This means that the dose must be gradually lowered over time to avoid side effects.
Flu-like symptoms are common in patients who stop sertraline abruptly.
At some point we decided to change to escitalopram, brand name Lexapro, a newer SSRI that has a high potency and somewhat less activation.
After two months, the anxiety seemed to be a little worse if anything; certainly not improved.
Moreover the person felt that her mood had dropped somewhat since making the change.
She called to ask if either fluoxetine or escitalopram are better for anxiety vs.
Drugs to consider for use in augmentation therapy include benzodiazepines, buspirone, beta blockers, tricyclic antidepressants, and valproate sodium.
Effective management of panic disorder is a common challenge for family physicians.It is quite unique among the SSRI medications, in that it is the most selectively acting on the serotonin level and on the specific serotonin neurons, of all of the SSRIs.In addition to its use in reducing depression, it has also been found to be helpful in the treatment of panic disorder, obsessive compulsive disorder, post-traumatic stress disorder, social phobia and anxiety disorders.Flu-like symptoms include headache, muscle ache, chills, fatigue and fever.According to the American Academy of Family Physicians, discontinuation symptoms are mild and may last one to two weeks.depression, in consideration of changing back to fluoxetine, or to a different medication altogether.