Categories
Moderate Anxiety Moderate Severe Anxiety Psychiatry & Medication Severe Anxiety Therapy

Pride Counseling Review

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What is Pride Counseling?

Pride Counseling is an online therapy service for members of the LGBTQ community. The service is staffed by licensed and accredited psychologists, marriage and family therapists, clinical social workers, as well as professional counselors who all have practice with LGBTQ members. Individuals can get assistance for their mental health conditions including anxiety, stress, and depression, speak to the counselor about identity crisis, or receive support and guidelines on how to get through addiction, anger, family conflicts, difficulty parenting, grief, religion-based discrimination toward the LGBTQ members and more.

Pride Counseling is not fit for individuals who have persisting thoughts of hurting themselves or others, minors who are under the care of a legal guardian, adults who are in an emergency situation, diagnosed with a severe mental health condition, or psychiatrically supervised. It is also not suitable for individuals who are required to undergo therapy by court order.

What we like about Pride Counseling

  • Counselors are matched following the individual’s preferences, objectives, and issues. An individual may change a counselor until they believe it is a good match;
  • They offer online counseling through text messages, live chat, phone chat as well as video conferencing;
  • An individual may chat through text messages with a counselor at any time;
  • The subscription for online counseling costs $40-$70 per week. The price includes unlimited text messaging;
  • An individual does not need to identify themselves for counseling, as a nickname may be used.

What we don’t like about Pride Counseling 

  • It takes 24 hours on average to match an individual with a counselor;
  • Many federal and state insurance plans do not cover this online counseling or coverage is limited;
  • Lengthy questionnaire to sign up for online counseling.

Therapist Qualifications 

Counselors who work with Pride Counseling are: 

  • Licensed and accredited psychologists, marriage and family therapists, clinical social workers, and professional counselors
  • All hold a Master’s degree or a Doctorate in their relevant fields
  • All qualified and certified by their states professional board
  • Possess at least 3 years experience and 2,000 hours in practise
  • All specialize in LGBTQ issues as well as  mental health condition management

Treatments Available

Pride counseling offers online counseling for many mental health conditions or identity crises, as well as therapy with counselors for managing negative life circumstances.

Treated Conditions

Pride counseling therapists address a variety of different conditions and topics, with a focus on:

  • Addiction
  • Aggression
  • Anxiety, Depression and Bipolar Disorder
  • Career Goals or Failures
  • Conflicts in Family or with a Partner
  • Depression
  • Eating Disorders
  • Grief
  • Health Education
  • Healthy Sexual Life
  • Transitioning
  • Parenting
  • Couples Counseling
  • Religion Discrimination Toward the LGBTQ Community
  • Self-Esteem
  • Sleeping Problems
  • Social Behavior
  • Chronic Stress
  • Substance Abuse
  • Childhood/Adult Trauma & Abuse

Other modalities are also available with Pride Counseling.

Pricing 

The cost of counseling through this platform starts from $40 per week. It includes unlimited text messaging with one of the counselors. This cost is billed monthly but you can cancel the subscription anytime. In comparison, the cost of traditional face-to-face counseling starts from  $150 for one session.

Reimbursement or free-trial is not available. The majority of federal or states insurance plans,  as well as Medicare and Medicaid, do not cover the therapy including Medicare and Medicaid or coverage is limited. 

Sign Up Process

To sign up with Pride Counseling, you have to complete a questionnaire to be matched with a counselor who fits your objectives, as well as select topics you’re looking for help with. The questionnaire will first ask you how you identify yourself, what is your orientation, age, relationship, and financial statuses among others. The second half of the questionnaire is focused on mental health conditions, symptoms, and challenges you may experience in your daily life. In the end, you specify which language you would like to get counseling in.

After completing the questionnaire, you are redirected to create a private account. You may choose an alias and create an email for signing up anonymously. Ensure you have access to the email, as the platform will send notifications every time a counselor responds to your messages in the chat room.

When your account is created, you start choosing the counselor who has experience in your preferred areas including relationship issues, eating disorder, trauma and abuse, depression, anxiety among others. Within a few hours to a few days (on average 24 hours) you are matched with a counselor. If you believe a matched counselor is not a good fit for your particular case, you may change them.

Ongoing communication with a therapist

Pride counseling offers therapy in four ways:

  • Text messages
  • Live chat
  • Phone chat
  • Video conference

Text Messaging

When you are matched to a counselor, you get access to a private chat room to communicate. You write questions, discuss problems, and receive answers or feedback from a counselor. This interaction is unlimited, and a chat room is available 24/7 since this way of communication is not ongoing in real-time. When a counselor responds to your messages, you receive a notification by email.

Live Chat

To have a live chat, you may need to schedule time with a counselor for real-time communication, and at that time you log in to the chat room.

If the scheduled time is not convenient for a counselor, you will be informed to reschedule it.

Phone Chat

For landline or cell phone chat, you have to schedule a time with a counselor. At the scheduled time, you need to log in to the chat room and start the phone session. A chat room will ask you to indicate a phone number. Note, it is not shared with your counselor and kept as confidential information.

If the scheduled time is not convenient for a counselor, you will be informed to reschedule it.

Video Conference

Pride Counseling uses face-to-face video conferences, similar to Skype. You schedule a time with a counselor and log in to the chat room at that time.

If the scheduled time is not convenient for a counselor, you will be informed to reschedule it.

You do not need to be connected to the Pride Counseling chat room all the time. Pride counseling sends notifications to the email when you have a message from a counselor.

Competition

Similar online therapy/counseling for the LGBTQ community is available with the TalkSpace platform as well. However, it is not the main specialization among their counselors and therapists.

TalkSpace, unlike Pride Counseling, may take more than one day to match you with a counselor, and the weekly cost starts at $79. TalkSpace offers a few free sessions for the LGBTQ community, while Pride Counseling does not have such a free option. 

Specs

Product Name – Pride Counseling

Price – $40-$70 weekly

Usability – Easy-to-Use

Mobile Platforms – Android and iOs

HIPPA Compliant – Yes

Payment options – Credit card and PayPal

Prices – Starts at $40 per week. They also offer a Premium plan at $316 per month, which includes 1 live therapy session.

Disclaimer: This website does not provide medical advice. It is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis or treatment. Never ignore professional medical advice in seeking treatment because of something you have read on our Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.

Categories
Moderate Anxiety Moderate Severe Anxiety Psychiatry & Medication Severe Anxiety

Online Psychiatrist

Overview

Finding a good psychiatrist to speak to online that fits with your life schedule may seem difficult, but over the last few years there has been a rise in online psychiatry platforms that can help. Through these platforms, a psychiatrist delivers counseling through the Internet to help diagnose, treat, and prevent mental health conditions. Psychiatrists with various fields of expertise are available online, including those who specialise in substance abuse disorders, eating disorders, depression, and anxiety treatments, among others. To become qualified as a psychiatrist requires years of training alongside experience in treating patients, and this can be proven with certificates and state-board licenses. 

If you are looking for an online psychiatry platform, you should consider a few things, including the interaction methods, payment options, and confidentiality of your persona online. To help your search, we have reviewed several of the best online psychiatry platforms for you. Check it out.

What are the best online psychiatry platforms? 

There are a myriad of online psychiatry platforms that deliver mental health treatment via the Internet. Some have a wider specialization in depression, anxiety, addiction, eating disorders counseling, while some may offer therapy alongside medication support. Check out our top 5 picks which may help support you.

Why choose online psychiatry? 

Many online psychiatrists combine the practice of online counseling with face-to-face therapies in their clinical settings. Depending on the severity of mental health conditions, individuals may not get a doctor’s approval for online psychiatry due to the need for complex treatment in-person. However, if approved, an online psychiatrist may be good for: 

  • Convenience. At the touch of a button, you can access an online psychiatrist and start treatment for your particular mental health condition through a mobile phone or any other device with the Internet connection.
  • Waiting time. You do not need to sit in a waiting room for a doctor as  you decide on the time for a conversation.
  • Follow-ups. Online platforms are designed to have up to 8 times more follow-ups with your doctor than in-person psychiatry. Some platforms allow you to chat unlimitedly with a doctor or therapist, regardless of time and day.
  • Cost. The average cost of an in-person initial visit can be as high as $400 compared to online psychiatry counseling which can be as little as $100-200 if buying a monthly subscription.

Some online psychiatrist platforms may offer insurance coverage as well, so that you may get treatment at a lower price or have it partially covered. 

What to look for in a good psychiatrist? 

Some qualities that make a good psychiatrist may differ between patients and cases, however, everyone should expect their psychiatrist to demonstrate  a commitment to help individuals cope with their mental health symptoms. Beyond that, we recommend you to follow several steps which may ensure you find a good psychiatrist:

  • Ask your doctor, friends, or relatives whether they can recommend an online psychiatrist.
  • Look for top-rated online psychiatrists or online psychiatry platforms using Yelp.com or Google.com.
  • Review the profiles of online psychiatrists and look for their credentials, accreditations, and fields of expertise.
  • Ask if they have experience with your mental health condition.
  • Evaluate how they communicate with you and whether you feel comfortable counseling with them.
  • Determine if an online psychiatrist is covered by your insurance plan. 

