This Prozac and Paxil interaction have lived on my clinical radar since '96 - and is the most frequently denied drug interaction in thousands of second opinions. Read the literature linked in these notes. For excellent Expert Commentary on Executive Function challenges from diagnosis and treatment to parenting: http://corebrainjournal.com/family Dr. Parker’s book "New ADHD Medication Rules" is available globally here: http://geni.us/adhd For CoreBrain Journal Podcast details on the evolution of precise neuroscientific thinking: http://corebrainjournal.com/about *Shortcode* for this video: http://corepsych.com/2d6-video Essential Reference: The Drug Interaction Bible: http://geni.us/interactions Note: Quick Interaction Check http://healthtools.aarp.org/drug-interactions *How To Start ADHD Meds* Download: http://corepsych.com/start 0:29 For a PDF Collection of Video Details from ADHD Drug Interactions to ADHD Treatment Failure: http://corepsych.com/details Remember this: Prozac and Paxil both significantly block the 2D6 pathway for the metabolism of Adderall and all the amphetamine [AMP] products. If you take either of these two antidepressants together with an amphetamine, watch out. You can significantly become overdosed on the amphetamine. Often the interaction can unpredictably occur several months later. The patient becomes toxic to the amphetamine, angry, irrational, can't sleep, can't eat, and can become dangerously destructive. The Adderall or Vyvanse often gets blamed. More details on the importance of 2D6, Prozac, Paxil, metabolism and customized dosing strategies in my book, eBook and Audible: "New ADHD Medication Rules" here: http://geni.us/adhd To see the connection between brain science and common sense: evidence matters. See this post from 2006: http://www.corepsychblog.com/2006/11/adderall-prozac-and-paxil-problem-not-solution/ CorePsych Post from 2008: http://www.corepsych.com/2008/12/add-adhd-medications-amphetamines-2d6-drug-interaction-update/ My article in Primary Psychiatry: http://www.primarypsychiatry.com/aspx/articledetail.aspx?articleid=327 - years ago when my son was a med student and became interested in the subject. Essential Reference: "Drug Interactions in Medical Practice" Wynn, Cozza, Armstrong, et al. http://geni.us/cozza This video: http://youtu.be/xB5dZd1ucdE
Просмотров: 23749 Dr Charles Parker
This video is for educational purposes only. This video is intended to provide evidence based, scientific information about antidepressant drugs and not to argue for or against their use. Antidepressant medications can be an important tool in the arsenal for treating depression but do not come without the potential for significant side effects.
Просмотров: 8356 Paul Merritt
An update about my first week on Trintellix (Vortioxetine), and my symptoms, side effects and transition to this medication from Cipralex (escitalopram). Website: https://chronicallyoptimisticblog.wordpress.com/
Просмотров: 21119 Chronically Optimistic
My thoughts and feelings on my very first day of medication to treat anxiety (Ativan) and bipolar type 1 (Seroquel). Video(s) Mentioned: - My Mental Health Journey: http://bit.ly/2hWYsrE I don’t have a PO Box but I do have a few Amazon wishlists! I do my best to add items at varying price points to suit your budget! And items sent from my wishlist will be unboxed in a video & may be used in future videos if possible (i.e. blender for cooking videos, sewing machine for crafting videos, etc.) - Personal Gifts: http://a.co/2LgbK9I - Wardrobe: http://a.co/4nLIYy0 - YouTube: http://a.co/5pXngv9 For business inquiry e-mail email@example.com ~FOLLOW ME AT~ Insta: @marissasmokes, @marissaarmasmodel & @marissaarmasphotography SnapChat: @armas.marissa Toke With: @marissasmokes FaceBook: /Armas.Marissa & /MArmasPhotography 420Nurses: http://420nurses.com/profile-73960 My Blog: http://modelmusings11.blogspot.com Flickr: http://www.flickr.com/photos/armas_marissa
Просмотров: 87 Marissa Armas
Zoloft (sertaline) – Depression Xanax (alprazolam) – Anxiety Lexapro (escitalopram) – Depression Celexa (citalopram) – Depression Wellbutrin (bupropion) – Depression Desyrel (trazodone) – Anxiety, Depression Prozac (fluoxetine) – Depression Adderall (dextroamphetamine and amphetamine) – ADHD Ativan (lorazepam) – Anxiety Cymbalta (duloxetine) – Depression Effexor (venlafaxine) – Depression Seroquel (quetiapine) – Bipolar disorder, Depression Concerta (methylphenidate) – ADHD Kapvay (clonidine) – ADHD Lamictal (lamotrigine) – Bipolar disorder Paxil (paroxetine) – Depression Elavil (amitriptyline) – Depression Remeron (mirtazapine) – Depression Vyvanse (lisdexamfetamine) – ADHD Depakote (divalproex) – Bipolar disorder Risperdal (risperidone) – Bipolar disorder, Schizophrenia Abilify (aripiprazole) – Bipolar disorder, Depression, Schizophrenia Zyprexa (olanzapine) – Bipolar disorder, Schizophrenia Intuiv (guanfacine) – ADHD Lithium (lithium carbonate) – Bipolar disorder
