how your body metabolizes medications. This can provide valuable information on how to optimize your treatment plan.
I've tried almost every antidepressant out there, and while some of them work well for my depression, ALL of them cause major weight gain, which has caused me to discontinue treatment. I've never been able to find a solution to this problem..
Panic disorder since the age of 10 and now depression at 33. I was on Paxil 20mg for around 15 years and it worked well for me. Then it just stopped. I dont know why my GP and Psychiatrist put me on Venlafaxine. Why didn't they try another SSRI? That's my question. Ive been jacked up to 375mg and still get anxiety and depresssive episodes. I just want to add that ive been in therapy for the last 2 years which has helped me tremendously. I just want to change meds as i feel that's the missing link. But GP and Psychiatrist dont want to change. What should i do?
No psychotropic drugs for me. I’ve had situational depression almost all of my life never suicidal so unless I was I would never take antidepressants. Dangerous 😮
Been on 20mg fluexotine for a few years I got a increase from my doctor for 40mg but kinda scared too commit too that dose cause I don't know if I want too stay on it for life but it works and helps out a lot and I been on 20mg for probably 5 years on and off now.. any advice? I took 40mg today... but since it's just the first day maybe I will stop and go back too 20 tomorrow....
Actually it was much worse, it ruined her brains and even surgery was done after 3 years of Paxil use. It was obviously due of Paxil because extreme weight gain started few months after 1st dose of it. But doctors push her to keep to use Paxil even after surgery because there is no scientifical evidence that it can ruin brains. And I see her problems start to come back. I told her to ask doctor to stop use it but she doesn't listen. The offical reason of her brain problems (water retention or sth like that)is still unknown, even doctors don't know but they refuse to tell it is from Paxil. But I saw how she gradually changed in a time she started to use it. Before she was always fit, yes depressed, yes anxious, strange eating habits, alcohol addict, but she was still the same in a time she used it and even worse, except alcohol use which she almost stopped because it was not allowed. I don't want to say that all antidepressants are bad. I know people who use Lexapro, for example. Yes it made them much weird comparing the time before, but nothing like Paxil.
Half of these comments are why people don’t know their loved one is depressed and/or on SSRIs. 😊 Someone wanting to live is a benefit. I’m sorry if they are not acting the same as what you knew but what you know is not their reality.
You have a biased opinion about Paxil. EVERYONE is different and react to medicine differently. Paxil literally saved my life to this day and I will stand by Paxil until the day I leave this Earth.
Just because you can does not mean you should write or take it. One thing leads to another. Before you know You won’t know Which came first The chicken or the egg.
Ssri were not my things SNRI yes remeron in 2002 helped me for 6 years plus then after the Mayo Clinic they put me on Effexor XR 37.5 start it helped then 75mg saved my life for 10 years but i had rebound Anxiety and had to stop and take others nothing helped nothing no ssri or SNRI
Wow! The best video on SSRIs, thank you. Very clear.
Citalopram is an amazing medication. I’ve never slept so good in my life and I have energy and motivation during the day and get tired at night when I’m supposed to. Just upped it to 30mg because I felt I could get a tiny bit more out of it in terms of treating depression, but my panic attacks are gone and can’t see needing to go any higher. I’d say it’s a miracle but it’s just science and neurochemicals 😁
Aq1
I think ur a liar, or work for evil meds company, anti depressive drugs don't work, never have, like telling u opioids aren't addictive, spread the word
No scientific evedince anti depressive work, and half life traps u on them,, Don't do them please
Thank you! Absolutely correct about discontinuation syndrome for these medications. Getting off Zoloft was difficult, but Paxil was a nightmare I wouldn't wish on anyone. Now, whenever I feel the need to start up with an SSRI, its Fluoxetine all the way, and the lowest possible dose I can take to get some benefit.
I was on Prozac for years and then experienced what my psychiatrist termed "Prozac Poop-out." For reasons unknown to doctors, it just stops working.
It’s not unknown..the reason is that the pill never worked in the first place. You simply experience the placebo response
@@timothyayers8596 lol
You should always take breaks with any medications. Whether doctors want to admit it or not
It's very weak SSRI I don't think it works at all
Because they don't, did u feelsucidile, that why they were discontinued in england
By far the best intro to SSRI. But that people forget that those at it best have a moderate antidepressant effect, compared to Mirtazapine, venlefaxine and duloxetine.