How is it different between seeing a psychiatrist online vs in person? 

Seeing a psychiatrist online may have many benefits compared to in-person psychotherapy. The first and most obvious reason is convenience. Speaking to a psychiatrist through an internet platform using a mobile phone or other device is much more convenient than travelling to a clinic. At the touch of a button you can start chatting with the doctor and get advice. They are therefore obviously beneficial to people who can’t physically get to a clinic or who live in rural areas far from a city. Beyond that, online psychiatry may be less expensive if you buy a monthly subscription for unlimited messaging. 

However, an online psychiatrist may not be a good fit for every individual, as some may need only in-person psychotherapy due to the severity of their mental health conditions or treatment protocol. Speak to your doctor about the applicability of virtual psychotherapy for your particular case.

How does online psychiatry work? 

The delivery of online psychiatry services via the Internet is simple. First, ensure you have a steady Internet connection, then visit your preferred online psychiatry platform. For example, the Cerebral system works as follows:

  • Fill out a short questionnaire to help the platform understand your symptoms and match you with a psychiatrist.
  • When matched, connect to a video call with a prescribing provider who will determine your treatment protocol.
  • Meet your counselor who will support you through the treatment journey. You will be connected to a video call to get acquainted.

If you are prescribed medications to cope with depression or anxiety, you will receive them monthly, shipped to your door. Beyond that, you may speak to a counselor unlimitedly  to discuss the progress of the treatment and learn skills to cope with your mental health condition.

Best Overall and Best for medication with therapy support: Brightside 

Get expert care, risk free for 30 days

Brightside is certified by LegitScript and a HIPAA-compliant platform. It offers mental health treatment from a variety of top-rated online psychiatrists. Their doctors are state-board licensed depression experts.  Brightside offers a range of therapies, including cognitive-behavioral therapy, dialectical behavior therapy, acceptance and commitment therapy as well as interpersonal therapy. An individual may receive supportive guidance throughout the treatment, and learn how to get the most out of counseling.

Brightside has been featured by experts from Stanford Center for Mental Health and Technology, the University of Wisconsin as well as Yale University.

Their partnership with TruePill allows Brightside to deliver safe and effective medications to patients. Medication treatment with Brightside is currently only available in: Arizona, California, Colorado, Connecticut, Florida, Idaho, Illinois, Indiana, Maine, Maryland, Michigan, Minnesota, Mississippi, Missouri, Nebraska, New Hampshire, New York, Ohio, Pennsylvania, South Carolina, Texas, Utah, Virginia, Washington, Wisconsin, and West Virginia.

Highlights:

  • The medication plan costs $95 per month in addition to pharmacy copay or $15 per medication.
  • Medication+Therapy plan costs $240 per month with a pharmacy copay or $15 per medication.
  • Therapy with Brightside costs $165 per month for unlimited messaging with an online psychiatrist.
  • Medications are provided by the TruePill pharmacy service.
  • Brightside online psychiatrist services are not available in all the states.

Best Value: Cerebral 

Closing the gap in access to high-quality mental health care

Cerebral is an online platform that delivers comprehensive online care and access to medications to treat depression, anxiety, and insomnia. It provides mental health treatment to individuals aged 18 and older. Currently, the prescription of medications is only available in California, Florida, Georgia, Illinois, Maryland, Michigan, New York, Ohio, Pennsylvania, Texas. 

Beyond that, Cerebral offers several behavioral techniques to help treat mental health conditions, including mindfulness, meditation, breathing exercises, and grounding exercises. 

Highlights:

  • The monthly subscription fee is $99. The price includes video conferences, unlimited chatting with an online psychiatrist as well as video visits with a provider to follow up a prescription of medications, their cost, and delivery.
  • Free shipping.
  • No prescription needed, as Cerebral online psychiatrists are licensed to prescribe medications in select areas.

Best for those looking for anxiety / depression and other conditions: PlushCare 

“Personalized care for whatever life throws at your body”

PlushCare is an online platform that delivers primary care services. The doctors of PlushCare are selected from the top 50 U.S medical institutions, and are U.S board-certified to treat many health conditions. You may get help for a variety of illnesses and ailments including cold and flu, infections, and headaches, as well as treatment for anxiety and depression.

Highlights:

  • The doctors have at least 15 years of experience in their fields of practice.
  • PlushCare treatment services may be covered with certain insurance plans. For uninsured patients, a membership fee is $99 plus a monthly fee of $14.99.
  • Services all 50 states + D.C.

Best for insurance coverage: Doctors on Demand

“Rethinking the way you receive care”

Doctors on Demand is an online platform that offers urgent care, chronic care, behavioral, and preventative health services. It is staffed by U.S board-certified physicians, psychiatrists as well as psychologists. Among the mental health treatments, Doctors on Demand deliver management of depression, postpartum depression, and anxiety.

Highlights:

  • They serve all states in the U.S.
  • Accept insurance plans. Alternatively,  an individual pays $40 for a 15-minute session with the psychiatrist. No need for a monthly or yearly subscription fee.

Note, all these online psychiatrist platforms do not write prescriptions for controlled substances. Furthermore, these platforms are not suitable for those with self-harm issues or suicidal thinking. These cases require in-person therapy or certain treatment protocols decided by your doctor.

Refer to this research of the best online psychiatrists when you seek additional help for mental health treatment. Do not forget to speak to your doctor about the efficacy or safety of such a treatment. We wish you all the best in finding a good online psychiatrist who may meet your needs and requirements.

Disclaimer: This website does not provide medical advice. It is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis or treatment. Never ignore professional medical advice in seeking treatment because of something you have read on our Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.

Categories
Moderate Severe Anxiety Psychiatry & Medication Severe Anxiety

Trazadone and Alcohol

The Bottom Line 

  • Trazodone is a tricyclic antidepressant prescribed to treat depression.
  • Available in tablets, capsules as well as liquid.
  • Available under the brand names of Desyrel, Desyrel Dividose, Oleptro. 
  • Off-label uses include anxiety, eating disorders, insomnia.
  • Consuming Trazodone and alcohol together may cause severe side effects, and in some cases, death.

What is Trazodone?

Trazodone is a medication from the tricyclic antidepressant class which is prescribed to treat depression. A doctor may occasionally prescribe it off-label to treat anxiety, insomnia as well as eating disorders. This medication fits long-term treatment. It is most well-known under the brand names of Desyrel, Desyrel Dividose, Oleptro. Available in tablets, capsules, and liquid. It is believed to work by affecting neurotransmitters in the brain which then provide relief for depression.

What conditions is Trazodone taken for? 

It is usually prescribed to treat depression. Off-label uses include anxiety, insomnia as well as eating disorders if no other first-line medications have been effective or caused many severe side effects. 

Can you drink alcohol while taking Trazodone? 

It is contraindicated to take Trazodone and alcohol together. Taking these two substances together in large doses may be deadly.

Is there an interaction of Trazodone and alcohol?

Taking Trazodone and alcohol together may cause many severe side effects and in high doses can be deadly.

Alcohol is a depressant and can increase the risk of side effects of this medication, such as dizziness, drowsiness, and impaired concentration. Long-term application of Trazodone and alcohol can also lead to abuse and withdrawal. Other possible risks include: 

  • Drop in blood pressure. Taking Trazodone and alcohol alone or in combination may cause a drop in blood pressure, which may result in fainting or dizziness, especially in elderly people.
  • Impaired judgment. Individuals who consume Trazodone and alcohol may experience a decrease in their ability to think, concentrate, drive, or operate heavy machinery. 
  • Deterioration of depression or anxiety. Taking Trazodone and alcohol together may worsen symptoms of anxiety and depression, and in some cases increase risk of suicidal ideation.
  • Decreased motor skills. Taking Trazodone and alcohol together may decrease the motor skills. 
  • Long-lasting vomiting or nausea. Taking Trazodone and alcohol in high doses may lead to long-lasting effects of vomiting or upset stomach which may require hospitalization and pharmacological treatment. 
  • Overdose. Taking Trazodone and alcohol in large doses may result in toxicity and lead to overdose incidents. 

The full list of side effects when taking Trazodone and alcohol in both small and high doses, as well as their severity, differ in individuals. 

You should not mix Trazodone and alcohol to enhance the effects of your treatment. Speak to the doctor if you have had a history of substance abuse, or if your family members have had such incidents.

Individuals who suffer from Trazodone and alcohol abuse may speak to their doctors about the applicability of rehabilitation. Many rehab programs exist to stop abusing substances and start living a sober life.

Can Trazodone be taken for Depression? 

It is prescribed to treat depression in adults.

Is Trazodone FDA approved for depression?

It is FDA-approved to treat depression in adults.

Can Trazodone be taken for Anxiety? 

This antidepressant may be used off-label to treat anxiety if other medications have been ineffective or caused severe side effects

Is Trazodone FDA approved for anxiety?

Trazodone is not approved for anxiety treatment by the Food and Drug Administration(FDA).

What research supports Trazodone for anxiety?

