Sertraline vs Escitalopram A comparative review of two SSRI antidepressants
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- čas přidán 19. 06. 2024
- In this video, we will review and compare two SSRI antidepressants, escitalopram (Lexapro) and sertraline (Zoloft).
Intro 00:00
How do escitalopram (Lexapro) and sertraline (Zoloft) work? 00:45
What are escitalopram (Lexapro) and sertraline (Zoloft) used for? 01:48
Common side effects of escitalopram (Lexapro) & sertraline (Zoloft) 02:46
Considerations for sertraline (Zoloft) & escitalopram (Lexapro) 05:05
Final Thoughts 07:11
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🎥 This video was edited by:
Rahul Kanchi / rahulkanchi24
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Resources:
Deprescribing Guide: amzn.to/4dZEUMk
Stahl's Prescribing Guide: amzn.to/3UXj8QL
References:
Escitalopram FDA label (2017). Retrieved from www.accessdata.fda.gov/drugsa...
Sertraline (Zoloft) FDA Label (2016). Retrieved from www.accessdata.fda.gov/drugsa...
Sanchez, C., Reines, E. H., & Montgomery, S. A. (2014). A comparative review of escitalopram, paroxetine, and sertraline: Are they all alike?. International clinical psychopharmacology, 29(4), 185-196. doi.org/10.1097/YIC.000000000...
Stahl, S. (2017). Stahl’s Essential Psychopharmacology: Prescriber’s Guide, 6th Ed. Cambridge University Press.
Patient Resource:
WebMD drug interaction checker www.webmd.com/interaction-che...
Disclaimer: All of the information on this channel is for educational purposes only and not intended to be specific/personal medical advice or substitute for diagnosis and treatment of any conditions discussed herein. Furthermore, watching these videos or getting answers to comments/questions, does not establish a provider-patient relationship. Please consult with your own health care provider for proper diagnosis and treatment.
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I’m interested
Would you please make a video about Auvelity? I was googling. looking to see if there was a faster acting antidepressant and came upon this medication I had never even heard of. It's a mix of Buproprion and another chemical (?) and supoossedly starts working in just a few days.
Thank for the video request, this video will be coming soon!
@@LevelheadedMind Auvelity didn't work. I completely lost my appetite and felt so out of it. i'm going through a really stressful time so the side effects seem to take forever to pass.I was wondering if anyone (us on youtube who watch you-thanks so much) can call you for a consult or is that only for becoming a patient? I have a nurse who doesn't know what to put me on so I take Adderall. It helps for a few hours and then I become really anxious and down. Pls let me know-Thanks!
@@LevelheadedMind There drugs not medications...Peter Bregan is the best
I've had to deal with depression my entire life. Escitalopram helped me so much. grades went up in school, social life improved. Its helped so much. Like night and day.
So glad to hear your opinion. I’ve been afraid to start it. Paxil has stopped being affective but I’m afraid to switch. Thank you❤
How long it take to effect I am on second day of using
Never had Sertraline. Escitaloprame was my first antidepressant. It worked very well against my panic disorder.
It saved my life. Great stuff.
By the way my Qtc didn't change under therapy. Luckily never had any sexual dysfunction. I'm on 15 mg since 2015
Perfect timing being I have been on both of these in the last month lol! I do like the more energetic feeling that zoloft gives me over the lexapro. I felt more lethargic or tired on the lexapro for some reason. Great video!
Thanks for watching the video and sharing your experience. I'm glad you found a treatment that is working well for you.
These was extremely helpful. Thank you!
Glad it was helpful!
Excellent video. Thank you
I was always looking for this comparison..Thank you
Very informative video. Could you please do a comparison between two of the most popular SSRIs Prozac and Sipralex
I took zoloft for about 6 years, by the time I stopped I was taking 200mg daily. It certainly helped my anxiety in the beginning but after a while it didn’t feel like it was working at all. I’ve been off it for about 2 years now and my doctor prescribed me lexapro. I am hesitant but crossing my fingers that it will help me. This video helped in regards to what I should expect - thank you!
You're welcome and good luck on the Lexapro.
How did it go with the lexapro??