They don’t even have a moderate response. They barely move the Hamilton score at all. They are placebo. Btw the so called snri drugs barely raise norepinephrine levels so they to are mostly SSRIs. Effexor hits mu opioid receptors and that is what is likely behind us extremely minimal improvement over the standard.
Great video! I also share your strong opinions on Paxil. I avoid it as much as possible.
I don't.
Can you tell us about PSSD? The risk of permananent loss of libido?
best for me is by far paroxetine. I am a 25 years old man and I have tried them nearly all.
Because, all in all, for a very anxious patient who doesn't need activating effect, what would you prescribe?
you should have gone into more details breaking serotonine receptors into subtypes : sert, HT51 or 2...
Thank you. I was trying to understand Zoloft vs Lexipro.
I LOVED PAXIL. It worked like a dream for my anxiety. The only issue I had with it was it isn’t good for libido. Other than that, it was perfect for me. Didn’t have withdrawal problems tapering down to start another SSRI.
Exactly. Everyone is different. I stand by Paxil 100 percent!
the best guide INDEED ❤
wowwww, this is the one i was looking for. Thank you :)
All in all, it is an excellent informative video.
really excellent presentation, nice work!
Thank you Dr Aly wood, this was a very informative and beneficial video :).
Hi! Excellent video. Help help help help help help help help help help help help I am 7 2. Old and if I don't have a cup of coffee all I want to do is sit I'm in a daze I can't concentrate etc etc. I have gone off coffee for months but I literally have no motivation nothing! I just want to sit. What can I take pharmaceutically that would help? I'm not depressed or anxious I simply lack energy motivation Clarity concentration and things seem hard I'm not depressed what do you suggest
I am really thinking of trying a serotonin antidepressant. I am prescribed Wellbutrin for dopamine has been very helpful in motivation and drive. Also Seroquel at night, but I want off of that, because it doesn't help enhance my brain, but boyyyyyyy is it good for sleep😴
I was doing great, then I turned 50. My citalopram was cut in half, leading to suffering of trying many different antidepressants.
I take 150mg wellbutrin and 20mg prozac
Do you take Wellbutrin at one time or over the day?
Thank you for this very informative video! I just wanted to add that Paxil has some deadly side effects and soon after it was released there was a major class action lawsuit due to those deadly side effects.
you are great at explaining!
Thank you 💙
Thanks for the video. Which SSRI is the best/as the least side effects in 2023?
I wish you can answer the questions
Hi Dr
Your videos are so informative, Thank you!! I know Buspar is not a antidepressant, but I was just prescribed it for GAD, after suffering from it from 3 years. Do you think Buspar can be as effective as a antidepressant with out all of the side effects from ssri?
Thank you
God Bless you
I have experience with Buspar and it takes a very long time like an SSRI to be effective. At most it will get you dizzy but after some time your mind will be clear and you will be more confident. If it triggers mania it might be bi polar disorder so be very aware of yourself the next month or two. It takes a min for it to work but the best things in life take a min to be effective. Like seeds in a nurtured soil.
@@yosif8235 thank you Yosif. I also have been experiencing horrible chronic insomnia for 3 years. Nothing has worked, my anxiety wont shut off, hoping this might help. Any sleep problems from this medication?
Thank you
@@michaelthau1007not with insomnia but look up melatonin and the synergistic levels Buspirone has with it. It is incredibly effective especially when taken with food. Look up a RUclips video called well now doctor buspar and he gives great details about it. It does take time but after time and dosage increase it will feel like nothing but you will feel more confident and powerful.
@@yosif8235 im very excited to start this medication, 7.5mg 2x daily. You know i tried everything for my insomnia, melatonin, sleep hygiene, everything. Was taking Lunesta for a while, doesn't always work.
Thank you for your wonderful comments
@@michaelthau1007 lunesta and all the prescription meds really are hit or miss or worse. But taking Buspirone with melatonin with a meal at night will do wonders for rest. If you can look into propranolol. I used to take it for anxiety but Buspirone and Vyvanse and Fluoxitine is all I need now cause I figured the real root of my problems not just ADHD but OCD and anxiety in anger. So when I fixed that I didn't need propranolol during the day. I take that with a melatonin gummy at night with Buspirone. It will be really good for you. Just verify all this with your doctor or Psychiatrist.
Which would be the best option for someone with hypothyroidism and a poor metabolizer? I have SCD and am reluctant to be on meds due to my sensitivity to so many other medications. Thank you.
Years ago, I took Imipramine and it worked well for me, but isn't there a safety warning about it? I'm nearly 60 and should probably stay away from the ones that could possibly have heart-related side effects (family history).