  • Trazodone, Diazepam, and Imipramine were studied for efficacy in generalized anxiety disorder (GAD) treatment. An 8-week double-blind study included subjects who have had a diagnosis of GAD and a score of 18 in the Hamilton Anxiety Scale. Subjects were randomized to take Trazodone 255mg/daily, Imipramine 143mg/daily, and Diazepam 26mg/daily. The results demonstrated that all medications reduced symptoms of anxiety significantly.
  • Trazodone was compared against Chlordiazepoxide efficacy in anxiety treatment. 83 subjects were randomized to take one of the medications and were assessed using the Hamilton Anxiety Scale, and the Hopkins Symptom Checklist. Trazodone was found to be more effective to relieve anxiety over Chlordiazepoxide.

What do experts say about Trazodone for anxiety? 

Todd Christiansen, a child, and adolescent psychiatrist says – “Trazodone (once called Desyrel, now sometimes sold as Oleptro) was originally designed as an antidepressant. But due to the drug’s nature, patients had to take very high doses for it to effectively combat depression and anxiety.

What are the possible side effects of Trazodone?

The FDA warns about the following side effects when taking this antidepressant:

  • Dizziness;
  • Nausea;
  • Serotonin syndrome;
  • Extreme tiredness;
  • Cardiac arrhythmias;
  • Glaucoma;
  • Suicidal ideation in children, and adults;
  • Motor skills impairment.

The following side effects are associated with taking Trazodone and alcohol:

  • Drop in blood pressure;
  • Impaired judgment, concentration, driving ability;
  • Vomiting and nausea;
  • Mood swings;
  • Deteriorated depression or anxiety;
  • Decreased motor skills.

Overdose incidents have been reported when taking Trazodone and alcohol together in large doses. If you believe you have overdosed, seek emergency help immediately (call 911).

Speak to your doctor about safe intake of this antidepressant. 

Can you take Trazodone while pregnant or breastfeeding?

The FDA does not deem this antidepressant to be completely safe for pregnant women. Other medications and therapies are available to treat anxiety or depression while pregnant.

A doctor may occasionally prescribe it to nursing mothers if no other modalities have been effective or caused side effects.

Can children take Trazodone? 

Children under 18 are not typically prescribed this antidepressant, however, a doctor may prescribe it to treat depression if previous treatments have not been successful.

How to take Trazodone? 

The initial dose of the medication is typically 150 mg/daily. A doctor may increase it up to 400 mg if the patient is unresponsive to treatment. Take it as directed. Do not change the dosage without speaking to your doctor. A gradual decrease in dosage is required to avoid withdrawal effects. Take it after food or a light snack.

A medical history including a history of Trazodone and alcohol abuse should be assessed prior to administering this medication.

Are there alternatives to Trazodone? 

Prescription medications as Alternatives to Trazodone for Anxiety 

Trazodone is an antidepressant prescribed to treat depression, while a doctor may occasionally prescribe it off-label to treat anxiety. If you believe that treatment with this medication may be for you, you must speak with a doctor. Beyond that, other medications are available for anxiety treatment including:

  • Klonopin
  • Valium
  • Lexapro
  • Prozac
  • Buspirone
  • Inderal
  • Cymbalta
  • Tofranil
  • Hydroxyzine
  • Zoloft

There are various alternatives. If you’d like to learn more about whether Trazodone, another medication or treatment modality is right for you, we recommend that you speak with a licensed psychiatrist. Here are the best online psychiatry platforms so you can speak with someone right away!

Therapy as an Alternative to Trazodone

Learn more about different therapy options for anxiety here

Energy & Holistic Modalities as an Alternative to Trazodone

Learn more about different energy & holistics modalities for anxiety here

Tech & Devices as Alternative Treatments to Trazodone

Learn more about tech & devices for anxiety here

Disclaimer: This website does not provide medical advice. It is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis or treatment. Never ignore professional medical advice in seeking treatment because of something you have read on our Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.

Categories
Moderate Severe Anxiety Psychiatry & Medication Severe Anxiety

Tramadol and Alcohol

The Bottom Line

  • Tramadol is an opioid medication used for pain management.
  • A generic form of Tramadol is Ultram.
  • Available in tablets, capsules, and by injection.
  • Tramadol and alcohol are contraindicated to take together.

What is Tramadol? 

Tramadol is a medication prescribed to treat moderate to severe pain conditions, as well as pain after surgery. A doctor may occasionally prescribe it off-label to treat premature ejaculation, restless leg syndrome, or fibromyalgia. It may be prescribed for long-term treatment, however, caution is required as its regular use can lead to abuse and dependence.

The generic form of Tramadol is Ultram. It is available in tablets, capsules, and by injection. 

It is regulated under Schedule IV of the federal Controlled Substances Act.

What conditions is Tramadol taken for? 

The conditions that Tramadol is used for are moderate to severe pain in adults as well as pain after surgery. Off-label uses are linked to premature ejaculation, restless leg syndrome as well as fibromyalgia if no other medications have been responding or caused many severe side effects. 

Can you drink alcohol while taking Tramadol? 

It is not advised to take Tramadol and alcohol together. Tramadol and alcohol in large doses may cause severe side effects or be deadly.

Is there an interaction between Tramadol and alcohol?

Tramadol is an opioid medication, most commonly used as a painkiller. A doctor may usually prescribe it to treat moderate to severe pain or pain after surgery. It is believed to affect the central nervous system (CNS) and work on the brain’s neurotransmitters, including endorphins and enkephalins, to change how the body responds to pain. It belongs to the class of opioid analgesics and is only released under the Opioid Analgesic REMS program which controls its distribution. 

Alcohol is a depressant that is known to sedate the body and brain when consumed in small doses. When consuming alcohol in large doses, an individual may experience extreme sedation and long-lasting disconnection from reality. 

Mixing Tramadol and alcohol together may lead to life-threatening conditions, as an individual may overdose, experience difficulty breathing or long-term unconsciousness, among other severe side effects, such as: 

Enhanced effects of Tramadol and alcohol. 

Both Tramadol and alcohol act on the CNS which results in relief for the pain. When taken together in high doses, they enhance the effects of each other which may lead to extreme sedation, euphoria, or blackouts.

Suppressed functioning of heart, blood pressure, respiration. 

Tramadol and alcohol in large doses may both affect life-sustaining functions of the body. Mixing them may lead to a comatose state including low blood pressure, accelerated heart rate, and slow respiration which may be deadly.

Organ damage. 

When Tramadol and alcohol are taken together in high doses, they usually lower blood pressure which results in deoxidation of the organs like the brain. This may lead to brain damage, poor memory, and concentration, altered learning, and attention scores, as well as complex problem-solving. 

Overdose.

Mixing Tramadol and alcohol in high doses may lead to overdose, as these two enhance the effects of each other and may cause intoxication of the body.

Development of chronic diseases. 

Regular intake of Tramadol and alcohol together may increase the risk of developing certain medical conditions including cancer, ulcers, cirrhosis of the liver, dementia, arteriosclerosis, or stroke among others.

Uncontrolled behaviors. 

Taking Tramadol and alcohol in combination may increase risk of accidents, aggressive behavior, crime, unprotected sexual contact due to poor judgment, and misunderstanding of what is good or bad.

Sexual dysfunction.

Men who regularly mix Tramadol and alcohol have an increased risk of experiencing erectile dysfunction or impotence.

Malformations and abnormalities of the fetus.

Pregnant women who take Tramadol and alcohol together may give birth to children with multiple disorders or poor respiratory conditions.

Increased probability of mental health conditions.

Individuals who chronically abuse Tramadol and alcohol together may be at great risk of experiencing depression, anxiety as well as substance use disorder.

Increased probability of self-harm incidents.

Individuals who take Tramadol and alcohol in the long-term may experience suicidal ideation or behaviors.

Increased probability of hallucinations.

Tramadol and alcohol may cause hallucinations when taken in large doses. 

Tramadol and alcohol addiction treatment is available in certain medical centers. If you require help, speak to your doctor or seek a rehab clinic that provides a withdrawal treatment. 

The abuse of Tramadol and alcohol is a common concern within all age groups, however, the highest precaution when prescribing this pain killer should be given to young adults under 25 who may voluntarily misuse it.

Disclose a full list of medications and health supplements you already take as well as inform the doctor if you have had a medical history of abuse with Tramadol and alcohol or any other substances.

Can Tramadol be taken for Anxiety?

Tramadol is not classified as anxiolytic medication, however, a doctor may occasionally prescribe it to treat anxiety induced by pain when no other medications showed response or caused severe side effects. Other modalities are available to treat it.

Is Tramadol FDA approved for anxiety?

Tramadol is not approved for anxiety by the Food and Drug Administration (FDA).

Can Tramadol be taken for Depression? 

Tramadol does not have proof of efficacy for depression treatment. Other modalities are available to treat it.

Is Tramadol FDA approved for depression?

Tramadol is not FDA-approved for depression.  

What research supports Tramadol for anxiety? 

