Trintellix has been a game changer for my ocd. SSRI’s for me never helped much . Taking different meds over the 30 years I’ve had ocd, this has been the best for me
5:00 about that, it’s important to note two things. One, people were far more likely to report sexual dysfunction when directly asked, and not just self reported. My understanding is that citalopram is worse. Secondly sexual dysfunction can have different levels of severity to complete loss of libido to difficulty reaching climax. Either way sucks of course but something to consider.
Thank you for all these great videos. I am on Escitalopram for one year, which is excellent for anxiety, but being lazy with lack motivation is not good ... I need to find something else
I’m not a doctor hut Escitalopram is great! More so if you have anxiety. I was on it for 3 years and it was a life changer but it made me so lazy and unmotivated. I’m on week 2 of Prozac now and I think I prefer it.
I am Taiwanese. Medical care is not expensive under Taiwan's medical system, so I don't need to worry too much about the price of a new antidepressant. I have tried both drugs. I once complained to the doctor about my poor memory and cognitive function, so the doctor said that I can take Brintellix and it will improve. Afterwards I actually didn't feel anything, and I had intense worries because of the events of everyday life. The doctor decided to add Lexapro. But in the long run I found that the medication didn't help much. Most importantly, changes in daily life affect mood. As for Brintellix did not improve my cognitive function.
On vortixetine . increased from 10 to 20mg...had nausea and anxious. Think just settling down after 2/3 weeks. Tried ssris and snri in past. Hoping it can help anxiety as well as depression as that is a problem for me.
They're both good medications but I am having better luck with Trintellix because I have my energy back. Lexapro worked but caused me to be so tired that I was missing appointments.
I took Lexapro for two years for anxiety and it really works but the bad think is it has two side effects : constipation and weight gain so I’m thinking in switch to vordioxetine , and hope it works as good as lexapro without those side effects
I have been taking Brintellix for 2 years for panic disorder and i'm nor better. I dont want to take escitalopram again because of the sexual side effects. Its very hard our situation. Is Like if we have to chose between feeling good again or forget about sex. 😣
Unfortunately for me it worsened my insomnia, even after a few weeks. It was like having drunk 2 coffees 2 hrs before bedtime. I had to stop. Now I'm on sertraline (Zoloft), I think I sleep better than with no AD.
Never used if for insomnia, I believe it would be too stimulating. As for anxiety, it can help but can also be too stimulating for those who are very sensitive to norepinephrine increase.
Wow. I was just suggesting replacing my Lexapro with Vortioxetine to my psychiatrist last week. Fortunately a slight increase in my Lexapro helped albeit with some mild activation (I have Bipolar 2 and have always required an antidepressant). I am watching carefully for hypomania (so far so good). Thank you for your great and thorough videos. I read Dr Stahls books and found your videos to be understandable yet not excessively "dumbed-down"
Is Vortioxetine really that good on the other Neurotransmitters? Rather is just significantly good, being the strongest on Serotonin. Vortioxetine sounds a little too good to be that strong on all these Neurotransmitters, rather just in the Prefrontal Cortex. Vortioxetine sounds a little similar to Modafinil, but I doubt it's really more than significantly strong on all the other Neurotransmitters. Escitalopram was the worst for me since always, even before my first the strongest 3-4 months Antipsychotic Withdrawal, giving me just some jittering and not working great in the first 2 months (which now is very surprising, making me feel a lot worse during the first strongest Withdrawal and after, feeling the same symptoms after taking Escitalopram just several days, just half a pill, especially tired legs, but not as strong as the first Withdrawal symptoms). I don't understand why so many Psychiatrists start not with the weakest or the finest modulators, like Tianeptine (at least in Europe) or Sertraline. I think this is the main reason why not just I got high tolerance to SSRIs especially (Paroxetine, Escitalopram, Mirtazapine I also took, also the SNRI Duloxetine, Trazodone, Vilazodone, Sertraline and Tianeptine which is the only one which worked properly for me, but after the Withdrawal). Yeah maybe back then they were rather not strong enough, back then rather my Dopamine was the main problem, surely being very high, yet not so sure of it was