Both is approved just as well for PTSD but medicinal Cannabis with CBD and a tiny bit of THC for setraline its 50--200 mg for PTSD fx and Cannabis well talk with doctor but Cannabis works as a SSRI when its CBD dominant and just tiny bit of THC just Google THC and Serotonin and CBD and Serotonin... but medicinal Cannabis is easier to quit i plan to exchange my meds while i quit if i get Cannabis to avoid widrawls after a while fx
The best thing my psychiatrist said to me was that half the battle when starting these kind of medications was the onboarding. I had every single symptom you can think of and almost quit… once I gave it about 4-6 weeks I am now starting to feel the actual good affects It has helped me so much! Stay strong people there is a light at the end of the tunnel!
my brother tried prozac and it had terrible side effects among trying suicide multiple times and feeling like a emotionless zombie. and i tried sertraline and have been on it for 1 and half year it saved my life.
@@philcooke87 hey, it’s been amazing for me! the first day i was pretty hyper but that’s it, had a tiny trouble sleeping but that’s all i could really notice. recently for the past couple weeks i’ve been having very intense vivid dreams but i’ve been told that can be common. other than that, i had to up my dose bc it wasn’t working the first time and i saw no results, so make sure to talk to your doctor about how your symptoms, because the dosage i was first given wasn’t right for me. so far i haven’t had a major depressive episode, and things seem to be getting easier!! good luck!
how did you managed the anxiety side effects during the beginning? just started yesterday and couldn't get enough sleep because of it. any advice is appreciated! (also how long did it take for it to subside)
I was on Prozac because of depression and BED. Didn't help at all, however caused intrusive suicide thoughts, which wasn't my problem before. It was so scary that i had to switch to Zoloft despite the fear of gaining weight. Now on 4d week and feeling so much better
I was on Prozac for years and tapered off. Mental health got so bad and have been back on for about 3 months after almost a year break. Prozac has saved my life. It makes me…. Me….. without ocd having control. I also take Vyvanse for my adhd. It’s a great combo for me, but I do struggle with insomnia issues sometimes. I think it’s the way the two meds work together. But overall, I’m happier and healthier medicated. Great video.
I was on escitalopram and it was great until I got some of side effects now m having health anxiety ocd ..m thinking for it but scared for the side effects ..so what is your view
When I was on Sertraline, I had no more anxiety but it didn't help with my depression, and also caused emotional bluntness. I augmented it with Bupropion but I felt wired all the time and even more numb. Two weeks in Prozac now, first week didn't notice any effects, in the secons week I'm having body tremors and really bad anxiety. Not sure If I should stop or wait for the anxiety to subside.
@@dogsmilez81 Prozac is going good! I used to have really bad social anxiety. But now I can just go about my day without my mind going nuts. My mind is so much more at peace.
Some people have no choice but to risk it and go on these medications to save their life. If it wasn't for ssri I would be dead. With that said I'm switching from Zoloft to prozac. I have severe panic disorder, health anxiety, and generalized anxiety please tell me it will work 😞
The issue I'm having is I want to take something that will help my pmdd and my severe anxiety/OCD thoughts whatever , irritability . Zoloft helped the anxiety but made me feel more depressed so I switched to lexapro loved it but made me gain 15 pounds in 1 month don't even know how that's possible since I'm relatively healthy luckily with hard work I was able to get it off ... so I've been looking into Prozac but if one SSRI makes me gain a lot of weight don't you think another most likely will. It really stinks because it seems a lot cause weight gain and call me vain but I'd prefer to not gain weight I know some say it's just diet but no way nothing changed and I dumped on a large amount of weight in such a small amount of time.
This is really interesting to know because I have the exact same symptoms (social anxiety, pmdd, intrusive thoughts, irritability)! I've previously tried lexapro and wellbutrin and they both did nothing for me but give me insomnia (albeit lexapro helped my mood a little). Looks like prozac is the safer starting option now over zoloft.
Checking in after one year since you commented! How have you found the medication? I'm on second month of the medication and unsure if it's working or not!
Would like to see you do a comparison between Zoloft and Paxil. Also in your video descriptions refer to medications by their common names, which is less confusing to your subscribers.
Just don't touch Paxil ;) the withdrawal is nearly impossible and sooo painfull. One of the worst to stop. This medecine should be taken off the market. I suffered sooo much with the withdrawal effects and I am still at 5mg, unable to stop it. I passed years in bed being sick with withdrawal effects. It destroyed my life :( I lost everything.
Antidepressant withdrawal can be rough. Take it slow and make sure to increase amino acid intake. Free form amino acid supplements may be very helpful.
I have tried a lot of medications (with my doctor) Zolof, Paxil for my OCD, finally Prozac has helped me with intrusive thoughts, rarely have them, took me a month, Im on 80 mg of Prozac
@@LevelheadedMind Excellent video - very well explained, Thank you for the upload!! I have chronic anxiety & depression… I believe you mentioned that Zoloft helps with both, Is this correct?? Thanking in Advance!
I was on Fluoxitine for about 10 years, but i also abused alchol and drugs, im finally 1 year sober and was off Fluoxitine about 2 years, im back on it, day 4 today, anxiety is killing me as im also on Alprazalam 😢😢 FML
I've taken both. I didn't respond to either, but I also don't respond to most ssri medications I've been given. Setralin made me me bleed a lot, that was weird
The same medication does not have the same effect on everyone. You won't know until you have tried one. I have found fluoxetine to be more effective than sertraline in treating depression.
Think it’s crazy that neither Zoloft or Prozac are FDA approved for Generalized Anxiety Disorder due to its established research efficacy for that indication (and they’re commonly prescribed off label for GAD). Do you think it’s possible that they’ll eventually get FDA approval for GAD?
I took Sertraline for years and it completely stopped my dizziness. I switched to Bupropion 2 months ago and I hate it, it does nothing for my dizziness and light-headedness. I’m switching back to Sertraline as soon as possible, I just wanna feel normal again.
@jamescalifornia2964 also be sure to look into precursor supplements so that your brain doesn't get burned out...or off balance__ l tyrosine and similar things
I started taking antidepressants again a few months ago. I made a bet with a coworker that I’d land on Prozac. Started on Celexa, now on Zoloft, still feel sedated. Added Wellbutrin not that long ago with some improvements, but I still feel sedated. Wonder if you can take Wellbutrin while on Prozac?