Been on benzo for over a decade, and tapered off about 7years ago, never thought I would be able to function without it. But here I am 7 years later without it. It was tough. I find myself still struggling with anxiety and social anxiety and fearing places that would cause anxiety panic attacks. I really don’t want to get on medication again bc even though it may help it also comes with side effects. Numb feeling, not only does it help with calming the anxiety panic attacks it also takes away your good feelings, happiness etc. so I’m trying a different route this time. And that’s psychologist, therapy and I’ve heard they work with CTB or CBT a lot, where basically they make you face your anxiety and not run away and avoid it. Learning to be anxiety situation and learning to gradually overcome it with exposure. Which will cause tons of anxiety in the beginning they said. But it’s learning to overcome it through facing it rather than medication or avoiding it. Some may do both medication and therapy. But I’m going to try to do therapy and learn without it.
Hi doctor this is Ranjith from India again...first of all i want to thank you for sharing your knowledge and info,i got know lot of things by all your videos.i feel very confident by watching your videos, really loads of love from India....-Ranjith
Thank you Ranjith! I'm glad you find the videos useful.
I been on Zoloft for 20 years and its my miracle pill it the best medicine for depression in my eyes it works fast it blocks my emotions but still allows me to think about the stuff i went threw with out breaking down or going in rage
Zoloft was horrible made me feel numb, horrible sexual side affects, and made my body trembles . There’s no reason why doctors can’t disclose this to patients . At 30 years young (male) the dumb psychiatrist tried to offer me viagra and I was so pissed off I completely got off the medication and switched to lexapro . Smh .
Does lexapro have any side effects ? Did u feel any sexual side effects After taking lexapro ?
Thank you for explaining! I was on klonopin and Zoloft years ago. It helped a lot. Then due to my anxiety returning recently, I started Zoloft again. It has helped tremendously on a low dose. BUT since taking Zoloft a few months ago I have been clenching. Mainly at night and waking up to my jaw and mouth being real sore. I’ve tried to be mindful but nothing stops it. In short I’m weaning off Zoloft and getting ready to try lexapro… I hope it relieves the clenching because I’m tired of waking up with a sore mouth and headaches🤞🏼🤞🏼🤞🏼
I used sertraline for a while, started with horrible stomach issues but kinda handled it. But it didn’t go away fully so I stopped and 3-4 months later life was horrible again. Now I’m on benzos but trying opipram. But I really want to have something long time, and escitalopram seems to be quite attractive. We ll see. Thanks for the nice comparison!
very helpful thank you!
You're welcome!
madam i like your videos The reason for this is that nowadays all the doctors and pharmacists and anyone who has knowledge about medicine, your knowledge and style and your description, I have seen so far on CZcams and most of all yours is good.
I'm glad you like the videos, thank you.
Nice information
Among the 5 antidepressants I've tried, escitalopram (Lexapro) gave me the worst sexual dysfunction, even at low dose (5mg), and didn't help with my anxiety. I decided to stop after a few weeks. Recently I started taking sertraline (Zoloft) and I think I've finally found the right AD because my problem is more social anxiety and rumination than characterized depression. I'm starting to feel better, more relaxed, and the sexual side effects are milder than expected. A lot of fatigue during the first 2 weeks.
When it comes to social anxiety: Did you feel less better with escitalopram or it didn't help u at all. Thanks.
Btw I have social anxiety disorder
@@lollipop-fr7di I think it helped a little, but I only took it during 3 or 4 weeks at low dose because of the side effects.
@@Bilmonis this is my day 5 on escitalopram and I don't feel it did something to my social anxiety but it definitely improved my mood, I tryed paroxetin before and it helped sooo much with my social anxiety, I literally felt free thanks to that pill
How is fatige overall?
Hi@@lollipop-fr7di how are you doing are you still on lexpro?
I suffer from panic disorder and anxiety. I am also taking Ativan (lorazepam) 2mg daily. I was prescriped Zoloft but once we increased the dose to 50mg I had increased anxiety and nausea. I have now switched to Lexapro.