too high or not. But, 4 months before the first strongest Withdrawal, I got Rispen, Orfiril also (not sure why) and another one I forgot its name, yet didn't feel anything, just a slight improvement of the mood but, rather naturally. After the first Withdrawal I didn't take anything at all for 6 months, I just consumed Alcohol several weeks after 3 months to see how I feel, but just tired and not pleased at all. Then, in the 4th month, clearly a massive Noradrenalin improvement occurred, naturally it seems, though. My muscular weakness got at less than 5% basically, my anxiety also not being at 25-50% strength as before, basically not being really anxious anymore, except some moments. I got much stronger and in that period of time, 1-2 months, I had a lot more energy even than now, despite now getting the extra umpfh from the gym. Then, in May 2022, after 3 months of Paroxetine, I got my second much weaker Withdrawal, but in which I was able to sleep with no problem at all, heh. Second time I got just the tired legs and not in the mood for anything, yet I was able to eat decently and of course I wasn't the same desperate and the same electrified like being on illegal stuff, which I never consumed. Then, in September 2022, I've started to feel significantly better and in October 2022 I've started to take Tianeptine, in 4 weeks starting to feel even better than January-February 2022 when I had that strong Noradrenalin improvement. But, I got strong common cold 3 times, second half of December and until the beginning of March not feeling that good anymore. Now, in the third month of Bupropion, I feel stronger and better overall, but clearly the Dopamine plus is still a little too much and I wonder if Vortioxetine won't be too strong in combination with Bupropion to be sure the Serotonin plus won't be too big for me.......
Thank you so much for this! I used to take Paxil, but it stopped working after a number of years. I now take Trintellix and it's wonderful for the depression but isn't great for the anxiety (as Paxil was). Do you think that I should consider adding Buspirone? (I hate the Benzo that my doctor gave me.)
I’m just starting this, other ssri’s are horrible. I’m interested in the effects on my dopamine levels which I feel is my main issue with my mental health. I’ve seen people talk about the price of it, it’s a weird concept to us here, we have free health care and medications here in Scotland. I’m also on an autoimmune disease medication that costs £30,000 per year, but free to me. I’ve no idea how anyone can afford medical care, I’d never be about to afford it otherwise.
I never noted increased allergies or issues with my patients who have allergies, but logically speaking it could cause more sensitivities if a person already has elevated histamine.
l'll refer this mycologist who introduce Lexapro it helped me treat my depression and anxiety, check him out he also guide newbies on proper trips moments.
I am taking trintellix 20 mg once a day and Wellbutrin 150 mg twice a day Hydroxyzine 50mg twice a day and gabapentin 300 mg twice a day what are your thoughts on this thanks.
Hello mam my doctor suggested me Effexor 225 mg for social anxiety Alright I’m liking it now But i feel sleepy during day time can i use stimulants for the same!?
Stimulants with Effexor or any SNRI is not advised due to potential side effects. If done you must be closely monitored. Talk with your doctor about your troubling symptoms. They may want to max the Effexor to get the norepinephrine effects of this medication, or switch medications.
Interesting vid. So the effects on the non-seretonin neurotransmitters (dopamine, noradrenaline etc) is actually due to agonism at some serotonin receptors? If so that's pretty interesting!
Hi, i have depression the worst symptom is not being able to get out of bed ,my psyquiatrist put me on Zoloft but didn’t work ,after he tried with Prozac but also didn’t work ,and now he wants me to star with vortioxetine 10 mg .Do you think that this medication will help me with motivation getting out of bed improve my sleep and reduce my anxiety ? I am tired of switching medications without good results ….
It can, but your symptoms can also be from nutrient deficiencies like iron, Vitamin D, b12, folate, etc. Or thyroid dysfunction and many other things. So make sure to get your labs checked too.
@@LevelheadedMind yes I did lab test everything was fine ,I am thinking to give a try to mushroom before going into vortioxetina ,no good experience so far with medications. The only one that works is tramadol it takes my depression off but I know is addictive ….
Would you consider trintellix over Escitalopram if the patient doesn't respond to Escitalopram, and if they display psychomotor retardation and other cognitive symptoms?