  • Tramadol was studied for anxiety/depression-associated behaviors induced by pain in rats. Elevated plus-maze test (EPM) – to record anxiety scores has been involved in the study. On the EPM, rats spent 45% less time than sham on the open arms of the maze. The results have demonstrated that this opioid medication reversed the changes in anxiety-related behaviors in rats, relieved chronic pain, and anxiety as a comorbid of this health condition.

What are the possible side effects of Tramadol? 

It may occasionally cause severe side effects when consumed solo or taken in combination with other medications, health supplements as well as alcohol.

The most common side effects when taking Tramadol are:

  • drowsiness;
  • headache;
  • nausea;
  • sweating;
  • agitation;
  • anxiety;
  • constipation;
  • hallucinations.

The common side effects when taking Tramadol and alcohol are:

  • increased probability of suicidal thinking;
  • vomiting;
  • organ damage;
  • mental and physical impairment;
  • sexual dysfunction.

Do not abruptly stop taking this medication without speaking to your doctor. Gradual discontinuation of the dosage is required.

Overdose incidents have been reported when taking Tramadol and alcohol in high doses. If you believe you have overdosed, seek emergency help immediately (call 911).

It may impair driving ability. Do not drive or operate heavy machinery until you know how it affects your body.

The full list of side effects and their severity depends on the individual’s medical history and treatment plan.

Always speak to your doctor before taking opioid-like pain killers.

Can you take Tramadol while pregnant or breastfeeding? 

Tramadol is not recommended to take while pregnant, as it has the potential to cause malformations and abnormalities in the fetus. Speak to your doctor if you are pregnant, as other modalities are available to treat pain.

The FDA does not approve the use of this pain killer in nursing mothers. 

Can children take Tramadol?

Children under 12 should not be prescribed Tramadol. The FDA warns about its potential for fatal outcomes in pediatrics. 

How to take Tramadol? 

The prescription of this pain killer is only available with the Opioid Analgesic REMS program. The dosage of Tramadol is tailored individually. Always speak to your doctor about the safe intake.

Use in adults:

  • for pain management. The initial dose is 50-100mg/every 4-6 hours.
  • for chronic pain management. The initial dose is 100mg/daily.

Use in geriatrics:

  • for pain management. The initial dose is 300mg/daily of an immediate-release capsule.
  • for chronic pain. The initial dose is 300mg/daily of an immediate-release capsule.

Do not adjust the dose without speaking to your doctor. 

Are there alternatives to Tramadol? 

Prescription medications as Alternatives to Tramadol for Anxiety

Tramadol is a medication prescribed to treat pain in adults. It is a controlled substance that has many precautions, contraindications, and is available only under the Opioid Analgesic REMS program. Speak to your doctor about other prescription medications, including:

  • Klonopin
  • Valium
  • Lexapro
  • Prozac
  • Buspirone
  • Inderal
  • Cymbalta
  • Tofranil
  • Hydroxyzine
  • Zoloft

There are various alternatives. If you’d like to learn more about whether Tramadol, another medication or treatment modality is right for you, we recommend that you speak with a licensed psychiatrist. Here are the best online psychiatry platforms so you can speak with someone right away!

Therapy as an Alternative to Tramadol

Learn more about different therapy options for anxiety here

Energy & Holistic Modalities as an Alternative to Tramadol

Learn more about different energy & holistics modalities for anxiety here

Tech & Devices as Alternative Treatments to Tramadol

Learn more about tech & devices for anxiety here

Disclaimer: This website does not provide medical advice. It is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis or treatment. Never ignore professional medical advice in seeking treatment because of something you have read on our Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.

Categories
Moderate Anxiety Moderate Severe Anxiety Psychiatry & Medication Severe Anxiety

Nardil

The Bottom Line

  • Nardil is an antidepressant used for depression and anxiety treatment.
  • FDA approved for depression.
  • Available in tablets.
  • Requires a certain diet.

What is Nardil?

Nardil (Phenelzine) is a monoamine oxidize inhibitor (MAOI) antidepressant. It is prescribed to treat most forms of depression, except for bipolar depression. A doctor may occasionally turn to its off-label use for anxiety, panic disorder, fear, or mood swings management. Nardil is most often used when a patient has not responded to previous treatments or has experienced side effects.

Nardils mechanism of action is linked to increasing the levels of certain neurotransmitters in the brain such as serotonin, and dopamine which both then contribute to relief of anxiety and depression symptoms.

This medication comes in tablets of 15mg strength. 

Can Nardil be taken for Anxiety? 

Nardil can sometimes be prescribed off-label for anxiety manifested as a stand-alone health condition or an accompanying symptom of depression. Anxiety caused by everyday stress is not an indication for Nardil. Also, it is not recommended as the first-line medication for the treatment. It may be used as an alternative, substitute for other medications, or in combination.

Is Nardil FDA approved for anxiety?

The Food and Drug Administration (FDA) has approved Nardil to treat depression in adults. It is not approved for treatment of anxiety. The FDA has issued a black box warning for Nardil as it has the potentiality to elevate suicidal thinking in adults. Prescription and caution are required.  

What research supports Nardil for anxiety?

Nardil (Phenelzine) has been studied for anti-anxiety effects:

  • Phenelzine was studied in combination with Cognitive-Behavioral Group Therapy (GBGT) on safety and efficacy in social anxiety treatment. 128 subjects with symptoms of a social anxiety disorder (SAD) were subjected to trials for 24 weeks. The results demonstrated that Phenelzine and GBGT were more effective when prescribed together rather than stand-alone treatments.
  • Phenelzine was studied against Atenolol and placebo in the treatment of SAD patients. Subjects were administered with Phenelzine 76 mg and Atenolol 98 mg daily for 7 months. Subjects treated with Phenelzine experienced fewer side effects but required following certain dietary restrictions. Phenelzine improved anxiety scores.
  • Phenelzine was studied against Imipramine in managing anxiety scores. The results showed that their combination was successful in treatment-resistant and severely ill patients with anxiety and panic disorder. 

What are the possible side effects?

Nardil is believed to cause mild to moderate side effects which can be avoided or prevented by adjusting the right dosage in adults, or by making dietary changes (discussed in the next section).

Commonly reported side effects include:

  • dizziness;
  • drowsiness;
  • headache;
  • nausea;
  • vomiting;
  • dry mouth;
  • weight gain;
  • sexual dysfunction.

Stopping Nardil use abruptly may cause withdrawal side effects:

  • dizziness;
  • insomnia;
  • nausea.

The Food and Drug Administration (FDA) warns about its potentiality to increase suicidal thinking in adults. Periodical assessment of Nardil’s usefulness is required.

Nardil can impair alertness or cause drowsiness while driving or operating heavy machinery. Do not drive or operate until you know how this medication affects your reaction. Its administration in the long-term treatment may rarely lead to abuse or addiction. Doctor’s supervision of treatment is required.

Does Nardil have interactions with other medications? 

Nardil may interact with certain medications and cause issues. Do not combine Nardil with serotoninergic agents such as Fluoxetine, Paroxetine, as serious and fatal events have been reported.

The following medication may interact negatively with Nardil:

  • Antidepressants;
  • Appetite suppressants;
  • Medication for blood pressure;
  • Migraine medications;
  • Other MAOIs;
  • Parkinson’s medications;
  • Cold medications with dextromethorphan.

Nardil is an MAOI medication which requires a dietary regimen excluding certain food and beverages.

Avoid eating and drinking:

  • liver;
  • herring;
  • wine and beer;
  • dry sausages such as salami;
  • beans;
  • cheese (except for cottage and cream cheese);
  • yogurt.

After discontinuing the treatment with Nardil, you have to abstain from the mentioned foods for at least two weeks.

Always speak to your doctor about possible interactions.

Can you take Nardil while pregnant or breastfeeding?

There is no evidence about Nardil’s harmful effect in pregnant women, however, in animal studies, the maximal doses prescribed to humans have been found to retard the growth of rats and dogs. Speak to your doctor about taking Nardil when pregnant or if you plan to become pregnant.

It is not known if Nardil can excrete into breast milk.

Can children take Nardil for anxiety? 

The Food and Drug Administration (FDA) does not approve Nardil for children. Doctors may rarely prescribe it if benefits outweigh the risk or if other medications have shown no response.

How to take Nardil?

The dosages may differ for each health condition Nardil is prescribed for. Speak to your doctor about the treatment plan suitable for your particular case. 

The treatment dosages are classified per the early and maintenance phases.

The initial dosage is 15 mg 3 times per day.

  • Early phase. 15 up to 90 mg per day until a patient shows tolerance. It may take up to 4 weeks to feel the effect of treatment. 
  • Maintenance phase. 15 mg per day. A doctor will gradually decrease the number of intakes until there is no risk of withdrawal syndrome.

If you skip a dose, take it as soon as you remember. Do not exceed the dose. Overdose events with Nardil have been reported. If you believe you have overdosed, seek emergency help immediately.

Are there alternatives to Nardil? 