Просмотров: 118 Fadas
Unlimited Counseling CEUs for $59 https://www.allceus.com/ Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/ Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/ Patreon: https://www.patreon.com/CounselorToolbox Help us keep the videos free for everyone to learn by becoming a patron. Pinterest: drsnipes Nurses, addiction and mental health counselors, social workers and marriage and family therapists can earn continuing education credits (CEs) for this and other course at: https://www.allceus.com/member/cart/index/product/id/499/c/ View the New Harbinger Catalog and get your 25% discount on their products by entering coupon code: 1168SNIPES at check out AllCEUs is also approved as an education provider for NAADAC, the States of Florida and Texas Boards of Social Work and Mental Health/Professional Counseling, the California Consortium for Addiction Professionals and Professions. Our courses are accepted in most states through those approvals. Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC, NCC, CCDC Executive Director, AllCEUs.com 2. Define Neurobiology For the following neurotransmitters, Dopamine, GABA, Serotonin, Acetylcholine, identify ◦ Their mechanism of action/purpose ◦ Where they are found ◦ Symptoms of excess & insufficiency ◦ Nutritional building blocks ◦ Medications 3. Neurobiology is the study of the brain and nervous system which generate sensation, perception, movement, learning, emotion, and many of the functions that make us human 4. Mechanism of action/purpose ◦ movement ◦ memory ◦ pleasurable reward ◦ behavior and cognition ◦ attention ◦ inhibition of prolactin production ◦ sleep ◦ mood ◦ learning 5. Mechanism of action/purpose ◦ Altered dopamine neurotransmission is implicated in Cognitive control (racing thoughts) Attentional control Impulse control Working memory 6. Where is it found ◦ Precursor, L-DOPA is synthesized in brain and kidneys ◦ Dopamine functions in several parts of the peripheral nervous system In blood vessels, it inhibits norepinephrine release and acts as a vasodilator (relaxation) In the kidneys, it increases sodium and urine excretion In the pancreas, it reduces insulin production In the digestive system, it reduces gastrointestinal motility and protects intestinal mucosa In the immune system, it reduces lymphocyte activity. 7. Symptoms of excess & insufficiency ◦ Excess of dopamine Unnecessary movements, repetitive tics Psychosis Hypersexuality Nausea Most antipsychotic drugs are dopamine antagonists Dopamine antagonist drugs are also some of the most effective anti-nausea agents 8. Symptoms of excess & insufficiency ◦ Insufficient dopamine Negative symptoms of schizophrenia Pain Parkinson’s Disease Restless legs syndrome Attention deficit hyperactivity disorder (ADHD) Neurological symptoms that increase in frequency with age, such as decreased arm swing and increased rigidity. Changes in dopamine levels may also cause age-related changes in cognitive flexibility.
Просмотров: 2571 AllCEUs Counseling Education
This video describes the concept of “borderline rage,” which refers to the anger that is oftentimes seen with borderline personality disorder. Specifically, one of the criterion in the Diagnostic and Statistical Manual (DSM) indicates inappropriate intense anger or difficulty controlling anger. I believe a lot of times when we see this term “borderline rage” it is referring to that even though when we think of rage, we think of a more primitive type of anger. I think one of the reasons is that with borderline personality disorder, the anger does appear to be more intense and more primal than we would see with somebody without borderline personality disorder. Anger in borderline personality just one symptom, however, it's the symptom that tends to get noticed first or at least one of the symptoms that tends to get noticed early on. That's because of the outward acting component of anger. Anger expressed in borderline personality is not simple. We see constant anger, which is when somebody appears to be angry all the time. There is automatic anger, which is anger that comes about without any stimuli or at least without any stimuli that would normally provoke anger. We can also see triggered anger. That is anger that does have an apparent cause. Oftentimes with borderline personality disorder, we believe the anger has higher intensity, a lower threshold to activate, and an extended duration. The anger associated with borderline personality disorder is often pervasive, internalized (“quiet borderline”) and externalized, cyclic associated with a desire for revenge, and there is a lack of insight as to the origin.