I started taking trintellix first 10mg, then 20 after a few days...my doctor wants to increase it to 30mg a day (20 morning, 10 during lunch.) because I take it for GAD as an off-label, not for MDD, and she wants to increase it because I started to have anxiety and panic attacks again....however, I am scared and concerned about it because I've read through it and you said as well that the dosage should be 10-20 mg a day... before I used to take 5 and then 10mg of escitalopram and it worked better I think, but before we switch we want to try this...but I am scared to get a seratonin syndrome if she prescribes me 30mg...
@@cogitoergosum9127 hey! I switched back to escitalopram and feeling amazing! Vortioxetine helped me very quicky but after 3 months of using 20mg - the highest dose, it stopped working, switched back to escitalopram only 10mg and feeling better - like you said, it is cheaper - in my country it is for free, and moreover 10mg does more to me than the highest dose of vortioxetine, I think there is a reason why it hasn't been approved for anxiety and panic disorders, cheers.
Anhedonia is a symptom of depression. So it really depends on what other symptoms you are having, your history etc. to determine which treatment option would be best.
@@marieb9961 Hey! Hope you're doing fine. I was scrolling through the comments section and found your comment. I am suffering from depression too. And yeah i take sertraline or escitalorpram. And now i feel like I'm in an anhedoniac state and i can't help it. Can we connect on any social media to talk about it. Maybe we can get some answers because we've been through the same illness. Waiting for your response. Thank you for reading!
First day on 10mg vor , switched from lex 10mg because ED/Poor Lobito was supper noticeable to me and I hope this helps . Dr said it may increase my energy levels as well ? I hope so because I feel like I have no ambition.
Vortioxetine has less sedation. But you need to work on time management for preparing for exam, not a medication! This isn't a quick fix or stimulant medication. This is for depression treatment.
Hello Doctor this is Ranjith from India i have been on antidepressants since 9 years and also on benzo ....in before antidepressants i was very creative,i was poet, lyricist,speaker, singer, dancer...but when I started benzo and antidepressants gradually i lost everything...is there any help
I am sorry to hear this! Discuss these concerns with your provider. Their may be some other treatment options to consider that can help you. Benzos commonly have a dulling or "zombie" effect. Some patients will also report this with some antidepressants, so hard to say which is the cause. Either way you will need to come up with a safe taper plan with your provider if you decide to change or discontinue any medications.
Lexapro definitely have the potential to deal with mental health issues like anxiety and depression, it really helped me alot and below where l got mine..👇👇
Of these 2, Vortioxetine. However, Bupropion has the least sexual side effects of the antidepressants and is often used adjunctive to treat sexual side effects of other antidepressants.
@@LevelheadedMindin the UK it is only approved for smoking cessation. I asked my doctor to prescribe it off label and she refused because she said it increases suicide risk :(
I am a patient with treatment-resistant depression. My doctor changed my anti-depressant from Escitalopram+mirtazapine to vortioxetine+mirtazapine. But I haven't changed for the better. I almost give up and feel hopeless. If you see this message. Please tell me how can I do with my treatment-resistant depression. Thanks.
She is merely repeating what is written in the summary of the two medications. Doctors don’t even really know how these medications work. One mistake she makes is saying that one antidepressant is good for one issue and another is good for a different issue. That’s wrong! The only reason for this perception is that Lexapro has more studies on different psychological disorders, and Vortioxetine is new, so there haven’t been enough studies on various anxiety or depressive disorders yet.
Try one that is off-patent, costs 1/10 the price, and is just another worthless SSRI. Prozac came out in 1987, and these so-called new SSRI drugs do the exact same thing. The only people they make happy are those who hold stock in drug companies.
Interesting you said that because large RCTs show that Lexapro, Zoloft, Wellbutrin (Adjacent Therapy), Paxil, Effexor, Trintellix, Elavil, and Remeron are most effective for depression while Lexapro, Zoloft, Prozac, and Cymbalta are the most effective antidepressants for generalized anxiety disorder. But I always assumed Prozac was equally as effective as Zoloft for depression but I never really knew that for sure.
What do you mean with the term depressive anxiety? I tried too brintellix for 1 week and increased my anxiety. My doctor told me to cut it off and I continued with my other medication.
