Should you continue medications while doing TMS therapy? | TMS doctor gives the full answer!
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- čas přidán 25. 07. 2024
- www.floridatmsclinic.com/
FLORIDA TMS CLINIC
26843 Tanic Dr, STE 101
Wesley Chapel, FL 33544
813-867-2378
FLORIDA TMS CLINIC - Tampa TMS Therapy Center
2805 W Busch Blvd, STE 208
Tampa, Florida 33618
(813) 867-3646
www.floridatmsclinic.com/
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At Florida TMS Clinic we treat depression differently. We use TMS or Transcranial Magnetic Stimulation. TMS is an effective, proven treatment for depression that is FDA approved and covered by insurance. TMS is safe and has no systemic side effects. While antidepressant medications and psychotherapy can be helpful for some, many others don't respond to medications and therapy. Some others may not be able to tolerate the side effects of medications. TMS therapy is a drug-free alternative treatment for depression. We love what we do! We enjoy seeing our patients blossom throughout their treatment course with TMS therapy.
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Disclaimer: Although I am a psychiatrist, this is not professional advice as I am not familiar with the specifics of your unique situation; please contact a psychiatrist in your area with more questions. This disclaimer is added to my answers on social media after consulting with the American Psychiatric Association.
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Excellent review- thank you.
Thanks for watching!
My concern is the Xanax I am on. I was up to 1 mg a day and my psychiatrist wants me to decrease it to .5mg. However, with my recent divorce and my being almost bankrupt, plus work stress I have found my benzo use went up !!
I do not know what to do !!
9:40 When do your unresponsive anhedonic patients take the low dose stimulant? Do you time the dosage so that the patient only consumes the stimulant immediately before their rTMS appointment or is an extended release formulation prescribed for coverage throughout the entire day like a patient with ADHD typically has?
The paper that showed higher response with patients taking a stimulant while going through TMS didn't investigate timing. When we decide that a concurrent stimulant could be beneficial for a patient, we prescribe it in a similar manner to ADD/ADHD treatment. Once a day for extended-release or more frequent for immediate release.
What about quntapine?
Is there any evidence that stimulants were correlated with improved response for inhibitory stimulation like 1hz right DLPFC or has this only been studied in high frequency rTMS? Intuitively it seems like a stimulant would do the opposite of what an inhibitory stimulation is trying to do.
Excellent question! Stimulants were correlated with better outcome regardless of left high frequency vs right low frequency. Watch the video on laterality of treatment to understand the balance between the two sides of the brain, if we inhibit the right sided we are technically simulating the left.
From my own personal experience, after 5 sessions, I tend to think less of taking my medication. Eventually I do because I know they will help my symptoms. Usually come noon I end up taking them. But it is interesting.
So would a patient taking their stimulant medication shortly before TMS increase the likelihood of long term effectiveness of TMS even if they didn’t continue stimulants long term? By taking it shortly before TMS it would likely be in the highest concentration in the blood stream.
We know that patients who are taking stimulants during TMS have better outcomes. We don't have data looking at stopping a stimulant right after TMS and comparing that with continuing a stimulant. Generally speaking, we would favor continuing what works.
@@floridatmsclinic1239 Thanks for clarifying that and the fast response!
Medication does nothing for me, hoping TMS helps
Personally i think that it would be a waste of money to use ssri while doing tms. The benefit that you get from tms might be nullified by the horrible withdrawal symptoms that one most likely will get, when one quit the ssri. Even if you tapper slowly, its very likely one will feel very bad.
I tappered slowly before tms, and even so the withdrawal symptoms influenced negatively on the results from tms.
SSRI:s are potent drugs, with many posible side effect. I would not recommend it to anyone except for people with severe ocd or anxiety.
Even in that cases i would recommend, thinking twice before taking SSRI.
TMS is a much better alternative. To bad it has a high cost