I started on F10 for 2 weeks. Then 20mg after that. I didn’t feel much better. Did that for a little over month and now on 40mg. Still feel the same and notice I get tired throughout the day, even with full night sleep. 😢 I wish it was working for me by now.
I have a good question for you. What are key indicators that a medical professional would say “okay great. The medicine is working as it should”. I am ADHD and struggle with depression/anxiety. I am finding that the last 6 months I am starting to fall back into old patterns of no motivation/no energy. It is SO hard to know whether a medication is doing what it should be doing. Do I need more? Do I need a new medication? Am I taking too much? Too little? Would love to hear your response on this.
Soo happy to come a cross this video I have been on antidepressants for 44yrs after my 1st baby with out going into a lot about me ! changed to sentraline about a year ago went through a bad time with them my doc has just changed me to fluoxetine but I have them a wk and don’t know if I should take THEM could YOU r some one PLEASE HELP me 😢💚☘️☘️☘️🍀🙏🏻🙏🏻🙏🏻Thank you so very MUCH ❤️
I’ve been on Prozac for a week now and have mixed effects. I feel both more stable and more anxious at the same time somehow. I like how it is activating. I am confused about one thing. You say Prozac triggers norepinepherine and dopamine release. Why is it not classified as an SNRI then?
Because it's a downstream effect, meaning it raises norepinephrine and dopamine indirectly, by inhibiting 5HTC. It doesn't inhibit any norepinephrine targets or transport systems. Good question though!
prozac saved me from being consumed by my OCD. i was tearing off my eyelashes and picking my skin until i bled. i will never be off of it. im only on 10mg for about a year but might increase it to 20 for my seasonal depression
I can’t tell if my anxiety has caused my tinnitus or the start of taking Prozac again. I’m miserable and don’t know what to do. I need to get this fear under control because it’s stopping me from functioning normally. Help.
I'm sorry to hear that you are having such a bad experience. Tinnitus can be a rare side effect of Prozac, the only way to know for sure is to stop taking it and see if the Tinnitus goes away, however, you need to discuss with your doctor first before just stopping it. There may be some other factors at play here and a medical work up should also be considered to rule out medical causes. I hope you get better soon 🙏
I think I may have gotten a bad batch of pills this last time. It’s the same manufacturer as my previous ones, but I had the worst side effects for a couple of weeks! It’s almost like I just started on fluoxetine for the first time but I’ve been taking it for 15 years! Have you EVER heard of anyone getting a bad bottle of pills before?? What could have caused those horrible side effects??
Hi Suzi. I am sorry you are experiencing this. Unfortunately, this can happen. Notify your pharmacist so they can recall this Lot# and ask for a different brand or Lot#. Sometimes the additive compounds, such as dyes and other filler ingredients can cause these types of problems.
Thank you, yes, I can do this video. I am actually working on a video about Lexapro and Celexa now. Also, @Jessica Ramirez you were the contest winner so don't forget to email me so I can send you the gift card. 😉
@@LevelheadedMindi take fluoxetine now at 10 mg or sometimes 20 mg, alprazolam 0.5, propranolol 40mg, divalproex 250,i am from Indonesia. Can i change to sertraline and propranolol? My diagnosis is ADD, OCD, anxiety disorder and distimia.
I’ve just been put on Fluoxetine but I’m worried about the potential for hair loss. Google is very conflicting. Some sites say Fluoxetine is the SSRI most likely to cause hair loss and others say it’s the least likely. I have male pattern baldness but regrew a lot of my hair using Finasteride and Minoxidil and I’m worried about causing my hair to shed out again. Do you know how common hair loss actually is with Fluoxetine?
I was taking paroxetine (paxil) and it just wasn’t getting me there. I told my doc I’d like to switch meds and he recommended sertraline. I was hesitant because it was just another ssri, but decided give it a go. Much to my amazement after the first dose of 50mg my depression and SAD completely vanished. I wondered what the difference was, since it was the same class of meds. I found this video and realized it must be its weak dopamine reuptake inhibiting ability that was the difference. Side effects seem non existent, too. Great med for me!
Before trying any antidepressant / SSRI you should research each one and look at the reviews for each one and seek one that has the best reviews considering your problems. I sealed Prozac after doing research and looking at reviews because it works by producing more GABA in the brain, i know this is good for anxiety because Lorazepam acts this way and gives me relief. I also see it had fantastic reviews for people with OCD and anxiety. It’s day 3, I have immediately noticed some benefit (not placebo because still been having panic attacks) I’m hopeful that in a couple of weeks time im going to feel even better. FYI, I’m on 20mg Prozac with the option to increase dosage if I need. However, I’m hoping 20mg is enough to give me my life back without daily paranoia, ocd and panic attacks.
Hi, At last I've found someone I feel comfortable with. Ive been asked by my DR to start on 50mg Sertraline next Monday for Social Anxiety, panic attacks especially when driving, it all started during Covid 3 years ago, I'm 74 now (Male) and suffered from nerves most of my life, why I dont know. Ive now became a recluse well almost and mixing with others is very difficult even impossible. Valium used to help a lot but these days UK Dr's do not like to prescribe. What should I expect the first 2-8 weeks please? Thanks x John UK
For most people the first few weeks is adjusting to the medication. You may experience some nausea or stomach upset, if so this can be alleviated by taking it with food. Therapeutic benefits will be noticed at weeks 4 to 8. If not, your doctor may need to increase the dose.
I honestly think Zyprexa is similar in effectiveness for elevated mood swings whether it’s augmented to an SSRI like not just Prozac, but also Zoloft or Lexapro. Yet, Zyprexa is often avoided nowadays unless it’s at much higher doses for schizophrenia or psychosis because it’s worse out of all the antipsychotics for weight gain. Due to its metabolic side effect profile, I think Zyprexa should only be used for non-psychotic mixed mood swings after other antipsychotics like Seroquel and Abilify have failed (and of course Lithium and Depakote in treatment resistant cases). Seroquel tends to provide the most effective mood stabilization in the vast majority, while Abilify has the least side effects (and some do very well on Abilify as well).
Fluvoxamine vs Vortioxetine Which one of them is better for treating (anxiety and depression) while maintaining cognitive function and not depriving sleep. Also, in general which drug outs best to treat anxiety/depression/stress while improving focus and cognition and sleeping. It is very difficult to trade off between stopping cognition impairment and sleeping !