I quit my low dose citalopram (10 mg) and started low dose vortioxetine (5mg) for a week now. I am experiencing irritation within the first hour of taking the vortioxetine. It lasts for about 2 or 3 hrs and then normal. Also I experience mild brain zaps during the whole day. Are this normal side effects of the vortioxetine? Will it change for the better? Thank you
Trintellix has been a game changer for my ocd. SSRI’s for me never helped much . Taking different meds over the 30 years I’ve had ocd, this has been the best for me
Hi! 20 mg dose? Do you also have ADHD? What side effects do you experience? Thanks!
5:00 about that, it’s important to note two things. One, people were far more likely to report sexual dysfunction when directly asked, and not just self reported. My understanding is that citalopram is worse.
Secondly sexual dysfunction can have different levels of severity to complete loss of libido to difficulty reaching climax. Either way sucks of course but something to consider.
Very true!
Thank you for all these great videos.
I am on Escitalopram for one year, which is excellent for anxiety, but being lazy with lack motivation is not good ... I need to find something else
You can add Bupropion to help with that, talk with your provider about it.
I just started Lexapro. The biggest issue is the lack of motivation and feeling of pure boredom. I think I want something else too.
when i was on Lexapro, I fell into a deep, bad drepression, all i wanted to do was sleep and eat. @@deeda1779 , have you found a good alternative?
I’m not a doctor hut Escitalopram is great! More so if you have anxiety. I was on it for 3 years and it was a life changer but it made me so lazy and unmotivated. I’m on week 2 of Prozac now and I think I prefer it.
Fluoxetine decreases libido
Great to hear you found a treatment that works well for you.
@@jatinsharma5024 not for me but I had that issue with escitalopram at times
Unfortunately Prozac is bad for anxiety 😭😭 I have the same problem with escitalopram no motivation and energy.
@@cogitoergosum9127 you get a bit manic and anxiety the first 3 weeks then it goes away and it really helps with anxiety. I love it
I am Taiwanese. Medical care is not expensive under Taiwan's medical system, so I don't need to worry too much about the price of a new antidepressant. I have tried both drugs. I once complained to the doctor about my poor memory and cognitive function, so the doctor said that I can take Brintellix and it will improve. Afterwards I actually didn't feel anything, and I had intense worries because of the events of everyday life. The doctor decided to add Lexapro. But in the long run I found that the medication didn't help much. Most importantly, changes in daily life affect mood. As for Brintellix did not improve my cognitive function.
Thanks for sharing your experience.
thank you for sharing!
U took both medications together , did it helped? Any improvements?
@@mehwishshah7 Social anxiety is almost gone
@@mehwishshah7 But the ability to learn has not improved
With escitalopram weight gain was a nightmare 😫
I hope vortioxetine will work better for me.
How much did you gain, and for how long?
On vortixetine . increased from 10 to 20mg...had nausea and anxious. Think just settling down after 2/3 weeks. Tried ssris and snri in past. Hoping it can help
anxiety as well as depression as that is a problem for me.
They're both good medications but I am having better luck with Trintellix because I have my energy back. Lexapro worked but caused me to be so tired that I was missing appointments.
I took Lexapro for two years for anxiety and it really works but the bad think is it has two side effects : constipation and weight gain so I’m thinking in switch to vordioxetine , and hope it works as good as lexapro without those side effects
hows ur experience so far?
I have been taking Brintellix for 2 years for panic disorder and i'm nor better. I dont want to take escitalopram again because of the sexual side effects. Its very hard our situation. Is Like if we have to chose between feeling good again or forget about sex. 😣
Does Brentlex cause erectile dysfunction?
Thank you for the video! In your experience how effective is Vortioxetine in treating anxiety with insomnia?
Unfortunately for me it worsened my insomnia, even after a few weeks. It was like having drunk 2 coffees 2 hrs before bedtime. I had to stop. Now I'm on sertraline (Zoloft), I think I sleep better than with no AD.
Never used if for insomnia, I believe it would be too stimulating. As for anxiety, it can help but can also be too stimulating for those who are very sensitive to norepinephrine increase.
Can you make an episode about emotional blunting on Antidepressants, because I think that is the worst side effect.
Great video ideo!