Prescription medications as Alternatives to Nardil for Anxiety

Nardil is an antidepressant that responds to long-term treatment. It requires a certain meal plan and may be contraindicated for use if you already take certain medications it can interact with. Speak to your doctor to get to know about other prescription medications for anxiety. Some of them are:

  • Klonopin
  • Valium
  • Lexapro
  • Prozac
  • Buspirone
  • Xanax
  • Inderal
  • Cymbalta
  • Tofranil
  • Hydroxyzine
  • Zoloft

There are various alternatives. If you’d like to learn more about whether Nardil, another medication or treatment modality is right for you, we recommend that you speak with a licensed psychiatrist. Here are the best online psychiatry platforms so you can speak with someone right away!

Therapy as an Alternative to Nardil

Learn more about different therapy options for anxiety here

Energy & Holistic Modalities as an Alternative to Nardil

Learn more about different energy & holistics modalities for anxiety here

Tech & Devices as Alternative Treatments to Nardil

Learn more about tech & devices for anxiety here

Disclaimer: This website does not provide medical advice. It is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis or treatment. Never ignore professional medical advice in seeking treatment because of something you have read on our Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.

Categories
Moderate Anxiety Moderate Severe Anxiety Psychiatry & Medication Severe Anxiety

Gabapentin and Alcohol

The Bottom Line

  • Gabapentin is FDA-approved to treat partial seizures and nerve pain caused by shingles infections.
  • It may be prescribed off-label for anxiety treatment.
  • Available in tablets and as a generic, Neurontin.
  • It is contraindicated to mix Gabapentin and alcohol.

What is Gabapentin?

Gabapentin is a medication from the anticonvulsant class. It is used to treat partial seizures, and pain caused by shingles. A doctor may occasionally prescribe it off-label for certain mental health conditions such as anxiety or bipolar disorder. It is also occasionally used for insomnia, hot flashes, and restless leg syndrome.

This medication is believed to affect certain neurotransmitters in the brain and decrease sensitivity to pain.

It is available in tablets. It fits short-term applications, however, a doctor may use it long-term if benefits prevail the risks.

What conditions is Gabapentin taken for?

The medication is used for are seizures, postherpetic neuralgia, anxiety, bipolar disorder, hot flashes, restless leg syndrome as well as insomnia.

Can you drink alcohol while taking Gabapentin?

It is not advised to mix Gabapentin and alcohol. Take the medication only as directed by your doctor.

Is there an interaction between Gabapentin and alcohol?

Gabapentin is an anticonvulsant medication for partial seizures and nerve pain caused by shingles infections in adults and children. It works by decreasing sensitivity to pain when prescribed for postherpetic neuralgia, and by affecting low levels of calcium when prescribed to treat seizures. While relatively safe to take as directed by the doctor, some interactions with this medication may cause severe side effects. Taking Gabapentin and alcohol in combination should be avoided.

Alcohol is a sedative with a variety of effects. It has the potential for altering mental processes. The effects of alcohol resemble medications used to produce sleepiness for surgery, and it works very quickly. In small doses, Gabapentin and alcohol produce sedation, while their excessive consumption may lead to abuse and dependence. In some individuals, excessive consumption of alcohol may lead to several persisting side effects including:

  • Nausea
  • Headache
  • Agitation
  • Depression
  • Insomnia
  • Seizures

Taking Gabapentin and alcohol together may increase the risk of experiencing nervous system side effects, as well as impaired thinking and judgment. Among other potential dangers of combined Gabapentin and alcohol consumption are:

Intoxication. 

Mixing Gabapentin and alcohol may lead to extreme intoxication. An individual may lose concentration, experience dizziness, drowsiness, and nausea, among others. Incidents of choking on vomit may occur.

Blackouts. 

Taking Gabapentin and alcohol in high doses may lead to memory loss and poor alertness. An individual may faint or be unable to remember long-term memories.

Overdose. 

Overdose incidents have been reported when mixing Gabapentin and alcohol. Both substances may slow breathing and lower heart rate. A combination of Gabapentin and alcohol in high doses may be deadly.

Mood changes. 

Gabapentin and alcohol in combination may lead to uncontrolled behaviors, where an individual exposes himself to dangerous activities.

Suicidal thinking.

Gabapentin and alcohol may increase the risk of suicidal thinking. The use of this medication alone is already linked to such risk, so taking Gabapentin and alcohol together can be extremely dangerous.

Injuries. 

Gabapentin and alcohol in combination produce extreme sedation, decrease motor control, and increase risk of falling.

Doctors advise to abstain from combining Gabapentin and alcohol. When using both substances, they may alter or enhance the effects of each other. 

You should only take this medication as directed by the doctor. Gabapentin and alcohol should not be mixed.

Can Gabapentin be taken for Anxiety?

A doctor may prescribe it off-label to treat anxiety disorder if no other first-line medications have been effective or have caused severe side effects. It may be used for anxiety symptoms caused by bipolar disorder. Normal anxiety does not require the prescription of this medication, as other modalities are available to affect it. 

Is Gabapentin FDA approved for anxiety?

Gabapentin is not approved for anxiety by the Food and Drug Administration (FDA). It is FDA approved only to treat postherpetic neuralgia and control partial seizures in both adults and children.

Can Gabapentin be taken for Depression?

It is not usually prescribed to treat depression. Other modalities are available to treat this mental health condition.

Is Gabapentin FDA approved for depression?

It is not FDA-approved for depression. Other modalities are available to treat this mental health condition.

What research supports Gabapentin for anxiety?

  • Gabapentin was studied for efficacy in generalized anxiety disorder (GAD) treatment. A 59-year-old female with GAD and major depressive disorder (MDD) was psychiatrically hospitalized where she was administered with Gabapentin 600-900 mg doses daily for 10 months. After a 10 month follow-up, she showed significant remission of anxiety symptoms with 900 mg doses.
  • Gabapentin was studied against a placebo for social anxiety disorder treatment. 69 subjects were divided into two groups, the first group took Gabapentin 3600 mg/daily, the second group took the placebo for 14 weeks. The results demonstrated that the medication reduced anxiety scores by 27 points with the Liebowitz Social Anxiety Scale (LSAS), compared to 12 points in the placebo group.
  • Gabapentin was studied for anxiety reduction before surgery. 40 subjects were randomly assigned to Gabapentin 1200 mg or placebo 1-2 hours before the surgery. The results demonstrated that the Gabapentin-group had lower anxiety scores than the placebo. 

What do experts say about Gabapentin for anxiety?

Andrew Saxon, M.D., chair of the American Psychiatric Association’s Council on Addiction Psychiatry says “Non-pain related conditions like anxiety and alcohol withdrawal can benefit from gabapentin.”

What are the possible side effects of Gabapentin?

Like any medication, it may cause side effects including:

  • dizziness;
  • drowsiness;
  • ataxia;
  • Fatigue;
  • headache.

Mixing Gabapentin and alcohol may lead to:

  • intoxication;
  • impaired alertness, consciousness;
  • blackouts;
  • mood changes;
  • increased suicidal thinking.

The full list of side effects and their severity depends on the individual patient’s medical history as well as a treatment regimen. Gabapentin and alcohol overdose incidents have been reported.

Always speak to your doctor if you experience side effects when taking this medication.

Can you take Gabapentin while pregnant or breastfeeding?

This medication is not recommended for use in pregnant and nursing mothers. It may harm the fetus and excrete into milk.

Speak to your doctor if you are pregnant or nursing, as safer modalities are available for you.

Can children take Gabapentin?

It may be prescribed for use in children to treat seizures who are at least 3 years old.

How to take Gabapentin? 

The dosage is tailored individually. Speak to the doctor if you decide that treatment with this medication may be for you. 

The initial dosage is 300 mg. It may be doubled on the second day and tripled on the third day until the therapeutic effect is achieved. Take it as directed by the doctor. Do not increase the dosage. 

If you believe you have overdosed, seek emergency help immediately (call 911).

Are there alternatives to Gabapentin? 

Prescription medications as Alternatives to Gabapentin for Anxiety 

Gabapentin is a medication prescribed to treat seizures and pain in adults and children. A doctor may occasionally prescribe it off-label for anxiety. Speak to the doctor about other prescription medications that may be a good fit for you. Other modalities are available including:

  • Klonopin
  • Valium
  • Lexapro
  • Prozac
  • Buspirone
  • Xanax
  • Inderal
  • Cymbalta
  • Tofranil
  • Hydroxyzine
  • Zoloft

There are various alternatives. If you’d like to learn more about whether Gabapentin, another medication or treatment modality is right for you, we recommend that you speak with a licensed psychiatrist. Here are the best online psychiatry platforms so you can speak with someone right away!

Therapy as an Alternative to Gabapentin

Learn more about different therapy options for anxiety here

Energy & Holistic Modalities as an Alternative to Gabapentin

Learn more about different energy & holistics modalities for anxiety here

Tech & Devices as Alternative Treatments to Gabapentin

Learn more about tech & devices for anxiety here

Disclaimer: This website does not provide medical advice. It is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis or treatment. Never ignore professional medical advice in seeking treatment because of something you have read on our Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.