My Doc had me take a Gene-Drug Interaction test. I "poorly metabolized" Sertraline. I felt horrible on it. I am currently on Cymbalta (Duloxetine). This one I "rapidly metabolize " but not happy on it. I have an appt with her on Friday to discuss possible drug change. Thank you for this very understandable, clear explanation.🦋
SSRI induced sexual Dysfunction is permanent . I am suffering from this problem from last 3 years when I quit escitolopram after short term use and I have also consulted Psychiatrist for SSRI induced sexual Dysfunction and he gave me bupropion , vortioxetine, ginkoo biloba, yohimibine but all of them failed to reverse my problem. I think psychiatrist don't inform their patient regarding possibility of permanent sexual Dysfunction.
Wow, and I just asked a question similar. I’m So sorry that’s happening to you. I’ve always been told it’s “temporary”. Wow I hope somehow you get better. 🙏🏼
Thanks for sharing your experience. It's unfortunate that this has become a permanent issue for you. However, you can't overgeneralize this and say everyone will have this. First of all to suggest that one medication caused permanent sexual dysfunction is to claim that the medication made permanent changes to your neurotransmitters, which is not backed up by evidence. Of all the hundreds of patients I've treated none of them ended up with permanent sexual dysfunction. Once the medication was stopped the sexual function resumed backed to its normal function. Perhaps there are other factors at play here to consider, hormones, brain tumors, diet, inflammation, etc. In any case I hope you find the help you need. 🙏
Doesn't sertraline's DAT activity only occur at higher than usual doses? Being a 5HT2C agonist, wouldn't it strangle the release of dopamine and norepinephrine at therapeutic doses?
Hi! I am 20 and I take Cymbalta 60 mg and Pregabalin 225 mg (and 2 mg Clonazepam as needed) for my chronic masseters pain (I have it for almost 2 years) and social anxiety, but I have also developed insomnia for 0.5 year now and my energy/motivation isn't the best (also my pain is always there) and my generalized anxiety is high sometimes. Can I take Elavil at night since it helps with both sleep and pain? Also, I think I have either myofascial pain syndrome or very possibly fibromyalgia, but it seems that my doctors just slide they shoulders and only my psychiatrist and GP believe my pain is real! This dull aching in masseters is ruining every aspect of my life. Do you have advice on this?
I am sorry that you are dealing with this. You are at risk for serotonin syndrome with your current medications, adding Elavil will only increase that risk. So take that into consideration when you talk with your provider about this. I don't have experience treating masseters pain, so can't really comment on what else to try. Sorry, I hope you find some help and that your doctor can help you find a treatment that works.
@@LevelheadedMind thank you. Yes, serotonin syndrome is rare, but I am aware of this. Maybe I will take low dose Elavil for sleep and headaches (I will talk to my neurologist). This might improve my energy levels and anxiety. It's hard to live with pain, sleep problems and anxiety. Treating this is also very hard.
@@sanelprtenjaca9147 Also try strengthening your muscles with exercises, i have severe headaches and this helps even me because of the blood circulation and more flexibility, maybe pilates or something like that also keep a food diet to see what sorts of food may cause pain, I try to keep away from food that causes inflammation like i rather drink decaffienated coffee (nescafe classic decaf is just as good), too much spicey things etc. Also drink your two liter water everyday, try to keep some diary and focus on what may cause it. It's also good to buy air-purifying plants indoor into your home which makes helps with the bad effects of emf from our wifi and laptops. There's many things you can try. Also try a good diet without too much sugar try eating veggies and fruit once a day.
Please stop taking pregablin. I was on it for 6 years for fibromyalgia and it has horrible side effects and the tapering is almost killing me. It caused 40 kgs of weight gain and massive memory loss and my teeth literally started chipping off. I wish somone had told me before I started this poison. I hope you'll be ok. LDN has worked miracles for me fibromyalgia wise.
If you're dealing with adrenal fatigue you need to support your adrenals with b complex vitamins and adaptagens in order for anything to work for you. Adrenal fatigue is a root cause that needs to addressed first.
@@LevelheadedMind tbh it’s not an adrenal problem. Your brain and hormones are out of whack, the adrenals just put out what the brain says. I am already taking a load of supplements: multi/b complex, fishoil, magnesium, potassium, salt, Ashwagandha, Rhodiola, l-tyrosine, B12, D3, C. It’s going better slowly. I noticed my fatigue from Lexapro is fading with a tiny bit of Matcha and some morning movement.
Just for interest. Can you refer me to the actual studies that shows these meds actually work? Can you refer me to the studies which show me the studies which clearly shows how they work inside a patient?
Fluoxetine is an allosteric drug - you can watch a youtube podcast to see how that works. Basically it misforms some of your braincells. Because of this misformation it inhibits serotonin reuptake - therefore there will be more serotonin sent to the brain cells. Serotonin is the good feel hormone, however the side-effects is many and everybody has different side-effects. When i think of medication - i can see that its a give (you might feel happier) and take ( you might have side-effects, or damage something in your body) I was really discouraged when i heard it's misforming cells, but I know that our brains has plasticity ( so our brains can change the shape again if you stop using the pills) so its not too bad, but I believe in the neuroscientist Dr. Caroline Leaf's approach - put the ''mind'' work into it instead of pills into your mouth. It's better to just download the neurocycle application and start working to experience less depression or whatever you are experiencing, since there's nothing wrong with you, you are just feeling emotions because of circumstances or a negative thought pattern developed over many years
I had to stop taking zoloft yesterday bc it gave me hives. It wasn't bad enough to need an EpiPen or anything, but my doctor said to quit taking it immediately. (I had only been taking it for week) The next medicine we're going to try is prozac. Will it give me hives/a rash too?
@@LevelheadedMind Thank you for the advice, I really appreciate it. My anxiety has gotten pretty bad, so I'm really hoping I can find a medication that works. 🤞
an i combine the 2 Drugs? Sertraline, even 50mg, has too much sides, but works.. Fluoxetine doesnt help enough with procrastination, anxiety and depression. if i low dose Sertraltine (25mg) with a 20mg fluoxetine, it works. i also use 50mg Trazadone to sleep.. Is this too much? it works.. but i tried it by myself.