Good comparison, great video as always of yours 👍
Thank you! Glad you enjoyed it.
Wow. I was just suggesting replacing my Lexapro with Vortioxetine to my psychiatrist last week. Fortunately a slight increase in my Lexapro helped albeit with some mild activation (I have Bipolar 2 and have always required an antidepressant). I am watching carefully for hypomania (so far so good). Thank you for your great and thorough videos. I read Dr Stahls books and found your videos to be understandable yet not excessively "dumbed-down"
Thank you John! I am glad that you are finding these videos helpful. It is great you read Dr. Stahl as most of my information comes from his books.
@@LevelheadedMind Will you do a video on Tourette tic disorder and it's treatment options ?
@@LevelheadedMind Can you do a video on the comparison of the SSR Modulators (ie Vortioxetine vs Vilazodone)?
HI, would you do a video on when people have side effect issues with all the AD's they have tried, and quit (including myself).
I happened to visit turkey and got trintellix for $30 usd for a month supply.
how much is it in usa ?
@@adamsuleiman5635 30 pills over $800
Excellent review! Thank you!
Excellent review, thank you! Perhaps you could make a video comparing Oleptro to Trintellix! Thank you 🙏🏻
Is Vortioxetine really that good on the other Neurotransmitters?
Rather is just significantly good, being the strongest on Serotonin.
Vortioxetine sounds a little too good to be that strong on all these Neurotransmitters, rather just in the Prefrontal Cortex.
Vortioxetine sounds a little similar to Modafinil, but I doubt it's really more than significantly strong on all the other Neurotransmitters.
Escitalopram was the worst for me since always, even before my first the strongest 3-4 months Antipsychotic Withdrawal, giving me just some jittering and not working great in the first 2 months (which now is very surprising, making me feel a lot worse during the first strongest Withdrawal and after, feeling the same symptoms after taking Escitalopram just several days, just half a pill, especially tired legs, but not as strong as the first Withdrawal symptoms).
I don't understand why so many Psychiatrists start not with the weakest or the finest modulators, like Tianeptine (at least in Europe) or Sertraline.
I think this is the main reason why not just I got high tolerance to SSRIs especially (Paroxetine, Escitalopram, Mirtazapine I also took, also the SNRI Duloxetine, Trazodone, Vilazodone, Sertraline and Tianeptine which is the only one which worked properly for me, but after the Withdrawal).
Yeah maybe back then they were rather not strong enough, back then rather my Dopamine was the main problem, surely being very high, yet not so sure of it was too high or not.
But, 4 months before the first strongest Withdrawal, I got Rispen, Orfiril also (not sure why) and another one I forgot its name, yet didn't feel anything, just a slight improvement of the mood but, rather naturally.
After the first Withdrawal I didn't take anything at all for 6 months, I just consumed Alcohol several weeks after 3 months to see how I feel, but just tired and not pleased at all.
Then, in the 4th month, clearly a massive Noradrenalin improvement occurred, naturally it seems, though.
My muscular weakness got at less than 5% basically, my anxiety also not being at 25-50% strength as before, basically not being really anxious anymore, except some moments.
I got much stronger and in that period of time, 1-2 months, I had a lot more energy even than now, despite now getting the extra umpfh from the gym.
Then, in May 2022, after 3 months of Paroxetine, I got my second much weaker Withdrawal, but in which I was able to sleep with no problem at all, heh.
Second time I got just the tired legs and not in the mood for anything, yet I was able to eat decently and of course I wasn't the same desperate and the same electrified like being on illegal stuff, which I never consumed.
Then, in September 2022, I've started to feel significantly better and in October 2022 I've started to take Tianeptine, in 4 weeks starting to feel even better than January-February 2022 when I had that strong Noradrenalin improvement.
But, I got strong common cold 3 times, second half of December and until the beginning of March not feeling that good anymore.
Now, in the third month of Bupropion, I feel stronger and better overall, but clearly the Dopamine plus is still a little too much and I wonder if Vortioxetine won't be too strong in combination with Bupropion to be sure the Serotonin plus won't be too big for me.......
Is setraline better then trintelix ?
Is straline less strong ssri ?