@@Carriere333 i have stopped all ssris but lexapro was the best that ive tried. Ull be ok
Yup Zoloft was awful for me in that my anxiety & nausea went thru the roof. I’m much much better on Lexapro (Escitalopram)
@@marcs990 glad to hear that. how long did it take for the lexapro to kick in? seems to a few weeks?
My hope is that you find the Benzodiazepine Information Coalition and consider safely tapering the benzo. Benzodiazepine Injuries and benzodiazepine tapering injuries are very real and crippling people. Understand Tolerance Withdrawal and Interdose Withdrawal from a benzo. Taper at no more than 10%/mth. My stuff didn’t happen until I was 4-12mths off. Research the Ashton Manual for help. Find Nicole Lamberson PA on CZcams. Find Dr. Joseph Witt Doerring or Dr. Shipko on CZcams. Find Dr. Christy Huff.
@@kevk741 i stopped it CT 2 months ago. No withdrawals thank God
@levelheadedmind How do you feel about pairing Zoloft w/ Wellbutrin 150xl?
@levelheadedmind
Awesome videos! So informative! Can you please do a video on Prazosin and Catapres, specifically when used for nightmares and PTSD. Thank you!
What is your opinion about st john's wort efficiency? What is your experiance with paroxetine for anxiety?
The ssris cause jaw clenching for me. Is this a se that you need to stop the ssri for or will it get better? Thanks!
I have taken Escitalopram for many years, on and off and it has helped me greatly with anxiety, depression and panic attacks. The only draw back for me is that my skin reacts badly with dermatitis, plus it decreases libido. I'm thinking of switching back to Sertraline.
Thank you
I have bad health anxiety. Is Lexapro or venlafaxine xr better for that?
Hey jezel, I had a question if you're able to answer it. I've been on 10 mg Lexapro 3 months or so and direct switched to 100mg zoloft. I'm 3 days into zoloft and feel better, no side effects or issues, would the new ssri kick-in faster or better because I was already on a ssri? Like maybe since I was on Lexapro, I won't experience alot of the negative effects while starting zoloft.? Anyway in theory, let me know what ya think?
Yes, being on an SSRI and going directly to another SSRI will have less side effects and earlier response. Your body was already accustomed to the serotonin increase so that is why no side effects and quicker response.
@@LevelheadedMind okay. Thanks so much for all the good you do!!!
Hi nurse Rosa. I have tried several antidepressants, nothing seems to work or gives me some awful side effects like headaches.
Currently my doctor put me on trazadone 100 mg and Zoloft 25mg (will increase to 50 in two weeks) combination therapy
What are your views, does this sound like an effective combination?
I also exercise, eat healthily and use TDCS stimulation.
I have the worst headaches on lexapro and it’s been over a month. Are you still on something? How are your headaches? Mine come around 4 pm and last til I go to bed. It’s terrible!
At around 2:50 you discussed percentages of those SEs w/ each of the medications. Do you have a reference guide for where I can look at those numbers?
The FDA data sheets. Links in description.
Great video just wondering if lexapro cause urine retention in older men which cause bladder problems thank you
I have not heard of it causing urinary retention. If you are having this symptom discuss it with your doctor, may be something else going on.
Curious a friend of mine takes medical Marijuana also zoloft. Does these have bad drug interactions?
She takes the marijuana to increase libido.
New subscriber here! Love your videos. Can you please do a video comparing Vilazodone and Vortioxetine?
Great suggestion! Thanks for subscribing and for the video idea. Take care.
Hi I have been taking Zoloft for the past 27 years. Lately I realised that I am unable to smell anything at all. Is it due to the Setraline? Coz when I visited the ENT specialist he asked me if I am taking any medications. I told him the medication which I have been taking. The doctor told me that the Setraline in long run causes loss of smell sensation.
What about Prozac ! What do you think😊
Respect! For panic disorder and anxiety they gave me zoloft 50mg in the morning and trazodone (tritico retad 100mg) before bed what do you think is it safe... thanks a lot
Yes you can take that combination safely. Just be sure to discuss risks of serotonin syndrome and make sure you are not taking other medications that can increase serotonin.