I am taking tianeptine and klonapin (I am in europe) for panic attacks, anxiety and depression. I still feel negative emotions here and there but the rienaptine gave me some motivation. I am thinking of trying an ssri, bit scared though. I tried cymbalta for one day and it was so horrible I said I will never touch that again, but cbalta is more than an ssri. I am not a doctor or someone who could make any clames on medical issues, but to be honest the best drug I ever taken was MDMA. I felt it's therapeutic effect dor a long time. I wish it would get approved with therapy.
There are no drug interactions noted with sertraline and nebivolol, you can check for interactions yourself by using the free WebMd drug interaction checker. As for sertraline tablets, yes you can cut them in half. I am not sure about a film coating, so ask your pharmacist to be sure.
Switchrx.com is a great resource for providers to use to help you with this. However, note that some people need longer than 1 week between the stages, especially the ones sensitive to medications or who have had withdrawal in the past.
I've been on fluoxetine for a year for my severe OCD. Expericed weight gain. But there was once a time where my ocd was almost non existent. (60mg fluoxetine)... Now my anxiety is back and my obsessions and compulsions all back... Sigh. Should I try zoloft? I'm worried about weight gain again and now sexual side effects ..
Im just worried,,, its my first day taking fluoxetine for depression and also propranolol for spasms/spasticity in my foot and leg, is mixing the two a worry? Also i have to take atorvastatin at night time so thats 3 different tablets
www.levelheadedmind.com/contact
Not sure which medication is right for you? Contact me so we can discuss treatment options for your unique needs.
Both is approved just as well for PTSD but medicinal Cannabis with CBD and a tiny bit of THC for setraline its 50--200 mg for PTSD fx and Cannabis well talk with doctor but Cannabis works as a SSRI when its CBD dominant and just tiny bit of THC just Google THC and Serotonin and CBD and Serotonin... but medicinal Cannabis is easier to quit i plan to exchange my meds while i quit if i get Cannabis to avoid widrawls after a while fx
The only way 🎉🎉🎉🎉🎉
The best thing my psychiatrist said to me was that half the battle when starting these kind of medications was the onboarding. I had every single symptom you can think of and almost quit… once I gave it about 4-6 weeks I am now starting to feel the actual good affects It has helped me so much! Stay strong people there is a light at the end of the tunnel!
Any side effects that persist?
Agreed 👍
started my prozac journey yesterday and im feeling the same effects as you currently. how do u managed the anxiety during it?
Does the ol fella still work?
1 week in 😊
I'm on prozac 20mg . First week was bad with headaches but now side effects are gone. This has been a miracle drug for my anxiety/depression.
@@randongangstadoge9959 stick with it 6 to 8 weeks before discounting
Are you on generic?
Get off it
why am i getting sm weight on prozac :( like i crave for unnecessary foods regulary
@@clare8999 because they completely fk up your hormones and are not well understood.
my brother tried prozac and it had terrible side effects among trying suicide multiple times and feeling like a emotionless zombie. and i tried sertraline and have been on it for 1 and half year it saved my life.
Try carnivore diet I heard it cures depression and overall helps with health
i’m on my first day of prozac and so scared this will happen!
@@jade.037how are you doing? Its my first day
@@philcooke87 hey, it’s been amazing for me! the first day i was pretty hyper but that’s it, had a tiny trouble sleeping but that’s all i could really notice. recently for the past couple weeks i’ve been having very intense vivid dreams but i’ve been told that can be common. other than that, i had to up my dose bc it wasn’t working the first time and i saw no results, so make sure to talk to your doctor about how your symptoms, because the dosage i was first given wasn’t right for me. so far i haven’t had a major depressive episode, and things seem to be getting easier!! good luck!
3rd day today
How are you feeling?
Zoloft increased my anxiety sooooo bad. But prozac seems to have finally helped it!
Same here.
@@mariaradulovic3203 koliko dugo uzimaš lek?
Hey do you take Prozac at night or morning? I got prescribed Prozac and they they told me I could take it either in morning or at night?
Morning @@edenhaile4343
They say the first week taking Zoloft might actually increase your anxiety
Took me 6 months to feel consistent, positive results from 40mg Prozac. Stick with it it’s worth the wait
im going to use 6 months 20mg prozac any tips?
Stick with it. Don’t drink on it.
It’s not a cure, but it can make life worth living, which is a big deal for me. Good luck!
how did you managed the anxiety side effects during the beginning? just started yesterday and couldn't get enough sleep because of it. any advice is appreciated! (also how long did it take for it to subside)
@@beombbido you take it at night or in the morning?
sertraline sent me into a psychotic episode, I ended up getting put on prozac. On day 3/4 now and it’s so much better for me.
Does it help you to focus?
Yea that’s what it did to me it was 5 times worst
I was on Prozac because of depression and BED. Didn't help at all, however caused intrusive suicide thoughts, which wasn't my problem before. It was so scary that i had to switch to Zoloft despite the fear of gaining weight. Now on 4d week and feeling so much better
Prozac is delicious! I love it! 60mg and ya flyin high independent from everything and everyone!
This video was exactly what I was looking for .thank you very much for so much information!
I was on Prozac for years and tapered off. Mental health got so bad and have been back on for about 3 months after almost a year break. Prozac has saved my life. It makes me…. Me….. without ocd having control. I also take Vyvanse for my adhd. It’s a great combo for me, but I do struggle with insomnia issues sometimes. I think it’s the way the two meds work together. But overall, I’m happier and healthier medicated. Great video.
I was on escitalopram and it was great until I got some of side effects now m having health anxiety ocd ..m thinking for it but scared for the side effects ..so what is your view
Good job explaining I’m on Sertra line switching to flox. Was scared to switch😮
Thank you! You're the best, Jezel!
When I was on Sertraline, I had no more anxiety but it didn't help with my depression, and also caused emotional bluntness. I augmented it with Bupropion but I felt wired all the time and even more numb.
Two weeks in Prozac now, first week didn't notice any effects, in the secons week I'm having body tremors and really bad anxiety. Not sure If I should stop or wait for the anxiety to subside.
After taking Zoloft for 15 weeks I am making the switch over to Prozac
I actually just switched last week from Zoloft to prozac and I took Zoloft for exactly 15 weeks too😭 how is everything going so far with the Prozac?
@@dogsmilez81 Prozac is going good! I used to have really bad social anxiety. But now I can just go about my day without my mind going nuts. My mind is so much more at peace.
@@dogsmilez81How's the pozac vs the sertraline for you ?
what was the side effects you had from Zoloft?