@@lemieuxlara2724 Sertraline is much stronger than Brintellix.
Brintellix is not effective for me, but Tianeptine is.
Another useful video will be for Cariparazine and what it is used for. Thank you.
Thank you for the video idea. I will consider that.
Thank you so much for this! I used to take Paxil, but it stopped working after a number of years. I now take Trintellix and it's wonderful for the depression but isn't great for the anxiety (as Paxil was). Do you think that I should consider adding Buspirone? (I hate the Benzo that my doctor gave me.)
Buspirone is a safer anxiolytic vs benzos, so it is worth trying. Talk to your provider about it and see what they say.
I’m just starting this, other ssri’s are horrible. I’m interested in the effects on my dopamine levels which I feel is my main issue with my mental health.
I’ve seen people talk about the price of it, it’s a weird concept to us here, we have free health care and medications here in Scotland. I’m also on an autoimmune disease medication that costs £30,000 per year, but free to me. I’ve no idea how anyone can afford medical care, I’d never be about to afford it otherwise.
Perhaps you could try Bupropion which could have some effects on the reuptake of dopamine and noradrenaline.
Can you make comparison video of all Ssri and how to chose which one is best for oneself. I have started taking escitalopram
Thank you so much for providing us with this info. It’s extremely helpful!
hello mam could you make a video on antidepressant which will work as effective as stimulants for adhd?
Thanks for the video idea.
Can you please make a video comparing Seroquel and Geodon?
Thank you :)
Thanks for the video idea.
Great explanation. Thanks ! Subscribed.
Thanks for the sub!
Dumb question perhaps but does the histamine boosting effect of vortioxetine pose any problem for allergy sufferers?
I never noted increased allergies or issues with my patients who have allergies, but logically speaking it could cause more sensitivities if a person already has elevated histamine.
I’m on the second week of vortioxetine and feel not great, lethargic, mild nausea, mood not great. Sucks as my sister’s birthday is on Friday. :(
Sorry to hear that, I hope you start feeling better soon 🙏
Well done.
l'll refer this mycologist who introduce Lexapro it helped me treat my depression and anxiety, check him out he also guide newbies on proper trips moments.
@novatripps
They're on Instagram
I am taking trintellix 20 mg once a day and Wellbutrin 150 mg twice a day Hydroxyzine 50mg twice a day and gabapentin 300 mg twice a day what are your thoughts on this thanks.
Polypharmacy at a glance, but don't know your whole story to make an educated opinion on it.
Hi Michael
How are you still standing. I take 5mg Trintellix and l feel that impact. Take care fellow traveller. Sending 💖
@@favouritemusic8959 hi thanks for the reply yes as Elton says I’m still standing…right now until I fall lol…take care michael
Hello mam my doctor suggested me Effexor 225 mg for social anxiety
Alright I’m liking it now
But i feel sleepy during day time can i use stimulants for the same!?
Stimulants with Effexor or any SNRI is not advised due to potential side effects. If done you must be closely monitored. Talk with your doctor about your troubling symptoms. They may want to max the Effexor to get the norepinephrine effects of this medication, or switch medications.
Does ecsetelepram also help in treating cognitive symptoms of depression
can you please make a video on fluoxetine vs Vortioxetine?
It will be really helpfull
Thanks for the video idea, I will consider it!
Interesting vid. So the effects on the non-seretonin neurotransmitters (dopamine, noradrenaline etc) is actually due to agonism at some serotonin receptors? If so that's pretty interesting!
Yes, very interesting indeed!
Daaang!!! Gggaga get it Girl! Jezels killing it!
Can you do a video on Fluoxetine vs Vortioxetine?
I just found your videos, and love them. They are succinct and clearly explain topics. Do you have one for Cymbalta?
Thank you! I do not have one for Cymbalta just yet, but I will consider it.
Hi, i have depression the worst symptom is not being able to get out of bed ,my psyquiatrist put me on Zoloft but didn’t work ,after he tried with Prozac but also didn’t work ,and now he wants me to star with vortioxetine 10 mg .Do you think that this medication will help me with motivation getting out of bed improve my sleep and reduce my anxiety ? I am tired of switching medications without good results ….