Yes I take Zoloft and it helps with my depression and anxiety but can you do a video on invega sustena
I will put that on my list, though it is not a medication I typically use since my focus is depression and anxiety treatments.
I took Sertraline 50 mg for 2 days and it made me very weak, not necessarily sleeping but I was on the bed most of time because I felt like I don't have any strength to get up and I had upset stomach. It was a scary ride. Perhaps 50 mg to start with was a bit too much. M doc changed my med as a whole and now I am taking Escitelopram 10 mg and it is very well tolerated.
That's good to hear that you found something that works. Sometimes people are very sensitive to the effects of serotonin, so I always start low. With sertraline I usually start with 12.5mg if they've been on an antidepressant before.
hello maam, can i take armodafinil with setreline ? armodafinil has helped me to stay awake, but my mood has not been improved .
I am on Lexapro and as the dose has increased my dreams have become more vivid to the point of nightmarish. When I am awake life is better, though. Any thoughts on the mechanism of action with this. Is it strictly a serotonin phenomenon? Any remedies you heard of for reducing the vivid dreams (in consultation with a healthcare provider)? I'm just curious. I'm not going to do anything on my own.
Yes, this can happen with any antidepressant treatment and it is hypothesized to be related to serotonin. If you are feeling good on Lexapro you can use adjunct treatments such as Trazodone, Prazosin or Gabapentin at bedtime, or even consider some therapies to help. This article may be helpful for you as you are considering treatment options jcsm.aasm.org/doi/10.5664/jcsm.7178
I wish you all the best 🙏🏽
I experienced reaaly vivid dreams too, but they went away. I actually miss them. Hope it still works out for you.
What about escitalopram 20 mg together with mirtazapine 30 mg?
Lexapro it’s the best Zoloft is hell. Worst SSRI ever. I’m going back on Lexapro tomorrow I took it for 11 years.
Hi! I have 2 questions and I hope you see this! If not that’s okay, too :) so I just got put on Zoloft 50mg yesterday and I’m absolutely panicking about all the long term effects people have said it caused them. I’ve seen where they said it’s hell & lexapro is better and all this. So question 1) What is the longest I should give it a try before I develop long term effects? I was terrified to start anything for my anxiety for that very reason but I was no longer able to function great because of it so I decided to try it.
Question 2) I also am prescribed 5mg reglan 3x daily and trazadone 50mg as needed for nights I can’t sleep. I’m most worried about serotonin syndrome, so is it okay for me to take the reglan and Zoloft 50mg daily together like that? I’ve stopped taking the reglan 3x and only taking it once bc I’m scared, haha!
Talk to your provider about when to stop, typically 6 months to 1 year, then taper it over 3-6 months depending on how long you were on it. Also be sure to learn de-escalation techniques to reduce anxiety that way you'll be prepared when you come off to reduce anxiety on your own.
As for serotonin syndrome, that combination would put you at risk so you will need to monitor for those symptoms.
Can i take both
Sertraline is not even close to lexapro .
Lexapro is game changer.
You have been on both lexapro and sertraline? What are the biggest differences? is lexapro less activating than zoloft?
I was up to 200 mg sertraline, then tried to come off. Had quite a few "zing" effects, like small brain shocks. Eventually tapered. Perhaps you might compare coming off the medications in future videos.
Lexapro esciralopram. Is actually an old drug form 2002 are there some beter and more safe options these days?
Actually, Lexapro is one of the SSRIs that is the most tolerated and is the only antidepressant, besides Prozac that is also FDA approved for use in children.
Zoloft was prescribed more frequently than any other antidepressant in the USA in 2018 with over 38 million prescriptions.
You are a genius 👏
which one is better zoloft or lexapro?
I have been taking serta line for 6 days i am angry and fighting what could be the reason ?
I know this thread is from a bit ago but question for you if you see this….I have been on 5mg of lexapro for two weeks and then just upped it to 10mg two days ago so I’m on day 15, last 4-5 days felt very depressed, hopeless, can’t get out of bed….I didn’t have depression before or at least didn’t suffer from it like I was from anxiety/intrusive thoughts, is it normal to feel depressed on lexapro and should I give it another week or two or would you recommend switching?
