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First of all, you need to tell your doctor about this as soon as possible and then discuss with him or her about tapering it down.
Lexapro need to be taper down slowly to avoid discontinuation / withdrawal symptoms as you must be knowing.
Most patients are able to taper it down by reducing 5 mg per 4 to 5 days or may be 10 mg per 4-5 days depending on the toleribility.
For example, if a patient is taking 10 mg per day, he or she can start tapering by taking 5 mg for 4 to 5 days and then discontinuation.
My doctor said the other day that it is not a true anti-depressant that it is not meant to make you feel happy like other anti-depressants is that true? I feel numb all the time, disconnected, not in my body, so far away from from everything and he said that is the whole point of it. I hate that. I have no emotion. I can't connect with anything or feel any emotion. He said the whole point of it is so I so don;t get upset with situations etc. All I am doing is existing and I hate it.
I slightly disagree with your doctor here as it is an antidepressant just like all other available in the market.
what is the dose you are currently taking?
are you there?
yes I am here
I am on 20 mg
some patients who are taking SSRI antidepressant like Lexapro may complain of emotional numbness. You started noticing it after starting Lexapro or it was already there before you started this medicine?
I would have with periods coupled with high anxiety
now I am numb all the time
so it has been good for that
now I am a zombie
OK, you need not to worry about this a bit as the situation will improve very soon. Do you think that Lexapro is helping with your anxiety and depressive symptoms or not?
I hate because I am not really phased when say bad things happen in the world, it is not as though I don't care
I been on it for about two and half years now
and it is helping a bit or not?
my anxiety denfinetly
my depression--i am flat all the time
OK good, then there are two possible alternative in your case which can be very helpful in controlling this emotional numbness.
but i do get a lot of suicidal thoughts
your doctor knows about it?
that get quite disturbing and i have to push them out of my mind
i have tried four times on lexapro
OK, see, you just discuss with your doctor about adding Bupropion (Wellbutrin) along with Lexapro.
have you tried it already?
i don't think we have this in my country because i already asked
that was in 2010
I don't think so,let me check
that i asked, i think you can only get it in the states and a few other countries
check this link
have you gone through the link
okay i will
just click it now
yes you can get it
i will have to talk to him
OK, so you can discuss with your doctor about it and the combination of Lexapro with Bupropion can be very useful in your case in my view
the other thing which you can do right now is to try Cognitive Behavior Therapy
have you tried CBT?
i discussed changing and combinations but he was hesitant--the only one he was think was the new form of effexfor
OK, he must be talking about Pristiq (Desvenlafaxine)
i started if but the therapist wasn't that great because my home-town we have a lot of psychologists etc--but not a lot that are experienced in cbt so willing to do it but with someone that can actually do it so will have to travel a little bit further. As if I am going to do it I rather do it with someone that has the proper training. I go to a psychiatrist but I don't think he has the time to do cbt (he isn't in my home town anyway)
You now have the option of trying CBT for free online from your home.
would you like to try that
I was put on effexor when I was 15 and had a horrible experience so I rather not try it---thanks for the info about well
here is the link
anything to make my life better
and the other one is from Australia
you can try any one of them.
this is so cool
Cognitive Behavior Therapy can bring long lasting benefit in your thinking pattern and the resultant depression and negativity.
and should be helpful for emotional numbness also.
yes I heard it is good
A combination of CBT with medicines can be very useful in your case
wow that is cool because I find it hard going out
yes medications don't do everything
don't worry and most important, don't loose hope at all :)
you will be back to normal very soon
no I won't, its really hard,
will this chat be printed online?
I really do appreciate that.
yes, you can see the whole chat once we have finished and you have rated my answer.
you can even print it out also.
i mean do you make it public?
so other people can read it?
it is for you. If you have any concerns about privacy you can discuss this issue with the JA moderators / management. I dont think your personal details are mentioned anywhere in this chat.
i have medical conditions so would wellbritrun be suitable for them?
In my view, you can first try CBT and see if helps
narcolepsy and epilepsy
yep double whammy
OK, Bupropion is not prescribed if a patient has Epilepsy.
