Time for a new med?

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

justblah
New Member


Date Joined Jun 2009
Total Posts : 1
   Posted 6/25/2009 7:22 PM (GMT -7)   
Hi,
 
I've been feeling 'blah' again...probably for the past 2 years or so.  I've been on a low dose of prozac (20 mg) for over 10 years.  When I first started taking it, it changed my life.  I would say I have mild to moderate depression. 
 
I'm wondering if I've become immune to the Prozac.  It just doesn't seem to be working as well.  I briefly tried Celexa a few years ago but had an obscure side effect so I stopped taking it.  It was kind of a shame because my sex drive was improving.
 
Anyway, I'll likely go back to my Dr. and ask to try a new med.  So, I'm looking for suggestions.  Preferably something that has a generic.  I don't have RX coverage.  I do, however, have a mail order program where I can get a 3 month supply for $100 so a brand drug is OK, just more expensive than my whopping $4 a month I pay now rolleyes
 
 

stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 6/25/2009 8:01 PM (GMT -7)   

Hello Justblah,

Welcome to HealingWell and the Depression Forum.  There are several types of antidepressants  used to treat depression. You  would have to discuss with your physician which ones come in generic form but here is the list.

amitriptyline
tricyclic
Elavil
amoxapine
tricyclic
Asendin
bupropion
aminoketone
Wellbutrin
citalopram
SSRI
Celexa
clomipramine
tricyclic
Anafranil
desipramine
tricyclic/SNRI
Norpramin, Pertofrane
doxepin
tricyclic
Adapine, Sinequan
duloxetine SNRI Cymbalta
escitalopram
SSRI
Lexapro
fluvoxamine
SSRI
Luvox
fluoxetine
SSRI
Prozac
imipramine
tricyclic
Tofranil
isocarboxazid
MAOI
Marplan
maprotiline
NRI
Ludiomil
mirtazapine
“NaSSA”
Remeron
nefazodone
SNRI
Serzone
nortriptyline
tricyclic
Aventyl, Pamelor
paroxetine
SSRI
Paxil
phenelzine
MAOI
Nardil
protriptyline
tricyclic
Vivactil
sertraline
SSRI
Zoloft
tranylcypromine
MAOI
Parnate
trazodone
serotonin modulator
Desyrel
trimipramine
tricyclic
Surmontil
venlafaxine
SNRI
Effexor

Tricyclics

These older drugs affect norepinephrine and serotonin. They are as effective as SSRI’s in many people, but have stronger side effects and so are used as a second or third level of treatment. Common side effects of tricyclics include dry mouth, constipation, bladder problems, sexual dysfunction, blurred vision, dizziness, drowsiness, and increased heart rate.

MAOI’s

Monoamine oxidase inhibitors are effective for some people with major depression who do not respond to other antidepressants. They are also used to treat panic disorder and bipolar depression. The limited population for whom MAOI’s are indicated need to avoid taking decongestants and consuming certain foods that contain high levels of the monoamine tyramine, including fish, chocolate, and fermented foods such as alcoholic beverages, cheeses, soy sauce, processed meats, and pickles. The interaction of tyramine with MAOI’s can bring on a sharp increase in blood pressure that can lead to a stroke.

SSRI’s

Side effects of SSRI’s (serotonin reuptake inhibitors) include sexual dysfunction, nausea, nervousness and insomnia, agitation, decreased sweating with increased body temperature.

Any of these side effects may be amplified when an SSRI is combined with other medications or herbs that affect serotonin (such as St. John’s Wort and SAM-e). In the most extreme cases, such a combination of medications (e.g., an SSRI and an MAOI) may result in a potentially serious or even fatal serotonin syndrome, characterized by fever, confusion, muscle rigidity, and cardiac, liver, or kidney problems.

Newer drugs

New classes of antidepressants are steadily being developed and brought to market. Classifying them is not always straightforward due to their combined pharmacokinetic action. One of these newer classes, the SNRI’s (serotonin/norepinephrine reuptake inhibitors), like the tricyclics, affects both norepinephrine and serotonin but has fewer side effects. SNRI’s include Effexor (venlafaxine) and Serzone (nefazadone).

Cases of life-threatening hepatic failure have been reported in patients treated with Serzone, and this tradename was actually discontinued in 2003; however, the generic version of Serzone, nefazodone, remains available. Patients should call the doctor if the following symptoms of liver dysfunction occur: yellowing of the skin or whites of the eyes, unusually dark urine, loss of appetite that lasts for several days, nausea, or abdominal pain.

Other newer medications chemically unrelated to the other antidepressants but with similar side effects to SSRI’s include Remeron (mirtazepine) and Wellbutrin (bupropion). These must not used by people with, or at risk for, seizure disorders. Resource: Women to Women

 


 

Kitt,
Moderator: Osteoarthritis & GERD/Heartburn
Co-Moderator: Anxiety/Panic, & Depression
*~*
http://www.healingwell.com/donate *~*
"When you find peace within yourself, you become the kind of person who can live at peace with others."
Not a mental health professional of any kind


THE HAPPY TURTLE
Elite Member


Date Joined Mar 2009
Total Posts : 18746
   Posted 6/26/2009 5:37 AM (GMT -7)   
kitt, i think that covers it. jamie cool

getting by
Forum Moderator


Date Joined Sep 2007
Total Posts : 40573
   Posted 6/26/2009 7:15 AM (GMT -7)   
What about upping your present dose?

Hugs, Karen
  Moderator-Depression and fibromyalgia
 
fibromyalgia, Chronic fatigue, depression,allergies


stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 6/26/2009 8:22 AM (GMT -7)   
Karen has a good point. The max on Prozac is 80mg in divided doses per day so you have a lot of room to increase your dose if you feel that may be the answer for you.
 
I did not have luck increasing my dose of the med I was on for years that worked once it pooped out but it was a different med, different classification and I am not you.  smilewinkgrin I wish it would have worked by increasing dose.
Good luck,
Kitt
 

Kitt,
Moderator: Osteoarthritis & GERD/Heartburn
Co-Moderator: Anxiety/Panic, & Depression
*~*
http://www.healingwell.com/donate *~*
"When you find peace within yourself, you become the kind of person who can live at peace with others."
Not a mental health professional of any kind

New Topic Post Reply Printable Version
Forum Information
Currently it is Sunday, December 04, 2016 1:23 AM (GMT -7)
There are a total of 2,732,430 posts in 301,020 threads.
View Active Threads


Who's Online
This forum has 151182 registered members. Please welcome our newest member, Sean C..
203 Guest(s), 3 Registered Member(s) are currently online.  Details
THE HAPPY TURTLE, pressurehead, gilly2


Follow HealingWell.com on Facebook  Follow HealingWell.com on Twitter  Follow HealingWell.com on Pinterest
Advertisement
Advertisement

©1996-2016 HealingWell.com LLC  All rights reserved.

Advertise | Privacy Policy & Disclaimer