Give it time
Can you do a video with Olanzapine with fluoxetine ?
I loved fluoxetine because the energy.
But i cant stand it nomore.
I dont like effexor would there be another option?
There are many other options, have the conversation with your doctor about which medication will be best for you.
Thank you for being thorough . Doc prescribed escitalopram. I’ve been on Paxil for years but it just seems to deaden my emotional pain. My home & town burned down 5 yrs ago & rebuilding is near impossible tho it is getting done now. I’ve floated around for yrs & am living w/sister who suffers from bipolar/anxiety. Last month my son died. My Doc prescribed escitalopram 5mg & I’m afraid of side effects from going from 60mg of Paxil to 5 mg of escita’.
What can I expect? I haven’t started taking it yet, I’m afraid.
Less pro is an excellent drug. No side effects
You have such a tough life I am so so sorry for everything you have been going through
Can I use Metoprolol and Sertraline together? I'm heart patient my age is 32, I'm using Metoprolol for abnormal heart beats. I have used Cipralex 10 MG for more than two years for Anxiety and Phobias, But Cipralex did not cure my Anxiety and Phobias completely. now I'm planning to switch from cipralex to zoloft. So my question is Can I use Metoprolol and Sertraline together? Is there is any Interaction between these two medications? any side effects ? Thank you.
Sertraline can inhibit the metabolism of metprolol meaning your dose of metoprolol may have to be reduced. Have this discussion with your provider before making any medication changes.
Hey how are you now
My doctor just upped me to 20mg of lexapro but I am scared to take that amount is 15mg enough?
I tried both, lexapro is amazing but it decreased my libido too much, also it made me feel careless and have no urge to live and enjoy nice moments. Zoloft is good but it caused insomnia
I am taking sertaline 50mg/day since last 6 yrs but now am facing it's side-effects, let me consult with my doc and will switch to Lexapro. I will update you guys with my Lexapro experience After 1 month from today.
I’m curious if it’s working out for u? Bc I’m 19 and been upping my dose of Zoloft every few months and these last few months Zoloft 125 mg, started at 50 mg hasn’t been working for me I was thinking about switching to Lexa pro , hope everything works out for u. Ps been on Zoloft about 2 years
Any update?
Lexapro also comes in 5mg and Zoloft also comes in 25mg
I always start low
My 16 year old was diagnosed with Major Depressive Disorder and General Anxiety. Last year she was prescribed 200 mg of Sertraline along with medication for her anxiety. A new doctor under our new insurance has switched her to 20 mg Escitalopram. I'm wondering if there will be long term effects or if the new medication will take some time to kick in.
That depends person to person. What was the reason for the switch? Also did they do a cross taper or just switch it? Cross taper would be best considering she was at highest dose of sertraline. If no cross taper, then there will most likely be an adjustment period and even potential set back or recurrence of symptoms. Check switchRx.com for proper guidance on how to cross taper.
I found Citalopram to be much better. When I was I sertraline my anxiety, heart rate and nausea was much much worse. Give Escitapram a try, it much newer & I found a much more better meditation all round
Was Escitalopram effective?
@@antonyjosemanjooran8447 I’m finding it agreeable at the moment , after a month I feel slightly better but I’m still at a low 10mg dose
p
2 months on escitalopram and my gut doesn't like it... stomachache...
What should I do?
You can try taking it with food or take it at night. If that doesn't work talk with your provider about switching medications.
How can I raise my energy levels while on lexapro? I feel so unmotivated and fatigued. I can easily sit on my couch for hours just staring at the wall.
Do push ups
Talk to your doctor about it, and ask in adding Bupropion would be appropriate. Also, check thorough labs to be sure there aren't underlying problems like cortisol dysregulation, anemia, vitamin deficiencies, thyroid problems, etc.
It does the same thing to me.
Switch to Prozac
I’ve been on lexapro for the last 3 years , and it has improved my life drastically. However, the past 4 months it’s been really hard to get out of bed, or even shower. I’m not “sad” though, but I have zero motivation. My anxiety has also been increasing, as I feel more reclusive. It might be time for a switch.