Просмотров: 34244 Dr. Todd Grande
Looking for a Brintellix Medication Alternative? https://ktcpartnership.com/ TRINTELLIX (formerly called BRINTELLIX) is a prescription medicine used to treat major depressive disorder in adults. The therapeutic effect of TRINTELLIX was generally seen starting at week 2, with full effect generally not seen until week 4, or later. In the last decade, KETAMINE has been used to treat patients with major depression, bipolar depression, and postpartum depression with a greater than 70% success rate within hours to days (not weeks to months like most oral medications/pills). TRINTELLIX may cause serious side effects including: • Antidepressants (like TRINTELLIX) may increase suicidal thoughts or actions in some children, teens or young adults within the first few months of treatment or when the dose is changed. • Serotonin Syndrome: A potentially life-threatening problem that can happen when TRINTELLIX is taken with certain other medicines. Symptoms may include agitation, hallucinations, coma or other changes in mental status; problems controlling movements or muscle twitching, stiffness or tightness; fast heartbeat, high or low blood pressure; sweating or fever; nausea, vomiting or diarrhea. • Abnormal bleeding or bruising: TRINTELLIX may increase your risk of bleeding or bruising, especially if you take the blood thinner warfarin (Coumadin®, Jantoven®), a non-steroidal anti-inflammatory drug (NSAID), or aspirin. • Manic episode: Symptoms may include greatly increased energy; severe trouble sleeping; racing thoughts; reckless behavior; unusually grand ideas; excessive happiness or irritability; talking more or faster than usual. • Visual problems: May include eye pain, changes in vision, swelling or redness in or around the eye. • Low salt (sodium) levels in the blood: Symptoms may include headache; difficulty concentrating, memory changes or confusion; weakness and unsteadiness on your feet; and in severe or sudden cases hallucinations, fainting, seizures or coma. If not treated, severe low sodium levels can cause death. • Before starting TRINTELLIX, tell your healthcare provider if you have or had liver problems, seizures or convulsions, bipolar disorder (manic depression) or mania, low salt (sodium) levels in your blood, bleeding problems, drink alcohol, have any other medical conditions or if you are pregnant, nursing, plan to become pregnant, or plan to nurse. • TRINTELLIX and some medicines may interact with each other, may not work as well, or may cause serious side effects when taken together.. • Common side effects of TRINTELLIX include: nausea, constipation or vomiting. These are not all the possible side effects of TRINTELLIX. • Do not start or stop taking TRINTELLIX without talking to your healthcare provider first. Suddenly stopping TRINTELLIX when you take higher doses may cause you to have side effects including headache, stiff muscles, mood swings, sudden outbursts of anger, dizziness or feeling lightheaded, or runny nose. • Until you know how TRINTELLIX affects you, do not drive, operate heavy machinery or engage in other dangerous activities. • Avoid drinking alcohol while taking TRINTELLIX. Far and away the most common experience with KETAMINE infusions (at KETAMINE TREATMENT CENTERS) is to have NO SIDE EFFECTS in between treatments. ALL OF THE ABOVE INFORMATION REGARDING TRINTELLIX IS TAKEN VERBATIM FROM https://us.trintellix.com KETAMINE is a medicine developed more than 50 years ago for anesthesia during surgery, and has been used for that purpose since that time in children, adults, and animals. More recently, KETAMINE has been found to be a valuable and highly effective treatment for major depression, bipolar depression, postpartum depression, anxiety, PTSD, OCD, and certain pain disorders such as fibromyalgia. KETAMINE TREATMENT CENTERS offers infusions as a simple outpatient procedure. Following a consultation to determine the appropriateness and safety of this treatment, patients are guided each step of the way with the help of a clinical coordinator to ensure a smooth, supportive process. Because the effects of a single infusion are short-lived, patients who show response (70%) will receive a series of infusions over a 2-3 week period. This is an off-label use of KETAMINE, meaning that the FDA has not approved this medication for this use. However, its safety and effectiveness have been demonstrated in multiple research studies, and off-label prescribing is a common and necessary practice in all fields of medicine. https://ktcpartnership.com/ Brintellix Medication Alternative 1-888-566-8774
Просмотров: 1038 Actify Neurotherapies