In that case Lexapro with CBT should do the job
otherwise, Pristiq is a newer antidepressant which has to be taken in singly daily dose, is acting on two neurotransmitters and is better then Effexor
in my view.
so you can discuss with your doctor about it also.
is that just a caution they go with because the same thing is on the packet with lexapro
well, it is a sort of contraindicated because Bupropion lowers seizure threshold.
well with effexor i had first seizure ever within six weeks of taking the medication- so i be worried taking anything remotely like effexor
no it is not like Effexor
so would pristiq lower my threshold
is pristiq an ssri
it is a modified form of Venlafaxine (Effexor)
no, it is SRNI antidepressant just like Cymbalta or Effexor.
if you are worried about Effexor, you can discuss with your doctor about Cymbalta also.
oh okay so what is the run down of that?
is it new?
no it is also a bit old but a very good alternative to Effexor. I personally prefer Duloxetine (Cymbalta) over Effexor.
oh okay cool
you know reboxetine
and you can start CBT from today itself.
i was on that just on its own before i went to the pychiatrist
ya, but I don't found it very useful in depression honestly speaking.
but he took me off it because he said studies say it doesn't work for depression
i asked him what about combining them (to kind of lift my mood) but he doesn't think it will work
not too keen
well, if you are looking for combination, a SNRI antidepressant is a much better option
it kind of got me going i guess
so basically i am better on something than nothing
in combination with CBT
i am scared by all the horrific stuff i am reading about lexapro, its a lot i am reading--is it true
who knows, after some time your medicines may be stopped once you are back to your normal self.
can you also build a tolerance to your drug
Escitalopram (Lexapro) is one of my favorite antidepressant along with Zoloft (Sertraline)
both of them are well tolerated by most of the patients
and the response is also usually good.
SSRI antidepressant as such has less side effects in comparison to other antidepressants.
zoloft makes you fat though doesn't---like he mention a few drugs that would just blow me up and i think that was on his list
and does modafinil affect these drugs
no, Zoloft and Fluoxetine (Prozac) does not cause weight gain as seen clinically
We frequently combine Modafinil with SSRI antidepressants.
prozac sends people crazy though
are you in america or aus
because here modafinil can only really be prescribed for strict criterias
Prozac is also a very good antidepressant. It is an activating antidepressant and is specially useful in patients complaining of weight gain or are concerned about gaining weight.
I am not from Australia.
such as diagnosed sleep disorders
but you have Narcolepsy.
yes but i was meaning
why does is commonly prescribed with anti-depressants?
usually 100 or 200 mg to augment the action of antidepressant.
augument--does that mean counter act?
oh that would be would be very beneficial because you are very tired generally with depression
i only got diagnosed recently
yes, it is specially useful in patients complaining of fatigue, lethargy, poor concentration etc.
i was always just give the diagnoses of chronic fatigue and they think maybe my depression will get better when i able work my dosages better
we are very strict here on prescribing it so i was a bit confused that it all
you can always discuss with your doctor about it.
i know i had to jump through a lot of hoops--mlst's etc
i got it though--for cheap
people can still get it off label if they have a good enough reason just pay a fortune
just unforunately people will abuse it so they have to be tight about it
which is sad because it prob help people with depression
it can in certain cases.
uni students, shift workers abuse it
it does has some potential for abuse but unusual in clinical practice.
it just keeps me awake it really doesn't change my mood but i guess i am able to do more things is that normal?
well, what is the dose you are taking?
The dose range is from 200-800 mg per day.
for problem concentrating and fatigue, dose range of 50-200 mg per day is usually sufficient.
but can be increased further depending on the clinical condition.
i know a few american girls who came here on exchange-uni students can't get ritalin like they can in the states--you only get ritalin if you see a doctor that has prescribing rights and you have a diagnosis of add. So they try other things like modafinil. I keep mine at the pharmacy because if I loose it I will not get another one for six months. That is how strict they are.
we get funded for 400mg
after that we pay for off label
any how, I guess we are drifting from our topic :)
my doctor says i should be sitting around the 300mg and wouldn't be concerned if I take 400mg
I do believe that it has stirred some of my seizures so i try to manage on 200mg but it is hard
is there a link between modafinil and lower seizure threshold
50 -200 mg per day is sufficient in my view.
I don,t think so.
basically its the groggy/drunk tiredness that gets me
if i can get myself out of that i am okay
You are taking Lexapro in morning or at night?
if i am sleep deprived, i don't take much of the modafinil
then your tiredness is probably because of depression and should respond to CBT and or adding another medicine.
or shifting to SNRI antidepressant.
well since i have been on modafinil i i haven't been in situations where i suddenly i just fall alseep
my neck used to be a slinky
where it is was all just floppy and i been sitting there and just fall off to sleep and now I can keep my eyes wide open. I know it sounds dumb but sometimes when i was talking to people it was though i had these heavy weight on my eyelids and they were dragging them down and i was just dopey all the time and my legs were jelly.
it is characteristic of Narcolepsy.
i don't feel as dumb
you are responding to Modafinil which is a good thing. Now you just have to start CBT and discuss with your doctor about either adding an antidepressant or shifting you on a SNRI antidepressant.
and hopefully everything will be alright once again.
but i still have a few crazy dreams
but not as bad
well thank you for your help
i will do the online stuff
everything looks so much better
you are most welcome.
Thanks for coming to JA.
I wish you a very early and speedy recovery. :)
I really enjoyed working with you – please feel free to request me again when you come back to ask another question
yes i will
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