It can, but your symptoms can also be from nutrient deficiencies like iron, Vitamin D, b12, folate, etc. Or thyroid dysfunction and many other things. So make sure to get your labs checked too.
@@LevelheadedMind yes I did lab test everything was fine ,I am thinking to give a try to mushroom before going into vortioxetina ,no good experience so far with medications.
The only one that works is tramadol it takes my depression off but I know is addictive ….
First viewer 🥰
Yes you are, thank you! 🎉
Escalopeam is a very good happy pill Lexapro...
Hey Doc, have you had success treating patients with OCD with Trintellix? Thanks
My experience on Lexapro has been a great benefit while breaking through one ought to take the right dosage, below usually where l get mine
@novatripps
He's on Instagram
Would you consider trintellix over Escitalopram if the patient doesn't respond to Escitalopram, and if they display psychomotor retardation and other cognitive symptoms?
That could be a reason to switch to Trintellix. Discuss this with your provider.
Is off-label another generic version of the same med that essentially costs less?
Off label means uses of the medication that have not gone through FDA approval.
I'm on Lexapro from past 12 years or more.
Doctor has asked me to switch on Brintillex because of Insomnia lately.
I started taking trintellix first 10mg, then 20 after a few days...my doctor wants to increase it to 30mg a day (20 morning, 10 during lunch.) because I take it for GAD as an off-label, not for MDD, and she wants to increase it because I started to have anxiety and panic attacks again....however, I am scared and concerned about it because I've read through it and you said as well that the dosage should be 10-20 mg a day... before I used to take 5 and then 10mg of escitalopram and it worked better I think, but before we switch we want to try this...but I am scared to get a seratonin syndrome if she prescribes me 30mg...
You should discuss your concerns with your provider. Going above max dose does put at increased risk for side effects.
Escitalopram is common for anxiety, so why try Vortioxetine? It's more expensive 🫰 and no common medication for anxiety disorder.
@@cogitoergosum9127 hey! I switched back to escitalopram and feeling amazing! Vortioxetine helped me very quicky but after 3 months of using 20mg - the highest dose, it stopped working, switched back to escitalopram only 10mg and feeling better - like you said, it is cheaper - in my country it is for free, and moreover 10mg does more to me than the highest dose of vortioxetine, I think there is a reason why it hasn't been approved for anxiety and panic disorders, cheers.
❤️❤️is brintellix same as trintellix ?
Yes
I am taking Voritoxine 10 mg bid , is it a correct dose???
Mam I have very urgent question.
Is vortioxetine good for OCD, andl schizophrenia if yes then at what doses ?
What med cures anhedonia please
Anhedonia is a symptom of depression. So it really depends on what other symptoms you are having, your history etc. to determine which treatment option would be best.
Thank you ☺️
@@marieb9961 Hey! Hope you're doing fine. I was scrolling through the comments section and found your comment. I am suffering from depression too. And yeah i take sertraline or escitalorpram. And now i feel like I'm in an anhedoniac state and i can't help it. Can we connect on any social media to talk about it. Maybe we can get some answers because we've been through the same illness. Waiting for your response. Thank you for reading!
Can Vortioxetine treat anxiety, depression and OCD?
Yes
Not very well. Will be best for primary depression with anxious distress or secondary anxiety.
@@LevelheadedMind Thank you - very useful. That's what my psychiatrist said also - classic SSRIs still preferred for those conditions right?
I take trintellix for anxiety depression and ocd
First day on 10mg vor , switched from lex 10mg because ED/Poor Lobito was supper noticeable to me and I hope this helps . Dr said it may increase my energy levels as well ? I hope so because I feel like I have no ambition.
Can you make a video for quetiapine
Yes. That video is here ruclips.net/video/FmXKjVNFb-I/видео.html
Mam
Which cause more drowsiness. Which is better for a student preparing for an exam
Vortioxetine has less sedation. But you need to work on time management for preparing for exam, not a medication! This isn't a quick fix or stimulant medication. This is for depression treatment.
If you're a student looking for a stimulant, try modafinil or caffeine
How many days did escitelopram take to work for depression
I am taking vorteoxetine 10 mg and now my new doctor added escilatopram 10 mg for GAD and over thinking , will i get serotonin syndrome ??