Thank you! My doctor prescribed buproprion with my Prozac.. to help with SD and energy. I can’t help but wonder if that’s a bad combo for me. I do like the Prozac . I’m just not sure about the addition of wellbutrin . Do you ever prescribe them together.?
It’s a very common combination
does fluoxetine affect the metabolism of diazepam? How would it affect it
Only one question, does Fluoxetine 80 mg works like a mild antipsychotic,in addition to an antidepressant with stimulating effects ?????
Thank You for uploading an informative video .
Best guide - DO NOT start taking any of that garbage!!! It’s gonna do more harm than good over time. Plus - getting off of those things are hell!!!!
Not only that it doesn’t work. Any response is placebo effect. This has been demonstrated over and over and over again yet the charades continue
Is Zoloft safe for elderly? can you start on 12.5.?
I am 75 and tried Zoloft starting with 12.5 mg. I have read that it works well for a lot of people but I was not one of them. I was only able to take it for a few days. The side effects were just too severe for me to handle, even at a low dose of 12.5 mg.
Dr. Ally, I am currently on 225mg venlafaxine and 7.5 buspar q.d. I'm getting some emotional blunting and low mood with this current dose. HCP wanted me to cut to 150mg venlafaxine and add 150mg Wellbutrin. The Wellbutrin caused extreme nausea to the point to where I had to stop it. Not sure what the next step would be and frankly I'm not sure if my HCP knows either.
Your doctor is on the right track. Lowering the Venlafaxine will likely help fix the emotional blunting. Add the 150 mg Wellbutrin and also ask your doctor about anti nausea medication called ondansetron, which will block the 5ht3 receptor. Stay on your buspar too!
150mg Venlafaxine
150mg Wellbutrin
7.5mg buspar
Starting dose of ondansetron, which your doctor will determine
@@iworkoutlmfao Why are you answering for Dr. Ally?
@@Ilovewyatt01 She may have not seen your question and I wanted to give you a potential solution. Hope it helps.
@@iworkoutlmfao Are you a doctor? If not, you need to be very careful giving out medical directives if you're not.
They got you on many pills, you part of the experiment, get off if you can.
Good day Doc, one psychiatry resident told said that sertraline is good for CKD patients bec this drug is not eliminated during hemodialysis. I’m not sure if I heard him correctly. What is your comment on this statement? Thank you in advance for your response
I was taking Prozac at one point...then both retinas detatched
Do you think there is a link between prozac and my retinas detatching?
9:45 paxil
Paxil. Is. Evil. I second everything she said. I’m on 10mg.. I cannot get off it.
Which one is more potent
I would love to know which of these have worked best with adderall combined , in your patients .
Im going today citalopram from 10mg to 5mg and if im stable to 2.5 😊
Thankyou Pretty doctor my experience is totally against your recommendation.....paxil never fails to support me
I think it's strongest and quickest to help me since my depressive symptoms appear during winters , but yes you are bang on about side effects....
I to switch over to prozac , doesn't work much and buprion and esctiplam
Currently I am on 75 mg paxil
What dosage will you recommend for these 2 drugs
can you tell me what are interaction between Flouxetine and Propranolol
What happens if you stop taking paxil
Hello doctor 👋
Can bupropion addition help in dealing with emotional blunting due to fluoxetine?
Absolutely, my friend. If you are experiencing emotional blunting, your antidepressant may need to be lowered. Wellbutrin help too
Would you please talk about Cymbalta, thanks
Try an online interaction checker. I found “Using propranolol together with FLUoxetine may increase the effects of propranolol.”
Hi, can I retake an ssri that I once took years ago but seemed to stop working at the time?
Can Mirtazapine be causing my sore thriat if I cant take anthistamines because get sores on eyes and feel like I have pnemonia?
Can’t believe people are getting prescribed ssri’s at 3am and 7 every second. That’s wild
My mum use Paxil. She gained 30 kilos, got more insomnia, more anxiety, become very stupid, but tells everyone that it helps her. Strange medicine.
that's just the side effects when you first start taking them they go away after a few weeks , so the medication will be helping her
How do you go off Paxil
is vraylar a safe augmentation to celexa ?
Hello. Do you run a genetic test first on all your patients to see which meds are more effective for your patients, and those that aren’t as great for the patient?
I was on lexapro and I really felt like it worked for me, but once I started to see a psychiatrist she ran a generic test showing lexapro was in the middle portion (yellow section) for me and the pristiq showed it coming back as a better one (green section) along with others but I don’t seem to feel right in pristiq. Is there a nice way to tell my provider (because I’m not the professional) that I would like to be back in lexapro?