Categories
Moderate Anxiety Moderate Severe Anxiety Psychiatry & Medication Severe Anxiety

Celexa for Anxiety

The Bottom Line

  • Celexa is an FDA-approved medication used to treat depression;
  • It is used off-label for anxiety;
  • Available in tablets and oral solution.

What is Celexa?

Celexa is a brand name for Citalopram, a medication in the selective serotonin reuptake inhibitor (SSRI) class. It is used as an antidepressant to treat depression in adults. Its use in children with depressive disorders is not recommended, however, the efficacy in clinical trials has been found. Occasionally, a doctor may prescribe it off-label for anxiety, social phobia, and panic disorder. It is available in tablets or as an oral solution. 

Celexas antidepressant effects can be felt in 1 to 4 weeks. It is normally used short-term; long-term use is not recommended as it may increase risk of diabetes or abnormal heart rate or rhythm.

Can Celexa be taken for anxiety?

Celexa  can be prescribed off-label for anxiety, and is believed to be effective as a treatment for social anxiety disorder (SAD). It works by balancing the neurotransmitters in the brain such as serotonin, and dopamine which can affect mood. SSRI medications block the reuptake of serotonin, meaning more serotonin is present in the brain. Doctors may occasionally use it in conjunction with cognitive-behavioral therapy (CBT). However, this medication is not the first-line relief for anxiety disorders and is used when no other medication has relieved anxiety or when treatment has caused side effects.

Is Celexa FDA approved for anxiety?

Celexa is not approved by the Food and Drug Administration (FDA) to treat anxiety. However, according to the American Psychiatric Association (APA), its use is recommended for treatment of panic disorder. The FDA approved Citalopram only for depression in adults over 18 and issued a black box warning as this medication has the potential to increase suicidal thinking. 

What research supports Celexa for anxiety? 

  • Celexa was studied in a retrospective case observation. 13 subjects with a generalized anxiety disorder (GAD) were treated with a 33 mg dose of Citalopram daily for 12 weeks. After the clinical trial, all subjects reported significant improvements in GAD and depressive symptoms.
  • Celexa was studied for efficacy in children and adolescents with depressive and anxiety symptoms. For 8 weeks, 78 subjects were administered with a 20-40mg dose of Citalopram daily. 56% of subjects responded to Citalopram. Most observed side effects were mild, and no increase in suicidal thinking was reported.
  • Celexa was studied in elderly people with anxiety disorders. 34 subjects were administered with 10-20mg of Citalopram daily for 8 weeks. 65% responded to the treatment, although extreme sedation was commonly reported. 

What are the possible side effects?

Like all medications, Celexa may cause side effects. The most commonly reported side effects of Celexa include:

  • drowsiness;
  • nausea;
  • insomnia;
  • dry mouth;
  • asthenia;
  • vomiting.

When used for anxiety, withdrawal symptoms have been reported, including:

  • irritability;
  • vomiting;
  • nightmares;
  • dizziness;

Do not abruptly stop taking Celexa, as the body gets used to increased serotonin levels and sudden discontinuation may lead to disturbing thoughts. A doctor will gradually taper the dose of Citalopram to terminate the treatment with no side effects.

This medication has the potential for abuse and dependence and may be misused. Prescription and caution are required.

This medication may affect your alertness or cause drowsiness if you drive a car or operate heavy machinery. However, compared to other antidepressants, it is less likely to cause drowsiness. Consult your doctor before use.

Does Celexa have interactions with other medications?

Celexa may interact with certain medications, herbs, and health supplements. Speak to your doctor about all possible interactions to avoid negative effects.

The possible interactions which may interfere with the efficacy of Celexa or be dangerous include:

  • Monoamine oxidase inhibitors (MAOI);
  • Blood thinners;
  • Ibuprofen;
  • Aspirin;
  • Antidepressants such as Fluoxetine;
  • Antihistamines;
  • Allergy and cold medications;

The most dangerous interaction is with MAIO medications. Fatal events have been reported when taking MAOIs alongside Celexa. They have also been reported when discontinuing Citalopram and starting MAIO straightaway. Inform your doctor if you take MAIO medications or plan to take them alongside Citalopram.

Abstain from alcohol while taking Celexa, as the Food and Drug Administration (FDA) warns about potential overdose events. 

Can you take Celexa while pregnant or breastfeeding? 

It is not recommended for use in pregnant women. A doctor may occasionally prescribe it only if benefits outweigh the risks. 

It is not recommended in nursing mothers as Citalopram is excreted into human milk. Infants whose mothers took Celexa when breastfeeding have the potential to experience extreme drowsiness, and weight loss. 

Can children take Celexa for anxiety?

Children under 18 are not usually prescribed Celexa, however, a doctor may use it if benefits outweigh the risks.

How to take Celexa?

Celexa should be taken one time per day either in the morning or evening, with or without food. Try to make a habit of taking it at the same time daily. 

The initial dosage for adults is 20mg/daily. A doctor may increase it but not over 40 mg per day.

The initial dosage for the elderly is 20mg/daily. It should not be increased.

Overdose events have been reported, especially when taken with alcohol. Do not increase dosage yourself. Always speak to your doctor about a safe intake of Celexa. If you believe that you overdosed, seek emergency help immediately (call 911).

Are there alternatives to Celexa?

Prescription medications as Alternatives to Celexa for Anxiety 

Celexa is an antidepressant that is approved for depression treatment. A doctor may use it off-label for anxiety, however, it may not be fit for your particular case. Speak to your doctor about other prescription medications suitable for anxiety treatment. Some of them are:

  • Klonopin
  • Valium
  • Lexapro
  • Prozac
  • Buspirone
  • Xanax
  • Inderal
  • Cymbalta
  • Tofranil
  • Hydroxyzine
  • Zoloft

There are various alternatives. If you’d like to learn more about whether Celexa, another medication or treatment modality is right for you, we recommend that you speak with a licensed psychiatrist. Here are the best online psychiatry platforms so you can speak with someone right away!

Therapy as an Alternative to Celexa

Learn more about different therapy options for anxiety here

Energy & Holistic Modalities as an Alternative to Celexa

Learn more about different energy & holistics modalities for anxiety here

Tech & Devices as Alternative Treatments to Celexa

Learn more about tech & devices for anxiety here

Disclaimer: This website does not provide medical advice. It is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis or treatment. Never ignore professional medical advice in seeking treatment because of something you have read on our Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.

Categories
Moderate Anxiety Moderate Severe Anxiety Psychiatry & Medication Severe Anxiety

Cipralex

The Bottom Line

  • Cipralex is an SSRI medication prescribed to treat depression and anxiety.
  • Cipralex is FDA-approved to treat anxiety.
  • Also available under the brand name of Lexapro, and generic name of Escitalopram.
  • Fits long-term treatment.

Cipralex (Escitalopram)  is a selective serotonin reuptake inhibitor (SSRIs), usually prescribed to treat anxiety and depression. Cipralex is believed to work by balancing the levels of serotonin in the brain, which leads to relief.  It appears to be safe for long-term application if taken as directed. 

Cipralex is also widely sold under the brand name of Lexapro, or under its generic name Escitalopram. Available in tablets and oral solution.

Can Cipralex be taken for Anxiety?

Cipralex is usually prescribed to treat generalized anxiety disorder (GAD) in adults. In European countries, it is also approved for social anxiety, obsessive-compulsive disorder (OCD) as well as panic disorder. 

Is Cipralex  FDA approved for anxiety?

Escitalopram is approved to treat generalized anxiety disorder (GAD) in adults by the Food and Drug Administration (FDA).

What research supports Cipralex for anxiety? 

There is extensive evidence on the efficacy of Escitalopram for anxiety.

  • Escitalopram was studied against the placebo for efficacy and tolerability in the treatment of generalized anxiety disorder (GAD). Outpatients were randomly assigned to take Escitalopram 10mg/one time per day for 4 weeks or placebo for 8 weeks. The Escitalopram group reported significant improvements in the anxiety scores over the placebo. Escitalopram was well-tolerated in all subjects with a minimum of side effects.
  • Escitalopram was studied against a placebo for efficacy in the treatment of social anxiety disorder (SAD). 177 subjects received placebo, and 181 received the Escitalopram dose of 10-20mg daily for 12 weeks. The results demonstrated that Escitalopram was more effective based on anxiety total scores compared to the placebo group.
  • Escitalopram was studied against Paroxetine as the first-line medication to treat GAD. Subjects were randomized to take Escitalopram 10-20mg/daily or Paroxetine 20-50mg/daily for 24 weeks. Both medications were effective with low rates of treatment-related adverse effects. The study suggested using Escitalopram as the first-line medication to treat GAD.

What do experts say about Cipralex for anxiety? 

Dr. Keith Roach, a primary care internist says “I often prefer to change a person from a medicine like Xanax (alprazolam) to a medication like escitalopram (Lexapro), which is similar to citalopram (Celexa), sertraline (Zoloft) and fluoxetine (Prozac), among many others. In many people, the side effects are lower and effectiveness is higher.”

What are the possible side effects? 

The side effects of Cipralex are usually of a short-term nature, and are likely to disappear after the patient becomes accustomed to the medication. During the treatment with Cipralex, you may face the following side effects:

  • nausea;
  • extreme tiredness;
  • dry mouth;
  • dizziness;
  • constipation;
  • extreme sweating.