@@nala6846 the main side effects for me were nausea and I became easily annoyed at little things. A lot more irritable
Sertraline and Bupropion together have changed my life. I took Fluoxetine for a long time but eventually it stopped working. :(
How long ?
Thank you so much for getting information on medications out to us. I am so greatful. Thank you.
You are so welcome! Thank you for watching the videos.
Some people have no choice but to risk it and go on these medications to save their life. If it wasn't for ssri I would be dead. With that said I'm switching from Zoloft to prozac. I have severe panic disorder, health anxiety, and generalized anxiety please tell me it will work 😞
How are things a month later?
@@INMATE2468 I'm still tapering my Zoloft and I feel horrible 😞
I’ve been on prozac for 2 years, it has improved my mental stability a lot
@@BaddieBeefhi can u tell me your health anxiety symptoms please I’m suffering here😢
Hello dear ..am also thinking for Prozac..could u please tell me if it works for health anxiety with obsession
very precise,yet completely information that anyone can ever want...thanks alot
Thank you Soooooooooo Much for this video…. This is exactly what I was looking for!!
To the person reading this … God sees you & im praying you will all get the healing & peace you need.❤️🩹 in Jesus’s name!! 🙏🏽 amen
All hail God.
Amen ❤️
In Jesus name amen
Amen
Thank you
The issue I'm having is I want to take something that will help my pmdd and my severe anxiety/OCD thoughts whatever , irritability . Zoloft helped the anxiety but made me feel more depressed so I switched to lexapro loved it but made me gain 15 pounds in 1 month don't even know how that's possible since I'm relatively healthy luckily with hard work I was able to get it off ... so I've been looking into Prozac but if one SSRI makes me gain a lot of weight don't you think another most likely will. It really stinks because it seems a lot cause weight gain and call me vain but I'd prefer to not gain weight I know some say it's just diet but no way nothing changed and I dumped on a large amount of weight in such a small amount of time.
This is really interesting to know because I have the exact same symptoms (social anxiety, pmdd, intrusive thoughts, irritability)! I've previously tried lexapro and wellbutrin and they both did nothing for me but give me insomnia (albeit lexapro helped my mood a little). Looks like prozac is the safer starting option now over zoloft.
Hm after being 3 months on Zoloft. It didn't do much in the end. I'm giving a shot to the Fluoxetine now. Will see what happens.
Same. I’ve been on sertraline for 5 months and haven’t noticed a much of a difference. I’m trying Lexapro next. How’s fluoxetine working for you?
Checking in after one year since you commented! How have you found the medication? I'm on second month of the medication and unsure if it's working or not!
Would like to see you do a comparison between Zoloft and Paxil. Also in your video descriptions refer to medications by their common names, which is less confusing to your subscribers.
Just don't touch Paxil ;) the withdrawal is nearly impossible and sooo painfull. One of the worst to stop. This medecine should be taken off the market. I suffered sooo much with the withdrawal effects and I am still at 5mg, unable to stop it. I passed years in bed being sick with withdrawal effects. It destroyed my life :( I lost everything.
Its easy to stop paxil. Just cross taper it with vortioxetine and you can taper vortioxetine slowly. I did it.@@mariannelabanane2589
@@mariannelabanane2589 Paxil very good, amazing! Saved my life/
Zoloft is one of the worst SSRIs I’m tapering off of 50mg I’m on edge and jittery 😬 with headaches blood pressure is through the roof today.
Antidepressant withdrawal can be rough. Take it slow and make sure to increase amino acid intake. Free form amino acid supplements may be very helpful.
@@LevelheadedMindWhat about foods that have high contents in amino acids? What about tofu?
I have tried a lot of medications (with my doctor) Zolof, Paxil for my OCD, finally Prozac has helped me with intrusive thoughts, rarely have them, took me a month, Im on 80 mg of Prozac
Any side effects
@@mwildthing5525 no
Zoloft didn't work for me. But Prozac works.
I switched from Prozac to Zoloft and on the third day my anxiety went through the roof. So today I went back on Prozac.
The same with me, but i cant go back to prozac because it reacts with tamoxifen
hows prozac for you now?
I used both Prozac is better
I loved your simple but detailed explanation of the mechanism of action of each antidepressant!
You explanation is fantastic excellent video very helpful clear cut information yor fantastic doctor god bless.
Thank you, glad it was helpful for you.
@@LevelheadedMind Excellent video - very well explained, Thank you for the upload!! I have chronic anxiety & depression… I believe you mentioned that Zoloft helps with both, Is this correct?? Thanking in Advance!
I was on Fluoxitine for about 10 years, but i also abused alchol and drugs, im finally 1 year sober and was off Fluoxitine about 2 years, im back on it, day 4 today, anxiety is killing me as im also on Alprazalam 😢😢 FML
Which one is better for agoraphobia with panic attacks ?
Thank you for the information most doctors won't be kind enough to explain to pxs.
Very useful information, easy to understand for general public 😊
Just switched to Fluoxetine from Sertraline. Hopefully it works better.
OUTSTANDING VIDEO AS ALWAYS! Excellent content, my friend!
Thanks again!
Very informative.
Amazing comparison and so helpful
Glad it was helpful!
Thank you. I enjoyed the video and found it very informative and helpful because i take fluoxetine and needed information.
Can you talk about fluoxetine combined with bupropion?
Ok
You’re so kind and explain so well thanks for what you do honey❤
I've taken both. I didn't respond to either, but I also don't respond to most ssri medications I've been given. Setralin made me me bleed a lot, that was weird
Just got on prozac
Welcome to "normality" sister
Are you still on it? Any updates?
I tried fluoxetine and I hated it. It took the joy out of everything. I am on 300 mg sertraline now and I love it
Did you gain weight
What was your problem?
@@kristenkelley9837I gained like 30 pounds in sertraline.. had to get off it
300 mg I thought 200 was the max
That's very high dose
What is your opinion about st john's wort? What is your experiance with paroxetine for anxiety?
The same medication does not have the same effect on everyone. You won't know until you have tried one. I have found fluoxetine to be more effective than sertraline in treating depression.
Think it’s crazy that neither Zoloft or Prozac are FDA approved for Generalized Anxiety Disorder due to its established research efficacy for that indication (and they’re commonly prescribed off label for GAD). Do you think it’s possible that they’ll eventually get FDA approval for GAD?