Have you considered coupling it with wellbutrin? Dopamine noradrenaline receptors
escitalopram
Most commonly observed adverse reactions (incidence ≥ 5%
and at least twice the incidence of placebo patients) are:
insomnia, ejaculation disorder (primarily ejaculatory delay),
nausea, sweating increased, fatigue and somnolence,
decreased libido and anorgasmia
vs
sertraline
Most common adverse reactions (>5% and twice placebo) in pooled placebo-
controlled MDD, OCD, PD, PTSD, SAD and PMDD clinical trials were
nausea, diarrhea/loose stool, tremor, dyspepsia, decreased appetite,
hyperhidrosis, ejaculation failure, and decreased libido
Can tinnitus from sertraline be treated ? It’s been a year since I discontinued this medication and i still have it
You may want to discuss with your provider about vagus nerve stimulation or even vagus massage techniques can be helpful. Otherwise find a good ENT who can help you.
Can cough be a side effect of sertraline? I got this hacking cough after 10 days on 50mg sertraline. It’s been a week still no improvement.
Discuss this with your provider. It's a possibility.
Im on lexapro 2.5mg right now going on my 3weeks i call tell little difference not much im slowly climbing to 5mg then to 10mg my prayer is to get off this mess
What time to take should you take lexapro?
Anytime of day is fine as long as you take it around the same time each day. Some patients will take it at night because it makes them sleepy. Others will take it in the morning because it causes wakefulness. Everyone is different.
Def lexapro its way better for anxiety amd obviously depression
I gained 15 pounds on Lexapro. Almost killed me getting off the med.
Lexapro is the best but i had bad sides and cant tske it. I haven't found anything that comes close that dont give me sides.
Tried both. Lexapro gave me the WORST panic attack of all time. I literally wanted to die because I couldn’t bear another second of the panic attack. Currently on Zoloft now and it’s been a lot better for me. Everyone needs to realize that each and every person is going to react differently to different drugs. You just have to try it for yourself and see how you feel. PATIENCE is KEY… again, PATIENCE!!! It could take MONTHS to feel relieved of your symptoms.
So true! Everyone is different.
Lexapro worked great for me
Ask your dr to do a DNA test for those meds
@@tbrown4772Hi there, hope you’re well. Did you do your DNA for this? I’ve just sent my test off and waiting for results. Best regards
How are you now
thank you for the VDO, escitalopram killed libido to 0%. we haven had intimacy for more than 6months already. its destroying our marriage. how to fight back the sexual dysfunction? taking more estrogen? or testosteronal ? however i read online that such estrogens may aggrevate depression. would love to hear your advice. thank you once again.
It’s nothing to do with testosterone, more to do with dopamine and the delicate balance of neurotransmitters needed for libido to function.
Best option is to lower dose, or swap to an atypical antidepressant which does not cause this side effect.
I ended up with low dose zoloft and trazodone (which does not affect my libido) so I get some benefit from zoloft but keeping the dose low enough that I still have libido and then boosted be trazodone.
But yeah it’s a huge problem with all SSRIs. Some people also have success with vortioxetine which they claim does not affect libido or at least to a lesser extent
Also google search about PSSD, something I wish someone else had told me about years ago…
Hi, I'd be sooo happy if u answer me.
I'm a 18years old female, I was prescribed paroxetin, i took 10mg daily for 2 days then i couldn't stand the side effects specially Nausea it freaked me out I've never tried nausea before. However, i felt such a relief the second day i got rid of my social anxiety magically but unfortunately the relief lasted like an hour.
Now I'm on escitalopram 10mg per day this is day 4 i feel like my mood is better, but my social anxiety same.
What do u suggest pls.
Thank ❤
Note: paroxetin also helped my mood in that hour of the relief, everything was just perfect at that moment 🥹
It takes 4 to 6 weeks to see a full effect. You are seeing partial response and will need more time for a full therapeutic effect for both anxiety and depression. Furthermore, you may need to increase dose to get more robust effect, after 8 weeks. So discuss this with your doctor at your follow-up appointment.