Psychotropic drugs are now the most commonly prescribed and, some would say, the most commonly over-prescribed drugs in Australia. They have become virtually the first line of treatment for psychiatric, mood and behavioural problems. In recent years there have been major advances with psychotropic drugs, but there are still also many problems associated with their use. The risk of medication misadventure is often higher with psychotropic drugs. Health professionals need to remain vigilant with all patients taking psychotropics and be aware of the signs and symptoms requiring investigation. This program looks at the safe use of commonly prescribed anti-depressants, mood stabilisers, anxiolytics, hypnotics and antipsychotic drugs. It examines issues related to their toxicity, interactions, overdose and adverse effects. It deals with questions of compliance and consent, failure to respond to treatment, monitoring, management and contra-indication. The program discusses the identification and reporting of adverse drug reactions as well as their management and prevention. It looks at the prescription of psychotropic drugs for special population groups, such as children, pregnant women and the elderly. The program also considers situations when a prescription may not be the preferred treatment and examines the future use of psychotropic drugs. Produced by the Rural Health Education Foundation http://www.rhef.com.au/
Просмотров: 2319 Rural Health Channel
I am 30. I have struggled with mental health issues since the age of 7 or 8. Anxiety disorders and OCD. They were not diagnosed at the time - only retrospectively by professionals as "best guesses". I fit the brief. I'd like to say that medicines that have had bad/no effect/good effects on me may suit you just fine or may not. I am not a medical professional, of course. I'd also like to say that I believe therapy to be a very effective course of action but presently, I am unable to engage in it. P.S. I had just done my makeup here after bathing for the first time in a week. Yay me. I love to apply makeup and so that may feature on this channel a bit. I was diagnosed with depression at 15. I took prozac because it was allowed to be given to those under 16. I had therapy. I had so much I wanted to tell her. The therapist told me she used to bully people at school. I was not a bully. I was bullied. That put me off her and therapy as a whole. I then tried a few other medicines for depression. Namely, Effexor XL, (venlafaxine), and amitriptyline. I was flaky, trying to hold down a job, go to college and then start my first ever relationship. I went off radar when taking medicines. I was doomed to fail. My partner died when I was 19, (so was he and I had nursed him through an illness), and I was diagnosed with bipolar disorder at 19. I took Escitalopram 20mg for a decade and Depakote 1000mg (valproaic acid), for 8 years. The latter caused me to gain 5 stone, lose my hair and develop PCOS. In 2013 I reengaged with psychiatric services because I had a partner again, (my first since 2005), and I no longer wanted to be a slave to Depakote or its side effects. I tried Lamactil (lamotrigine), seroquel (quetiapine) and Abilify (aripiprazole). The side effects were many and the efficacy was slim to none. I decided I'd go solo on 20mg escitalopram (Cipralex) and see how I got on. In November 2015 I decided I had never been ill and came off escitalopram cold turkey after almost a decade. I was in physical agony for 5-6 weeks but mentally I was euphoric. In January 2016 I began EMDR therapy. My psychotherapist discovered I was no longer medicated and so it meant lots of ground work would have to be put down before beginning the EMDR. I was diagnosed with PTSD at 29 by that psychotherapist and the ten year old diagnosis of BD was quashed by me. Therapy didn't work out because I was mentally very unwell off tablets. I had become more ill in November 2015 - NOT better. I needed more medicine, not less. I would listen to no one. I have been further diagnosed with OCD/anxiety disorder, intrusive thoughts and I do have depression. Me and my psychiatrist are exploring the field of thought that I have borderline personality disorder. I have many of the traits. I am not a diagnosis seeker anymore but treatments/diagnoses go hand in hand. As of today I am weaning off escitalopram per psychiatrist instructions. 15mg for a week (today is day two). When I am on 0mg escitalopram I will halve my current dose (30mg), of mirtazapine and see the psychiatrist again. I will start on Clomipramine on 26th October, subject to the results of an ECG on 5th October. I have been abused, bullied and neglected - by others and by myself. I am laying myself bare after a breakdown in April which means I am taking 30mg diazepam a day just to "break even", and not be in pain. I will continue on that while I get used to clomipramine. Christ, I hope it works. I am sharing my journey a bit because I have had some online support encouraging me to do so. Many have said my honesty on my Facebook and twitter page (CallaKAD), have helped. I am looking to do a Q&A video featuring either a solo mental health Q&A or me doing my makeup while answering your questions and talking about my journey. Whichever proves more popular will be filmed. Sadly I can only film on a phone and so I apologise that the quality isn't exactly superb. All the best, mind how you go Grace X
Просмотров: 124 amazinglyace