I took Sertraline for years and it completely stopped my dizziness. I switched to Bupropion 2 months ago and I hate it, it does nothing for my dizziness and light-headedness. I’m switching back to Sertraline as soon as possible, I just wanna feel normal again.
Zoloft & Wellbutrin together ?
They usually combine them
@@TXNAT1VE 👍Thanks
@jamescalifornia2964 also be sure to look into precursor supplements so that your brain doesn't get burned out...or off balance__ l tyrosine and similar things
I started taking antidepressants again a few months ago. I made a bet with a coworker that I’d land on Prozac. Started on Celexa, now on Zoloft, still feel sedated. Added Wellbutrin not that long ago with some improvements, but I still feel sedated. Wonder if you can take Wellbutrin while on Prozac?
Can you please explain/make some video about using lyrica (pregabalin) to treat panic attacks, anxiety and social fear ?
Thanks for the video idea, I will consider it.
I started on F10 for 2 weeks. Then 20mg after that. I didn’t feel much better. Did that for a little over month and now on 40mg. Still feel the same and notice I get tired throughout the day, even with full night sleep. 😢 I wish it was working for me by now.
I have a good question for you. What are key indicators that a medical professional would say “okay great. The medicine is working as it should”. I am ADHD and struggle with depression/anxiety. I am finding that the last 6 months I am starting to fall back into old patterns of no motivation/no energy.
It is SO hard to know whether a medication is doing what it should be doing. Do I need more? Do I need a new medication? Am I taking too much? Too little?
Would love to hear your response on this.
I was wondering if you haven't yet. If you could do a comparison of Adderall and Vyvanse please
Soo happy to come a cross this video I have been on antidepressants for 44yrs after my 1st baby with out going into a lot about me ! changed to sentraline about a year ago went through a bad time with them my doc has just changed me to fluoxetine but I have them a wk and don’t know if I should take THEM could YOU r some one PLEASE HELP me 😢💚☘️☘️☘️🍀🙏🏻🙏🏻🙏🏻Thank you so very MUCH ❤️
I’ve been on Prozac for a week now and have mixed effects. I feel both more stable and more anxious at the same time somehow. I like how it is activating. I am confused about one thing. You say Prozac triggers norepinepherine and dopamine release. Why is it not classified as an SNRI then?
Because it's a downstream effect, meaning it raises norepinephrine and dopamine indirectly, by inhibiting 5HTC. It doesn't inhibit any norepinephrine targets or transport systems. Good question though!
@@LevelheadedMind 5HT2C 👍 You're welcome
prozac saved me from being consumed by my OCD. i was tearing off my eyelashes and picking my skin until i bled. i will never be off of it. im only on 10mg for about a year but might increase it to 20 for my seasonal depression
I can’t tell if my anxiety has caused my tinnitus or the start of taking Prozac again. I’m miserable and don’t know what to do. I need to get this fear under control because it’s stopping me from functioning normally. Help.
I'm sorry to hear that you are having such a bad experience. Tinnitus can be a rare side effect of Prozac, the only way to know for sure is to stop taking it and see if the Tinnitus goes away, however, you need to discuss with your doctor first before just stopping it. There may be some other factors at play here and a medical work up should also be considered to rule out medical causes. I hope you get better soon 🙏
I have tinnitus too, how do you manage your own. I'm on Prozac for my anxiety and depression
😅😅😅😅😅@@LevelheadedMind
I think I may have gotten a bad batch of pills this last time. It’s the same manufacturer as my previous ones, but I had the worst side effects for a couple of weeks! It’s almost like I just started on fluoxetine for the first time but I’ve been taking it for 15 years! Have you EVER heard of anyone getting a bad bottle of pills before?? What could have caused those horrible side effects??
Have you contacted the manufacturer? Seems like something is wrong with the batch.
Hi Suzi. I am sorry you are experiencing this. Unfortunately, this can happen. Notify your pharmacist so they can recall this Lot# and ask for a different brand or Lot#. Sometimes the additive compounds, such as dyes and other filler ingredients can cause these types of problems.
Get off it
Fluexotine is wonderful. When it kicked in it was wonderful 🙂 sertraline gave me leg cramps and sleep problems so my doctor changed.
The side effects are awful though. I’m still working through those.
Some side effects never disappear I believe. I can only tell about zoloft because Fluexotine I have only taken in three weeks 🙂
@@parrosenqvist6030 did you have any sexual side effects? And how are you feeling now
I am feeling great now. No sexual side effects and I have lost 9 kg. Zoloft made me gain weight. Sorry for late answer.
@@parrosenqvist6030 how long did it take to kick in
Thanks for the informative video. Can you do a comparison of Lexapro and Trintellix?
Thank you, yes, I can do this video. I am actually working on a video about Lexapro and Celexa now.
Also, @Jessica Ramirez you were the contest winner so don't forget to email me so I can send you the gift card. 😉
Prozac gave me really bad anxiety and made me aggressively angry.. Zoloft fixed my anxiety and anger but makes me very dull and sleepy all day
Have you tried taking Zoloft at night?
@@LevelheadedMindi take fluoxetine now at 10 mg or sometimes 20 mg, alprazolam 0.5, propranolol 40mg, divalproex 250,i am from Indonesia. Can i change to sertraline and propranolol? My diagnosis is ADD, OCD, anxiety disorder and distimia.
I’ve just been put on Fluoxetine but I’m worried about the potential for hair loss. Google is very conflicting. Some sites say Fluoxetine is the SSRI most likely to cause hair loss and others say it’s the least likely.
I have male pattern baldness but regrew a lot of my hair using Finasteride and Minoxidil and I’m worried about causing my hair to shed out again. Do you know how common hair loss actually is with Fluoxetine?
No hair loss. wellbutrin gave me hair loss though.
I was taking paroxetine (paxil) and it just wasn’t getting me there. I told my doc I’d like to switch meds and he recommended sertraline. I was hesitant because it was just another ssri, but decided give it a go. Much to my amazement after the first dose of 50mg my depression and SAD completely vanished. I wondered what the difference was, since it was the same class of meds. I found this video and realized it must be its weak dopamine reuptake inhibiting ability that was the difference. Side effects seem non existent, too. Great med for me!