When stopping SSRIs like Cipralex, a gradual decrease of dosage is required, as they may cause withdrawal effects including:

  • insomnia;
  • nausea;
  • headache;
  • irritability.

Some men may also experience sexual problems when abruptly stopping the intake of SSRIs like Cipralex, including erectile dysfunction or premature ejaculation. In women, it may lead to vaginal dryness.

Overdose incidents have been reported with Cipralex. If you believe you have overdosed, seek emergency help immediately (call 911).

Does Cipralex have interactions with other medications?

Cipralex may interact with other medications and health supplements. Disclose your full list of medications to your doctor before starting treatment with Cipralex.

Cipralex may interact with:

  • Antiplatelet medications;
  • Aspirin;
  • MAO inhibitors;
  • St. John’s wort;
  • Antihistamines;
  • Medications for insomnia;
  • Muscle relaxants;
  • Opioid medications.

It should not be prescribed to patients with diabetes or prescribed with caution, as it may become harder to control safe levels of blood sugar.

Abstain from drinking alcohol when taking Cipralex, as it may lead to extreme sedation and symptoms of dizziness, drowsiness, impairment in thinking as well as overdose if taking both substances in large doses.

Can you take Cipralex  while pregnant or breastfeeding?

Cipralex is not linked to malformations, respiratory issues, or abnormalities in the fetus, and may be occasionally prescribed by the doctor for pregnant women.

Cipralex is believed to be safe for nursing mothers. Speak to your doctor about the correct intake of this antidepressant when breastfeeding.

Can children take Cipralex for anxiety?

Children under 12 are not typically prescribed Cipralex for anxiety. It has a black box warning issued by the Food and Drug Administration, as it may increase suicidal thoughts or intentions in children and young adults. Other modalities are available to treat anxiety for this age group.

How to take Cipralex?

Cipralex dosage is tailored individually.

The initial dose is 10 mg one time per day. It may be increased to 20 mg if there is no therapeutic effect. 

Take it with or without the food, as directed by your doctor. Make a habit of taking the dose at the same time every day. If you have difficulty sleeping, it is believed to work best if taking in the morning.

This antidepressant should begin to work within 1 to 4 weeks, however, it may differ between individuals.  

Are there alternatives to Cipralex? 

Prescription medications as Alternatives to Cipralex  for Anxiety 

Cipralex is typically prescribed to treat anxiety disorders in adults, however, as an SSRIs medication, it may lead to potential side effects and have dangerous interactions. If you believe this medication may be for you, speak to the doctor about its applicability and efficacy for your particular case. Other modalities are available to treat anxiety including:

  • Klonopin
  • Valium
  • Lexapro
  • Prozac
  • Buspirone
  • Xanax
  • Inderal
  • Cymbalta
  • Tofranil
  • Hydroxyzine
  • Zoloft

There are various alternatives. If you’d like to learn more about whether Cipralex, another medication or treatment modality is right for you, we recommend that you speak with a licensed psychiatrist. Here are the best online psychiatry platforms so you can speak with someone right away!

Therapy as an Alternative to Cipralex

Learn more about different therapy options for anxiety here

Energy & Holistic Modalities as an Alternative to Cipralex

Learn more about different energy & holistics modalities for anxiety here

Tech & Devices as Alternative Treatments to Cipralex

Learn more about tech & devices for anxiety here

Disclaimer: This website does not provide medical advice. It is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis or treatment. Never ignore professional medical advice in seeking treatment because of something you have read on our Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.

Categories
Psychiatry & Medication

MAOI (Monoamine Oxidase Inhibitor)

The Bottom Line

  • MAOI is an antidepressant usually prescribed to treat depression.
  • Certain MAOIs are FDA-approved for depression.
  • MAOI medications are not FDA-approved to treat anxiety.
  • Require diet restrictions.

What is an MAOI?

Monoamine oxidase inhibitors (MAOI) were the first type of antidepressants to be developed, in the early 1950s. Examples of MAOIs used to treat depression include: 

  1. Isocarboxazid (Marplan)
  2. Phenelzine (Nardil)
  3. Selegiline (Emsam)
  4. Tranylcypromine (Parnate) 

Although these MAOI medications are prescribed to treat depression, the off-label uses include generalized anxiety disorder(GAD), panic attacks, and obsessive-compulsive disorder(OCD). A doctor may also prescribe them to treat Parkinson’s and other mental health conditions which did not respond to other antidepressants. If you are considering using a prescription medication to treat any condition, always consult a doctor beforehand.

MAOI medications work through affecting monoamine oxidase enzymes, which then modulate certain neurotransmitters in the brain, including serotonin, norepinephrine, and dopamine. By affecting the reuptake of these chemicals, MAOI elevate their levels allowing them to continue influencing cells that have been previously affected.

However, while effective, MAOIs are no longer considered the first-line medications for depression treatment. They may dangerously interact with other medications, health supplements, and even foods. For these reasons, they are often used when a patient does not respond to another treatment.

What are the different MAOIs?

The examples of MAOI medications are:

  • Rasagiline 
  • Selegiline 
  • Isocarboxazid 
  • Phenelzine 
  • Tranylcypromine 

What conditions are MAOIs used for?

MAOI is used for various mental health conditions. A doctor may prescribe them for different types of depression, anxiety disorders, Parkinson’s among others. Also, some MAOIs can be prescribed to treat bulimia nervosa, PTSD, pain, migraine as well as attention deficit disorder (ADD).

Can MAOIs be taken for Anxiety? 

MAOI is believed to be effective for anxiety disorders including generalized anxiety, social phobia, PTSD, OCD, and panic attacks. 

Which MAOI are FDA approved for anxiety?

MAOI medications are not approved for anxiety by the Food and Drug Administration (FDA). However, a doctor may prescribe a MAOI off-label for anxiety. 

Can MAOIs be taken for Depression? 

MAOI is a type of medication prescribed to treat different types of depression. They are most well-known for efficacy in treatment-resistant depression (TRD) and atypical depression, however, they are not the first-line medication for these mental health conditions. They may interact with various medications and health supplements as well as require certain dietary restrictions.

Which MAOIs are FDA approved for depression?

The FDA approved the following MAOI medications for depression:

  • Isocarboxazid (Marplan)
  • Phenelzine (Nardil)
  • Selegiline (Emsam)
  • Tranylcypromine (Parnate)

The FDA also issued a black box warning for MAOI medications, as they have the potential to increase suicidal thinking in adults. Prescription and caution are required.

What research supports MAOIs for anxiety?

There is extensive research supporting MAOI for anxiety:

  • Tranylcypromine was studied for panic disorder and social anxiety efficacy in a double-blind dose comparison trial. Tranylcypromine was administered in 30 mg and 60 mg dosages to subjects for 12 weeks. Tranylcypromine 30 mg reduced panic attacks in 69.9% of subjects, while Tranylcypromine 60 mg reduced panic attacks in 74.8% of subjects. for social anxiety. Tranylcypromine 60 mg was twice as effective compared to the lower dose. 
  • Phenelzine was studied against a placebo for efficacy in treating phobic anxiety in a double-blind trial. 40 subjects with agoraphobia and social phobia were administered either with Phenelzine or placebo for two months. The Phenelzine group reported significant improvements compared to the placebo. The study suggested prescribing Phenelzine for anxiety disorders for at least two months to maximize the benefits of the treatment.
  • Selegiline was studied for efficacy in social phobia treatment. 16 subjects took the Selegiline dose of 5mg/daily for 6 weeks. Subjects were seen weekly by a psychiatrist to examine their clinical state using the the Liebowitz Social Anxiety Scale as well as, the Liebowitz Social Phobic Disorders Scale. The results have demonstrated that only 9 subjects completed the study, while 3 subjects out of total 16 have found Selegiline effective for anxiety and have been clinically improved with social phobia symptoms.

What do experts say about MAOIs for anxiety? 

Kenneth Schulman, MD, says about MAOI “Unfamiliarity and ignorance lead to apprehensions concerning MAOIs, removing an excellent therapeutic option.”

Steven Stahl, MD, Ph.D., author of Stahl’s Essential Psychopharmacology says about Nardil “a pharmaceutical secret weapon for patients who fail to respond to the better-known agents.”

What are the possible side effects of the various MAOIs? 

MAOI has an extensive profile of possible side effects, including:

  • drowsiness;
  • nausea;
  • dry mouth;
  • insomnia;
  • hypertension;
  • hypotension;
  • weight gain;
  • confusion.

Do not abruptly stop taking MAOI without speaking to your doctor. Sudden discontinuation may lead to withdrawal symptoms including:

  • insomnia;
  • nightmares;
  • anxiety;
  • irritability.

The full list of side effects and the severity depends on the individual patient’s medical history and treatment regimen.

Overdose incidents have been reported when taking MAOI. 

MAOI may impair your ability to drive. Do not take MAOI until you know how they affect your body. Always speak to your doctor if you experience any side effects when taking MAOI.