Plz reply , how much time will it take to stop my ruminating thoughts , i m a student
It is not a guarantee that you will get serotonin syndrome, but you are at higher risk so you have to monitor for this.
Τι θα ελεγες για την L τιροσυνη?
Hello Doctor this is Ranjith from India i have been on antidepressants since 9 years and also on benzo ....in before antidepressants i was very creative,i was poet, lyricist,speaker, singer, dancer...but when I started benzo and antidepressants gradually i lost everything...is there any help
I am sorry to hear this! Discuss these concerns with your provider. Their may be some other treatment options to consider that can help you. Benzos commonly have a dulling or "zombie" effect. Some patients will also report this with some antidepressants, so hard to say which is the cause. Either way you will need to come up with a safe taper plan with your provider if you decide to change or discontinue any medications.
Take modafinil 100mg. It will make your brain active .
What about hot flashes.
Is this medication help???
Lexapro definitely have the potential to deal with mental health issues like anxiety and depression, it really helped me alot and below where l got mine..👇👇
@novatripps
He's on Instagram
Is that ok to take Brintelix + venvanse??
Which antidepressant has the least sexual side affects ? Please let me know, from Melbourne Australia
Of these 2, Vortioxetine. However, Bupropion has the least sexual side effects of the antidepressants and is often used adjunctive to treat sexual side effects of other antidepressants.
@@LevelheadedMind thanks for the information, much appreciated
@@LevelheadedMindWellbutrin as well right? Doesn’t this medication increase libido?
@evelia1156 yes, Bupropion is Wellbutrin :).
@@LevelheadedMindin the UK it is only approved for smoking cessation. I asked my doctor to prescribe it off label and she refused because she said it increases suicide risk :(
I am a patient with treatment-resistant depression. My doctor changed my anti-depressant from Escitalopram+mirtazapine to vortioxetine+mirtazapine.
But I haven't changed for the better. I almost give up and feel hopeless. If you see this message. Please tell me how can I do with my treatment-resistant depression. Thanks.
Curious, did you respond to antidepressants at first?
Great 👍
Traduzcan en español por favor
Learn English.
Hi can trintillex be used for GAD ?
Yes it can, though it is a second line treatment.
@@LevelheadedMind What would be the first line of treatment for anxiety?
She is merely repeating what is written in the summary of the two medications. Doctors don’t even really know how these medications work. One mistake she makes is saying that one antidepressant is good for one issue and another is good for a different issue. That’s wrong! The only reason for this perception is that Lexapro has more studies on different psychological disorders, and Vortioxetine is new, so there haven’t been enough studies on various anxiety or depressive disorders yet.
What to do if you are having abnormal dreams from vortioxetine
Talk to your doctor about reducing the dose or switching medication.
The antidepressant that my insurance will pay for actually works better! Interesting.
Try one that is off-patent, costs 1/10 the price, and is just another worthless SSRI. Prozac came out in 1987, and these so-called new SSRI drugs do the exact same thing. The only people they make happy are those who hold stock in drug companies.
Interesting you said that because large RCTs show that Lexapro, Zoloft, Wellbutrin (Adjacent Therapy), Paxil, Effexor, Trintellix, Elavil, and Remeron are most effective for depression while Lexapro, Zoloft, Prozac, and Cymbalta are the most effective antidepressants for generalized anxiety disorder. But I always assumed Prozac was equally as effective as Zoloft for depression but I never really knew that for sure.
All these ssris, antidepressants cause me depressive anxiety. Oh yes. And persistent insomnia. Useless and dangerous
What do you mean with the term depressive anxiety? I tried too brintellix for 1 week and increased my anxiety. My doctor told me to cut it off and I continued with my other medication.
You seem to be trying too hard.😊 keep it natural. 😊
Seems okay to me 🤔
I quit my low dose citalopram (10 mg) and started low dose vortioxetine (5mg) for a week now.
I am experiencing irritation within the first hour of taking the vortioxetine. It lasts for about 2 or 3 hrs and then normal. Also I experience mild brain zaps during the whole day. Are this normal side effects of the vortioxetine? Will it change for the better? Thank you