Side effect non existant? Wait till u run out of it or stop taking it for 2 days 😅
Before trying any antidepressant / SSRI you should research each one and look at the reviews for each one and seek one that has the best reviews considering your problems. I sealed Prozac after doing research and looking at reviews because it works by producing more GABA in the brain, i know this is good for anxiety because Lorazepam acts this way and gives me relief. I also see it had fantastic reviews for people with OCD and anxiety. It’s day 3, I have immediately noticed some benefit (not placebo because still been having panic attacks) I’m hopeful that in a couple of weeks time im going to feel even better. FYI, I’m on 20mg Prozac with the option to increase dosage if I need. However, I’m hoping 20mg is enough to give me my life back without daily paranoia, ocd and panic attacks.
Hi, At last I've found someone I feel comfortable with. Ive been asked by my DR to start on 50mg Sertraline next Monday for Social Anxiety, panic attacks especially when driving, it all started during Covid 3 years ago, I'm 74 now (Male) and suffered from nerves most of my life, why I dont know. Ive now became a recluse well almost and mixing with others is very difficult even impossible. Valium used to help a lot but these days UK Dr's do not like to prescribe. What should I expect the first 2-8 weeks please? Thanks x John UK
For most people the first few weeks is adjusting to the medication. You may experience some nausea or stomach upset, if so this can be alleviated by taking it with food. Therapeutic benefits will be noticed at weeks 4 to 8. If not, your doctor may need to increase the dose.
@@LevelheadedMind thanks so much for your speedy reply it’s much appreciated x
I am taking sertraline for past three weeks. One side effect that I have is dry cough it started on day 10 and still persist on day 22.
I've heard this before, not a usual side effect but can happen. Discuss this with your provider.
Any luck with it?
4 weeks of diarrhea on sertraline for me. Going to have to ask to switch
I honestly think Zyprexa is similar in effectiveness for elevated mood swings whether it’s augmented to an SSRI like not just Prozac, but also Zoloft or Lexapro. Yet, Zyprexa is often avoided nowadays unless it’s at much higher doses for schizophrenia or psychosis because it’s worse out of all the antipsychotics for weight gain. Due to its metabolic side effect profile, I think Zyprexa should only be used for non-psychotic mixed mood swings after other antipsychotics like Seroquel and Abilify have failed (and of course Lithium and Depakote in treatment resistant cases). Seroquel tends to provide the most effective mood stabilization in the vast majority, while Abilify has the least side effects (and some do very well on Abilify as well).
Fluvoxamine vs Vortioxetine
Which one of them is better for treating (anxiety and depression) while maintaining cognitive function and not depriving sleep.
Also, in general which drug outs best to treat anxiety/depression/stress while improving focus and cognition and sleeping.
It is very difficult to trade off between stopping cognition impairment and sleeping !
Can you do Fluoxetine vs Escitilopram
my doctor prescribed me zoloft and prozac together and it was working fine but no im getting worse is it bad idea to take 2 ssris together?
انا ايضا
My Doc had me take a Gene-Drug Interaction test. I "poorly metabolized" Sertraline. I felt horrible on it. I am currently on Cymbalta (Duloxetine). This one I "rapidly metabolize " but not happy on it. I have an appt with her on Friday to discuss possible drug change. Thank you for this very understandable, clear explanation.🦋
That’s interesting! I’m gonna have to check out that test. Do they take insurance?
@@maplesyrup6052 Medicaire paid for mine. Not sure about Insurance.
When will you make a video in which all the SSRIs are combined with Its benefit / off label / side effects / etc comparison in one single video..
Great idea! That would be a long one though.
Doslupin vs fluoxetine please
Mam which one is better for lethargy
What about Zoloft vs Buspar?
Fluxetine 20mg best time to eat medicine?? Day or night?
Daytime unless it makes you sleepy then take at night.
Zoloft made my anxiety so bad I almost killed myself. Prozac a week in is doing much better so far
Sorry to hear need someone to talk
Question. Have you done a comparison of prozac and effexor? If so please point me in the direction
Not yet, but will put this on the video list. Thank you.
@@LevelheadedMind thank you !!
Fluoxetone is in tablets in europe, so it can be quartered to 5mg :)
Thank you for valuable information
SSRI induced sexual Dysfunction is permanent . I am suffering from this problem from last 3 years when I quit escitolopram after short term use and I have also consulted Psychiatrist for SSRI induced sexual Dysfunction and he gave me bupropion , vortioxetine, ginkoo biloba, yohimibine but all of them failed to reverse my problem. I think psychiatrist don't inform their patient regarding possibility of permanent sexual Dysfunction.
Wow, and I just asked a question similar. I’m
So sorry that’s happening to you. I’ve always been told it’s “temporary”. Wow I hope somehow you get better. 🙏🏼
Thanks for sharing your experience. It's unfortunate that this has become a permanent issue for you. However, you can't overgeneralize this and say everyone will have this.
First of all to suggest that one medication caused permanent sexual dysfunction is to claim that the medication made permanent changes to your neurotransmitters, which is not backed up by evidence.
Of all the hundreds of patients I've treated none of them ended up with permanent sexual dysfunction. Once the medication was stopped the sexual function resumed backed to its normal function.
Perhaps there are other factors at play here to consider, hormones, brain tumors, diet, inflammation, etc.
In any case I hope you find the help you need. 🙏
@@LevelheadedMind I like all of your videos. Are you able to accept out of state patients through telemed type appointments?
Doesn't sertraline's DAT activity only occur at higher than usual doses? Being a 5HT2C agonist, wouldn't it strangle the release of dopamine and norepinephrine at therapeutic doses?
Hi! I am 20 and I take Cymbalta 60 mg and Pregabalin 225 mg (and 2 mg Clonazepam as needed) for my chronic masseters pain (I have it for almost 2 years) and social anxiety, but I have also developed insomnia for 0.5 year now and my energy/motivation isn't the best (also my pain is always there) and my generalized anxiety is high sometimes. Can I take Elavil at night since it helps with both sleep and pain?
Also, I think I have either myofascial pain syndrome or very possibly fibromyalgia, but it seems that my doctors just slide they shoulders and only my psychiatrist and GP believe my pain is real! This dull aching in masseters is ruining every aspect of my life. Do you have advice on this?
I am sorry that you are dealing with this. You are at risk for serotonin syndrome with your current medications, adding Elavil will only increase that risk. So take that into consideration when you talk with your provider about this. I don't have experience treating masseters pain, so can't really comment on what else to try. Sorry, I hope you find some help and that your doctor can help you find a treatment that works.
