Serotonin Reuptake Inhibitors
Celexa, Cipralex, Prozac, Zoloft, Luvox, Paxil
SRI’s inhibit the recycling of the neurotransmitter serotonin back into neurons.
Hence there is more serotonin available.
Serotonin and Norepinephrine Reuptake Inhibitors
Effexor XR, Cymbalta, Pristiq
Clients often tell me they have tried several medications in the past they “didn’t work”. Sometimes this is accurate, or the medications were discontinued due to intolerable side effects, but often they say they tried it for a few days or a week.
They often stop because they were ambivalent about taking medications, told by family or friends they shouldn’t take medications, or did not fill the prescription once they ran out of samples.
An adequate trial of a medication is at least 6 weeks at a therapeutic dose.
Once adequate treatment is obtained, it is important to continue medication for at least a year. People sometimes discontinue their medications after few months of feeling better, and often have a relapse of symptoms.
Discuss any possible changes in medications with a physician. Some of the medications have uncomfortable withdrawl symptoms, when they are discontinued too abruptly.
Copyright Dr Mia Korn MD 2015
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