@@LevelheadedMind is it okay that the partial response of paroxetin was much better than the partial response of escitalopram? Or this is a sign to go back to paroxetin
@@lollipop-fr7dihey how are you now
Which medicine now you are using
Hi@@lollipop-fr7di how are you doing now i wish you found your medication?
Can you do a video please about Amisulpride....
This medication is not used in the U.S. and therefore I have no clinical knowledge of it.
I’m on my second day of Lexapro and got a sudden wave of restlessness and nervousness. Felt like my heart was beating fast. Almost dizzy. Is this a normal side effect?
I had the same problem. I’m on day 5 now and it seems to be getting better though. How do you feel now?
@@Hyper-Nova Oh I discontinued after second day. Don’t need these side effects. Deciding to go a different route. Started a supplement called Redicalm. Good luck if you continue. I do think that antidepressants are overprescribed and as such I’m skeptical.
It can be, but if it persists that let your doctor know.
Took it until yesterday for 10 days. My doctor said to stop it because of side effects. Now waiting my new appointment
@@mattgagnon1580does the redicalm help? I don’t like the lexapro it made me very dizzy
Loved loved lexapro it stopped working for me after 3 and a half years unfortunately:(
What dose are you taking?
Can you recommend medications for misophonia?
I am not familiar with any medications that will help this. Have you tried therapy?
I've read that emdr sometimes helps
I was on sertraline 10mg a while with no results or side effects. Went up to 25MG and got a fast heart rate. So, I stopped, but right before stopping I had the feeling of being less depressed. Anyone experience heart rate issues?
I’ve been on Lexapro for 2 weeks and am completely exhausted. It’s worse than having depression alone. I slept like 15 hours yesterday. I take it at bedtime. My doc told me to go down to 5mg. I cannot explain how tired I am - is this indication that this med is NOT right for me??
No necessarily. Remember serotonin is the precursor to melatonin, so sedation is a common side effect. It may indicate serotonin is not your issue.
@@LevelheadedMind can I work with you to figure out a med/med combo? I’m in Colorado but have family in FL. Do you do genetic testing for meds? I’m not sure if that’s even reliable. Please let me know!
Lexapro is wondeful
I was prescribed sertraline for PMS. I developed PSSD. It's been 10 years. My life is ruined. It is absolutely disgusting that doctors don't warn patients that they could be permanently chemically castrated.
The only thing I can add. You have to listen to your body. Foods for brain browse. Essential. Also exercise produci g neurotransmitters. Browse. Quicker that way. And put yourself first. There is no otherwise. I can't agree more with you. I trusted all these lies. It took my life away
I am extremely worried about exactly this taking an ssri how majorly has it destroyed your sex life?
@@nicholaskovacs1675 My genitals are numb. I have no sexual sensation. PSSD is awful
Sorry for that 😥. Did you try to get back on them to see if the situation can be reversed? I am not sure if it works but there might be a possibility. Aside from that have you checked all your essential hormones?
@@billtheo7476 All my hormones, blood panel and neurological tests are normal. I am not going back on the SSRIs as I know so many people with PSSD who tried reinstatement and it didn't work. There is emerging evidence that PSSD is a form of Small Fibre Neuropathy after 36 people ALL tested positive for SFN in Finland. If this is the case, I hope that psychiatrists and prescribers take a long hard look at themselves and ask why they were willing to prescribe SSRIs without informing people of the risk of permanent nerve damage. The person who does this channel says that PSSD is 'unfortunate'! Informed consent costs nothing.
I have MDD and SAD, tried everything lol :(
How are you doing now?
Escitralopram a millon time🙏
I prefer Lexapro because Zoloft is zero emotion
was lexapro less activating for you than zoloft? was it easier to sleep on lexapro vs zoloft?
I personally have zero emotions on Lexapro, my doctor just switched me to zoloft and I'm starting it tomorrow. I've been on Lexapro for almost 10 years and it was great at first but its stopped working for me, anxiety is terrible again, depression is terrible again... 😢😢 really hoping zoloft helps me
Hi@@diaryofahomeschoolmama9191 what dose of lexpro you was on ?
@@mohasahi-xq4km I was on 20 mg
Sertraline would never hurt my liver like lexapro!
Opposite for me!