Sounds like it's maybe time to find a new psychiatrist. Why would she change your medication that was working perfectly for the symptoms you have? Just directly ask to switch back to Lexapro because you "like it better". If you get any static about it I would drop them.
Which is the one that all the mass shooters are on?
Consider getting a DNA test to assess how your body metabolizes medications. This can provide valuable information on how to optimize your treatment plan.
Can I add Prozac to Cymbalta?
I've tried almost every antidepressant out there, and while some of them work well for my depression, ALL of them cause major weight gain, which has caused me to discontinue treatment. I've never been able to find a solution to this problem..
Panic disorder since the age of 10 and now depression at 33. I was on Paxil 20mg for around 15 years and it worked well for me. Then it just stopped.
I dont know why my GP and Psychiatrist put me on Venlafaxine. Why didn't they try another SSRI? That's my question.
Ive been jacked up to 375mg and still get anxiety and depresssive episodes. I just want to add that ive been in therapy for the last 2 years which has helped me tremendously.
I just want to change meds as i feel that's the missing link. But GP and Psychiatrist dont want to change. What should i do?
Do they work for fear of blushing? I was told that SSRI will mess up your brain?
SSRI destroyed me and many others
Post ssri sexual dysfunction. Permanent condition.
What is the right time to take ecitalopram if it causes dizziness. And can we start from 5mg
Sometimes it's not chemicals but situational, I understand why people do it
I don't agree, take more excersize, or natural stuff like camoline, meds are like a hammer to a mirror
No psychotropic drugs for me. I’ve had situational depression almost all of my life never suicidal so unless I was I would never take antidepressants. Dangerous 😮
Been on 20mg fluexotine for a few years I got a increase from my doctor for 40mg but kinda scared too commit too that dose cause I don't know if I want too stay on it for life but it works and helps out a lot and I been on 20mg for probably 5 years on and off now.. any advice? I took 40mg today... but since it's just the first day maybe I will stop and go back too 20 tomorrow....
Maybe you should have decrease dosage instead and then go back to 20, so that your body like readjust to it. I’m not a doctor
@@GeorgieTVRus I did that already multiple times
Actually it was much worse, it ruined her brains and even surgery was done after 3 years of Paxil use. It was obviously due of Paxil because extreme weight gain started few months after 1st dose of it. But doctors push her to keep to use Paxil even after surgery because there is no scientifical evidence that it can ruin brains. And I see her problems start to come back. I told her to ask doctor to stop use it but she doesn't listen. The offical reason of her brain problems (water retention or sth like that)is still unknown, even doctors don't know but they refuse to tell it is from Paxil. But I saw how she gradually changed in a time she started to use it. Before she was always fit, yes depressed, yes anxious, strange eating habits, alcohol addict, but she was still the same in a time she used it and even worse, except alcohol use which she almost stopped because it was not allowed. I don't want to say that all antidepressants are bad. I know people who use Lexapro, for example. Yes it made them much weird comparing the time before, but nothing like Paxil.
Half of these comments are why people don’t know their loved one is depressed and/or on SSRIs. 😊
Someone wanting to live is a benefit. I’m sorry if they are not acting the same as what you knew but what you know is not their reality.
None of those medications did anything for me.
You have a biased opinion about Paxil. EVERYONE is different and react to medicine differently. Paxil literally saved my life to this day and I will stand by Paxil until the day I leave this Earth.
Lexapro is great for Lexapro but it makes you so tired and zombie like.
Just because you
can does not mean
you should write
or take it. One thing
leads to another.
Before you know
You won’t know
Which came first
The chicken or the egg.
#straighttalk
cant listen because of voice fry. voice pollution. sad
Medicines are all now void in Florida now that Medical marijuana, is legal
Ssri were not my things SNRI yes remeron in 2002 helped me for 6 years plus then after the Mayo Clinic they put me on Effexor XR 37.5 start it helped then 75mg saved my life for 10 years but i had rebound Anxiety and had to stop and take others nothing helped nothing no ssri or SNRI
SSRIs are based on cherry-picked data. Everyone who gets better on them would have gotten better anyway. Look it up.
Work on your voice it’s too speedy
Adjust the playback speed to 0.75 and you’ll likely be more comfortable.
Paxil. Is. Evil. I second everything she said. I’m on 10mg.. I cannot get off it.