How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Vikas Your Own Question

Dr. Vikas
Dr. Vikas, Psychiatrist
Category: Mental Health
Satisfied Customers: 2207
Experience:  MBBS ; M.D Psychiatry, MS. Health Informatics
Type Your Mental Health Question Here...
Dr. Vikas is online now
A new question is answered every 9 seconds

i am on fluaxnol that worked but depression seems worse at

Customer Question

i am on fluaxnol that worked but depression seems worse at the moment what should i do.
Submitted: 2 years ago.
Category: Mental Health
Expert:  Dr. Vikas replied 2 years ago.

Hello,

Fluaxnol (flupenthixol which is a low dose neuroleptic) is being used by some doctors for controlling depressive symptoms but is not an established antidepressant as such and for controlling depression you will be needing a good antidepressant in my view.

You have already tried two SSRI antidepressants without much benefit probably so this time you can ask your doctor to prescribe you Duloxetine or Desvenlafaxine which are dual acting antidepressants in comparison to Ciprimal and Cipralex which acts on only one neurotransmitter serotonin.

Most patients who do not show good response to Ciprimal or Cipralax show good response to Desvenlafaxine or Duloxetine.

I hope this helps.

Please feel free to ask any related query.

Kind regards

Vikas
Customer: replied 2 years ago.
I think what worries me is that often one feeks worse on the anti depressants

Is this the case with the medication you are reccomending?
Also how long before they might start working and what side effects as most anti depressants have bad side effects ie loss of sex drive?
Expert:  Dr. Vikas replied 2 years ago.
Thanks for your reply.

I slightly disagree with your here. In cases of depression, antidepressant are useful in most of the cases and can improve quality of life as seen by us clinically.

Desvenlafaxine and Duloxetine are good antidepressants and should be helpful in controlling your symptoms.

Most antidepressants start showing their effects within 1 to 2 weeks. Most of the side effects go away by its own within 1-2 weeks in majority of cases.

If you are very much concerned about sexual side effect, you can also consider the option of trying Bupropion or Mirtazapine. Both of these medicines are usually well tolerated and does not cause sexual side effect. Bupropion is specially useful in patients experiencing day time sleepiness, lack of concentration, fatigue while Mirtazapine is useful in patients having associated insomnia.

Desvenlafaxine and Duloxetine are another worth trying antidepressant in your case.
Customer: replied 2 years ago.
Should one take anxiety medication as well as an anti depressant?
Will this help or be a dangerous option
Expert:  Dr. Vikas replied 2 years ago.
All antidepressants are effective antianxiety medicines so usually any other antianxiety medicines are not needed. But you may discuss with your doctor about the option of using Alprazolam or Clonazepam on as and when needed basis as required.
Dr. Vikas, Psychiatrist
Category: Mental Health
Satisfied Customers: 2207
Experience: MBBS ; M.D Psychiatry, MS. Health Informatics
Dr. Vikas and 3 other Mental Health Specialists are ready to help you
Customer: replied 2 years ago.
I am scared that these drugs will have no affect or make me feel worse than i do already.
Customer: replied 2 years ago.
Relist: Answer came too late.
Customer: replied 2 years ago.
Relist: Answer came too late.
Customer: replied 2 years ago.
read my last question
Expert:  Dr. Vikas replied 2 years ago.
Please accept my apology for the delay in answering.

You are already suffering from depression and if it is not treated your symptoms may worsen further so don't you think it is better to try treatment instead of avoiding it thinking that these medicines will have no effect or can worsen your symptoms.

If you totally want to avoid medicines you can also consider the option of trying psychotherapy specially Cognitive Behavior therapy. You simply request your doctor to refer you to a psychologist / psychiatrist who is trained in CBT.

What is Cognitive Behavioural Therapy?


Regards

Vikas
Customer: replied 2 years ago.
Thank you for the answer, it is scary when you dont feel like yourself and few things bring joy.
Customer: replied 2 years ago.
Relist: Answer came too late.
Expert:  Dr. Vikas replied 2 years ago.
You are most welcome. Do you have any other query to ask?

Regards

Vikas

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education