Sorry My English is not as good as yours, I'm from middle east... Why do SSRI drugs lose their effect for me after about a month, even if the dose is increased? I took most of the SSRI drugs and had the same problem and they were great for the first month, but then they lost their effectiveness Especially Lexapro, but it's is a only ssri I comfort with it , in past Prozac give me Delusion and on zoloft I have a bad insomnia. Besides, I'm a high functioning autistic
Which is better better for social anxiety
It depends, everyone will respond differently.
I m switching from duloxetine to lexapro as duloxetine stopped working on me . Lexapro works on serotonin what if my depression is due to dopamine deficiency . How can I raise my dopamine while on lexapro ?
If that is the case, talk to your doctor about adding or switching to Wellbutrin.
@@LevelheadedMind how does someone know if they need serotonin or dopamine? Is there some type of test ?
Any update?
Numb af on lexapro very heavy period and weight gain hot flashes like the worst…. I been off for 5.5 months but still I’m not getting better so I started to talk just 5mg now to half only stay at 10mg my doctor had me bump up to 20 but it feels like to much
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
Dude is on Instagram
Lexapro helped me but Zoloft made me suicidal for the first time in my life within 20 minutes of my first dose.
I take 40mg of escitalopram most of the time
I find lexapro to be better for Major Depressive Disorder than Sertraline
is lexapro less activating than zoloft? what was your experience?
zoloft we can take as per needed ???
No, Zoloft is a daily medication not a medication as needed.
Can you take both
No, it would be high risk for serotonin syndrome.
Doctor has prescribed both together, is it still ok?
@@rohanTam only if they are cross tapering you. Discuss your concerns with your provider and specifically ask about serotonin syndrome.
So I so I was taking Zoloft I was on it 10 days and I started feeling brain fog and having chest discomfort that was prescribed from my psychiatrist I went to my primary doctor and he told me to stop the Zoloft and he prescribed me Lexapro take half of a 10 mg for the first 10 days what question will Lexapro cause brain fog and chest discomfort like Zoloft did??
Hi@@pattymaldonado7458 how are you doing now?
These drugs can be terrible for some people
Whoever comes here I wish you will get your normal life back..
It shall pass too 🙏🙏
Bad news bears
You are cute 😍
I have been on Zoloft for over 6 years but I recently stopped taking in October because I have always had trouble keeping a job for longer then a year or two and I thought it was because of the meds.
This past year has been the worst for me and just last week and this week because I am not over it was the most embarrassing time and the lowest I have ever been in my life.
Last week I had to give up a job where I was at for only 2 days.
The jobs I had last year were not so much better. One job I lasted 6 months, the other 3 months while taking Zoloft.
In November I picked up a temporary job that last 2 months and I did very well and I was off of Zoloft for a total of 6 weeks.
However last week the job where I only lasted 2 days I started taking Zoloft again the week before the job because I felt nervous again and ya I only lasted 2 days I am thinking becoming I am starting all over again with the med cycle and it threw my body out of wack.
Now…….
My doctor prescribed me lexapro. I have taken it for just 4 days and I feel completely out it and having the worst anxiety and panic attacks I have ever had. But I do feel a deference from Zoloft I can’t tell if it is good or not.
I took Zoloft today because I am such at a low point but I feel defeated because I already tried Zoloft for so long and what I thought it was not working maybe it was because I have never been like I am these last couple of weeks.
I hope you start feeling better again soon.
Any update? Im considering lexa
@@tongpoo8985 I stop taking both but I have not gone back to work yet so I am not sure how it will play out. I am praying to be able to not take anything. It has been hard. I have been exercising alot and it helps.
you need to get your shit together and stop blaming medicine. Read some books about anxiety or some self help stuff related to your issues. Try to start meditating. Try natural supplements like NAC, Essential Amino acids, or L-tyrosine.
I have the same issue. I can’t keep a job , I call out a lot because I get nervous or anxious. I also don’t have the motivation or energy to be around people all day. How are you managing your situation?
Sertraline made me extremely overemotional.
then once I was taken off of it I noticed a difference.
now I'm on Lexapro and it's not bad yet as I'm only maybe a week so far on it.