@@LevelheadedMind thank you. Yes, serotonin syndrome is rare, but I am aware of this. Maybe I will take low dose Elavil for sleep and headaches (I will talk to my neurologist). This might improve my energy levels and anxiety. It's hard to live with pain, sleep problems and anxiety. Treating this is also very hard.
@@sanelprtenjaca9147 Also try strengthening your muscles with exercises, i have severe headaches and this helps even me because of the blood circulation and more flexibility, maybe pilates or something like that also keep a food diet to see what sorts of food may cause pain, I try to keep away from food that causes inflammation like i rather drink decaffienated coffee (nescafe classic decaf is just as good), too much spicey things etc. Also drink your two liter water everyday, try to keep some diary and focus on what may cause it. It's also good to buy air-purifying plants indoor into your home which makes helps with the bad effects of emf from our wifi and laptops. There's many things you can try. Also try a good diet without too much sugar try eating veggies and fruit once a day.
Please stop taking pregablin. I was on it for 6 years for fibromyalgia and it has horrible side effects and the tapering is almost killing me. It caused 40 kgs of weight gain and massive memory loss and my teeth literally started chipping off. I wish somone had told me before I started this poison. I hope you'll be ok. LDN has worked miracles for me fibromyalgia wise.
What's LDN please?
Which one is better if I‘m expecting a Baby? I read a lot about this but it seems like docs are having different opinions 😢
Lexapro makes me more tired during adrenal fatigue. Would Sertraline be a good alternative?
If you're dealing with adrenal fatigue you need to support your adrenals with b complex vitamins and adaptagens in order for anything to work for you. Adrenal fatigue is a root cause that needs to addressed first.
@@LevelheadedMind tbh it’s not an adrenal problem. Your brain and hormones are out of whack, the adrenals just put out what the brain says. I am already taking a load of supplements: multi/b complex, fishoil, magnesium, potassium, salt, Ashwagandha, Rhodiola, l-tyrosine, B12, D3, C. It’s going better slowly. I noticed my fatigue from Lexapro is fading with a tiny bit of Matcha and some morning movement.
@@santeenl you can also try taking the Lexapro at night. Somnolence can be a side effect of Lexapro irregardless of adrenal fatigue.
@@LevelheadedMind oh yes i always take it at night :) I’m feeling already way better now!
@@santeenl glad to hear your feeling better! Sometimes it just takes time for our body to adjust to the medication.
Just for interest. Can you refer me to the actual studies that shows these meds actually work? Can you refer me to the studies which show me the studies which clearly shows how they work inside a patient?
Fluoxetine is an allosteric drug - you can watch a youtube podcast to see how that works. Basically it misforms some of your braincells. Because of this misformation it inhibits serotonin reuptake - therefore there will be more serotonin sent to the brain cells. Serotonin is the good feel hormone, however the side-effects is many and everybody has different side-effects. When i think of medication - i can see that its a give (you might feel happier) and take ( you might have side-effects, or damage something in your body) I was really discouraged when i heard it's misforming cells, but I know that our brains has plasticity ( so our brains can change the shape again if you stop using the pills) so its not too bad, but I believe in the neuroscientist Dr. Caroline Leaf's approach - put the ''mind'' work into it instead of pills into your mouth. It's better to just download the neurocycle application and start working to experience less depression or whatever you are experiencing, since there's nothing wrong with you, you are just feeling emotions because of circumstances or a negative thought pattern developed over many years
I had to stop taking zoloft yesterday bc it gave me hives. It wasn't bad enough to need an EpiPen or anything, but my doctor said to quit taking it immediately. (I had only been taking it for week) The next medicine we're going to try is prozac. Will it give me hives/a rash too?
It's hard to say, it depends on what caused the hives. Perhaps getting an allergy test if this continues.
@@LevelheadedMind Thank you for the advice, I really appreciate it. My anxiety has gotten pretty bad, so I'm really hoping I can find a medication that works. 🤞
an i combine the 2 Drugs? Sertraline, even 50mg, has too much sides, but works.. Fluoxetine doesnt help enough with procrastination, anxiety and depression. if i low dose Sertraltine (25mg) with a 20mg fluoxetine, it works. i also use 50mg Trazadone to sleep.. Is this too much? it works.. but i tried it by myself.
I am taking tianeptine and klonapin (I am in europe) for panic attacks, anxiety and depression. I still feel negative emotions here and there but the rienaptine gave me some motivation. I am thinking of trying an ssri, bit scared though. I tried cymbalta for one day and it was so horrible I said I will never touch that again, but cbalta is more than an ssri. I am not a doctor or someone who could make any clames on medical issues, but to be honest the best drug I ever taken was MDMA. I felt it's therapeutic effect dor a long time. I wish it would get approved with therapy.
Utt rr 🎉i😢
Fluoxetine also comes in tablet form
Pharmacy tech here
Would you please do a comparison of xanax vs klonopin and which would be better for panic disorder? ☺
Great video!
Thank you.
Can you take Sertraline with Nebivolol?
And can you cut film coated 50mg Sertraline in half?
There are no drug interactions noted with sertraline and nebivolol, you can check for interactions yourself by using the free WebMd drug interaction checker. As for sertraline tablets, yes you can cut them in half. I am not sure about a film coating, so ask your pharmacist to be sure.
I really like your videos. Thank you
Thanks for watching!
Could you please provide how to switch SSRI to SSRI , SSRI to SNRI. I am a new provide in the mental health space.
Switchrx.com is a great resource for providers to use to help you with this. However, note that some people need longer than 1 week between the stages, especially the ones sensitive to medications or who have had withdrawal in the past.
If you have anxiety stay away from SNRIs I am living proof they don't work and make you feel worse!!
Excellent thank you
Which is better for OCD treatment?
In my opinion, based on clinical experience, I'd say sertraline.
I've been on fluoxetine for a year for my severe OCD. Expericed weight gain. But there was once a time where my ocd was almost non existent. (60mg fluoxetine)... Now my anxiety is back and my obsessions and compulsions all back... Sigh. Should I try zoloft? I'm worried about weight gain again and now sexual side effects
..
Im just worried,,, its my first day taking fluoxetine for depression and also propranolol for spasms/spasticity in my foot and leg, is mixing the two a worry? Also i have to take atorvastatin at night time so thats 3 different tablets
I was on fluoxetine and idk it’s not working so ill ask to change it to sertaline today i hope it works