MAOI may interact with certain medications. Disclose your full list of medications alongside health supplements to your doctor.

Medications that MAOIs potentially interact with include:

  • Other antidepressants including Fluoxetine;
  • Pain killers;
  • Seizure medications;
  • St.John’s wort.

MAOI medications require dietary restrictions. Abstain from eating and drinking the following products when taking MAOI:

  • Cheese (except for cream cheese and cottage cheese);
  • Sauerkraut;
  • Soy products;
  • Yogurt;
  • Caviar;
  • Fermented sausages;
  • Beer and red wine.

After discontinuing the treatment with MAOI, a patient should abstain from these foods for at least two weeks.

Can you take an MAOI while pregnant or breastfeeding?

MAOI is not recommended for pregnant women. These antidepressants have the potential to harm the fetus. A doctor may occasionally prescribe them if benefits outweigh risks.

MAOI is not recommended when breastfeeding.

Other treatments are available for anxiety in pregnant and breastfeeding mothers.

Can children take MAOIs for anxiety?

The use of MAOI in children is not recommended. Other treatments are available for anxiety in children.

How to take MAOIs?

MAOI dosage is tailored individually based on a patient’s medical history and treatment regimen.

  • The initial dosing regimen with Phenelzine is 15 mg 3 times per day. 
  • Isocarboxazid is 30 mg one time per day.
  • Selegiline is 1.25 mg one time per day.
  • Tranylcypromine is 10 mg one time per day.

MAOI can be taken with or without food as prescribed by the doctor. Be mindful of the dietary restrictions, and do not take certain foods alongside MAOI.

Do not change the dosage without speaking to your doctor.

If you believe you have overdosed seek emergency help immediately (call 911). 

Are there alternatives to MAOIs? 

Prescription medications as Alternatives to MAOIs for Anxiety

MAOIs can be prescribed to treat depression. A doctor may occasionally use these medications off-label for anxiety. Speak to your doctor about taking MAIOs, as it may not be a good fit for your particular case. There are many other prescription medications that may be an alternative. Some of them are:

  • Klonopin
  • Valium
  • Lexapro
  • Prozac
  • Buspirone
  • Xanax
  • Inderal
  • Cymbalta
  • Tofranil
  • Hydroxyzine
  • Zoloft

There are various alternatives. If you’d like to learn more about whether MAOI, another medication or treatment modality is right for you, we recommend that you speak with a licensed psychiatrist. Here are the best online psychiatry platforms so you can speak with someone right away!

Therapy as an Alternative to MAOI

Learn more about different therapy options for anxiety here

Energy & Holistic Modalities as an Alternative to MAOI

Learn more about different energy & holistics modalities for anxiety here

Tech & Devices as Alternative Treatments to MAOI

Learn more about tech & devices for anxiety here

Disclaimer: This website does not provide medical advice. It is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis or treatment. Never ignore professional medical advice in seeking treatment because of something you have read on our Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.

Categories
Psychiatry & Medication

Unipolar Depression

What is Unipolar Depression?

When people talk about depression as a mental health condition, chances are they mean unipolar depression, or major depressive disorder (MDD). These two terms are often used interchangeably, and according to the World Health Organization, unipolar depression is the 11th cause of mortality in the world, among 291 diseases and causes of injury. Furthermore, it is predicted that 17% of US individuals will have at least once this mental health condition in their life.

This type of depression is often characterized by a combination of neurovegetative and emotional-cognitive symptoms. Neurovegetative symptoms are the body’s response to triggers including insomnia, imbalanced eating, fatigue, and low energy. Emotional-cognitive symptoms are suicidal thinking, poor concentration, and depressive mood among others. Unipolar patients experience a depressed mood for a certain period. The combination of two symptoms should be persisting for over 2 weeks to be diagnosed with this depressive disorder. 

This type of depression is diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders (DSM)-5. However, although the DSM-5 considers unipolar depression and bipolar disorder to be two separate, distinct conditions, the criteria are very similar, which can lead to a misdiagnosis, and therefore ineffective treatment. For example, most unipolar patients visit a primary care physician over a psychiatrist.

What is unipolar vs. bipolar depression?

Unipolar and bipolar depression differ in how patients that feel and/or behave, as well as how they are supported through treatment. Bipolar patients often exhibit extreme mood swings, including the high moods, commonly known as mania. 

During these episodes, they may experience increased energy, euphoria, difficulty sleeping, or impulsive behaviors among others. In contrast, unipolar patients do not have the high moods but solely concentrate on “low” life circumstances. Bipolar depression is also more episodic than unipolar.

What is mania?

Mania is a mental health condition linked to extreme mood emotional states. Patients with mania may seem overconfident, energetic as well as overly happy.

Symptoms of mania are:

  • Extreme euphoria changing to extreme irritability;
  • Fast speech;
  • Racing thoughts;
  • Poor concentration and focusing;
  • Agitation;
  • Spending sprees;
  • High energy;
  • High sexual drive;
  • Substance abuse;
  • Aggressive behaviors.

How is unipolar depression different from major depressive disorder (MDD)?

Unipolar depression is often synonymously used to describe major depressive disorder (MDD). Both mental health conditions have similar low moods, negative emotions as well as a sense of despair. It is not known exactly how the two differentiate.

What are the symptoms of unipolar depression?

There are various possible symptoms of this type of depression including:

  • Constant depressive episodes;
  • Difficulty sleeping;
  • Decreased energy;
  • Poor concentration;
  • Imbalance eating;
  • Fatigue;
  • Suicidal thoughts, behaviors, or attempts.

What do experts say?

Unipolar Depression (and related suicide attempts) is a major cause of death worldwide. Prevalence varies widely, from 3% in Japan, 11% in Britain to 17% in the US. In most countries the number of people who would suffer from unipolar depression during their lives falls within an 8–12% range.”

What are the causes of unipolar depression?

The causes of unipolar depression are not exactly known. Biological, psychological, and social factors may cause this mental health condition. Substance abuse, anxiety, sexual and/or physical abuse, childhood trauma among others may all affect the onset of depression. If not treated, unipolar patients run the risk of developing more serious depressive symptoms and causing other mental and physical problems.

What are the possible treatments for unipolar depression?

This mental health condition can be treated with medications and/or therapy as well as other alternative treatments. 

Medication for unipolar depression

The most commonly prescribed medications to treat unipolar depression are SSRIs, atypical antidepressants, serotonin modulators, tricyclic antidepressants, and MAOIs.

Numerous studies have shown these types of medication to be effective for this type of depression, including:

  • Efficacy and acceptability of 12 antidepressants have been reviewed with a meta-analysis of 117 randomized controlled trials. Trials included 25,958 unipolar participants who randomly received Bupropion, Citalopram, Duloxetine, Escitalopram, Fluoxetine, Fluvoxamine, Milnacipran, Mirtazapine, Paroxetine, Reboxetine, Sertraline, and Venlafaxine. It concluded that two antidepressants in particular (Escitalopram and Sertraline) were most effective.
  • The use of SSRIs against a placebo for the treatment of unipolar depression has been reviewed using meta-analysis. Data from 28 randomized controlled trials with 5872 subjects demonstrated that SSRIs were effective by the end of the first week, and that the use of them and improvements may continue for at least 6 weeks.
  • Venlafaxine was studied for efficacy in treatment-resistant unipolar depression subjects. The 84 adults enrolled in the study had not been previously responded to other antidepressants. For 12 weeks they took Venlafaxine. One-third of patients were considered to be either full or partial responders to Venlafaxine. About 46% of responders sustained their response for at least 3 months after the acute response. 

There are different types of medications available. Speak to a psychiatrist to understand the best treatment plan for you. 

Therapy for unipolar depression

Alongside medications, there are various therapies available to treat this mental health condition. A doctor or a therapist may prescribe psychotherapy, cognitive-behavioral therapy, psychodynamic therapy, or interpersonal therapy. 

Studies that have shown therapy to be effective for unipolar depression include:

  • A meta-analysis of 92 studies with 6937 depressive patients. 14% of subjects were enrolled in psychotherapy for response and remission from depressive symptoms. Psychotherapy resulted in improvements in depressed patients, as measured by the Beck Depression Inventory (BDI). The symptomatic scores were reduced by an average of 13.42 points.
  • 125 studies on the efficacy of psychological therapies for mood disorders have been reviewed. Interpersonal psychotherapy, cognitive-behavioral therapy, behavior therapy, brief dynamic therapy as well as emotion-focused therapy have been found effective to treat mood disorders including depression. They have been found to have the potential for developing remission and preventing the onset of other mental health conditions.

There are many different types of therapy available. Speak to a therapist to understand the best treatment plan for you. 

Alternative treatments to unipolar depression 

There is a variety of other treatment modalities, including:

  • Support groups;
  • Yoga;
  • Tai Chi; 
  • Meditations;
  • EMDR;
  • Light Therapy.

Take the depression self assessment test to see what level of depression you may have and find recommended treatments. 

Disclaimer: This website does not provide medical advice. It is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis or treatment. Never ignore professional medical advice in seeking treatment because of something you have read on our Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.