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Venfax 37.5Mg Capsule Health Feed

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Hello! I have been suffering from severe major depression and anxiety since 3 years. I changed many doctors and medicines but to no avail. The doctor I am seeing currently diagnosed me with treatment resistant depression and bipolar effective disorder a year ago, even though I do not experience the manic highs or even hypomania. He put me through ect 22 times which only marginally improved my situation, before ect I used to cry and yell all day. I have extreme fatigue, low motivation, anger irritation, fear, loss of appetite, weight gain due to medications, tremors, loss of confidence, crying spells, blurred vision and extreme weakness due to depression. I am terrified of going outside and blurred vision adds to the fear. Doctors have tried almost all medications: venlafaxine, escitalopram, olanzapine, quetiapine, lithium, valproic acid, paroxetine, clomipramine, and anxiety meds like xanax, rivotril, amylene etc. Right now doctor has put me on clonazepam and prothiaden since 3 weeks, but I have seen no improvement. I took lithium and valproic acid for about 8 months and they only added to my fatigue and weight gain so doctor stopped them. I really need help in terms of medication as I am still hoping there might be one which could take me out of this extreme pain. I am terrified that if I do not get the right help or if there is not a cure, I will have to live like this for my entire life, in bed and barely able to think, eat, move or understand anything. I am 36 years of age, female and from pakistan. I have heard that indian doctors are good. Please help me out of this and suggest any medication and save my life. Thanking you!

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MBBS, DPM

Psychiatrist•Bangalore
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Dear Sara,
Your doctor at Pakistan is equally good and she/he has been trying good treatments like antidepressants, mood stabilisers and ECT. Please continue with her/him. Telemedicine in India has jurisdiction in the same country only. It is difficult for you to undergo treatment in India because certain basic tablets only can be prescribed through telemedicine. Intractable depression needs lot of experimental tablets as add on.
Asked for Male, 49 years old from Amritsar
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MBBS, DPM

Psychiatrist•Bangalore
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Dear lybrate-user,
Most antidepressants work more or less at the same level. Mostly, you go by the side-effects - whether they are acceptable by you. Both Vilazodone and Bupropion have minimal sexual side effect. Fluoxetine has more erectile dysfunction.
Weight and sedation are also to be taken into account. If you can tolerate effective dose of TCA, you can try. Otherwise go for Venlafaxine. The only tip is - it is not the antidepressant. It is the duration (minimum 3-6 weeks) and dose ...more
Asked for female, 23 years old from Panchkula
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M B B S, M. D (Internal Medicine)

General Physician•Nellore
First step is you can chew nicotine chewing gums instead of smoking available as nicotex (cipla). Second step is using antidepressants like bupropion or venlafaxine but should be done under a deaddiction program under supervision of a psychiatrist who has experience with these drugs. Regular exercise and meditation with strong will might be enough also.
Asked for male, 42 years old from Chennai
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MBBS Bachelor of Medicine and Bachelor o...read more

Psychiatrist•Ahmedabad
You are suffering from antidepressants discontinuation syndrome. Up to 1-2 months generally symptoms get better. Some antidepressants like paroxetine, venlafaxine have reported to be having discontinuation symptoms for longer time.
If symptoms do not subside by own in 2 months, you should consult a Psychiatrist.
Asked for male, 58 years old from Delhi
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BHMS, Diploma in Dermatology

Homeopath•Hyderabad
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When stopping venlafaxine treatment after more than one week, it is recommended that the dose of the medication be reduced gradually to prevent symptoms such as anxiety, agitation, confusion, diarrhea, dizziness, dry mouth, fatigue, headache, nausea, loss of appetite, nervousness, sleep disturbances, sweating, and.
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MD - Psychiatry

Psychiatrist•Chennai
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Many a times for anxiety disorder, you need to take long term medications. So kindly consult your psychiatrist regularly and take them as advised. Newer desvenlafaxine has come, which controls anxiety better then plain venlafaxine. Discuss with your psychiatrist. All the best.
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MBBS, MRCPsych (UK), CCST (General Adult...read more

Psychiatrist•Visakhapatnam
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If you have suffered depression for very long and struggled to get better with most other medications then please continue venlafaxine especially if there are no side effects. If your depression has been relapsing or chronic then stopping the medication may lead to relapse of depression. For further advise you should speak to your treating psychiatrist.
Asked for male, 35 years old from Ernakulam
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I have been suffering from generalized anxiety disorder from the age of 14 since 2002. My father suffered a heart attack and was admitted to icu. I was in a movie theatre watching a movie and was brought to hospital to see him. That incident triggered my anxiety disorder. The burning sensation / butterflies in the stomach will not go away. That makes my mood worse and impair cognitive functions. Studies and exams became nightmare for me due to this problem. I was treated by a clinical psychologist initially. He trained me progressive muscle relaxation and guided imagery. I did that with some success but my problem worsened and another clinical psychologist trained me deep relaxation with jpmr and diaphragmatic breathing. But my problem never went away and I continued with my studies somehow. Completed 12th and joined b.tech. But I could not pass b.tech papers. The doctor I was seeing was against psychiatric medications and my parents were also not interested in that. In 2011 due to some personal issues my problem worsened and I decided to see a psychiatrist. He prescribed me escitalopram and when it started working I saw a huge improvement. I cleared all my back papers. Then I joined a job and I did pg in mechanical engineering. When I tried to stop medication, the problems came back with a vengeance also the same medicine will not work. Doctors tried different medicines to find the one that works. Also psychiatrists did not advise any psychological therapy. escitalopram worked again and I felt better again. I got married and was leading a good family life. But the medicine stops working sometimes and I am helpless when they do and the symptoms return. Psychiatrists have tried ssri like escitalopram, sertraline, fluoxetine, fluvoxamine, snris like venlafaxine, desvenlafaxine, duloxetine, then other meds like benzodiazepines, buspirone, propranolol, quetiapine, amisurplide etc. I tried even ketamine infusion and that made me feel worse. The only medicines that worked for me are escitalopram and duloxetine. But in those duloxetine stops working very soon and escitalopram stops working in 2-3 years. Now I am in a situation where escitalopram has stopped working. Is there any way to make it work again or any better medicines out there? I have heard stories of people who are on antidepressants on for a very long time. But I am not able to go past 3 year with relapse. I need serious help to live without this problem affecting my life. What should I do to go on antidepressants for a long time with out relapse? I have not tried therapies like cbt, mindfulness, act etc will I be able to manage my problem with psychological interventions like those? All my bad feelings come from my gut area. Is there any underlying biological reason for my disorder? I am willing to spend all my money to recover from this problem. I am inviting suggestions from all the experts in Lybrate who could help me recover from this debilitating problem.

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M.Sc.,

Psychologist•Chennai
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Better take hypnotherapy If you are interested I will treat you without therapy cost no need to worry
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DM- Neurology, MD Medicine, MBBS

Neurologist•Delhi
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Hello Chamith,

Veniz XR is an antidepressant and can be taken for long. Just be vigilant about its harmful effects. If you aren't a heart patient, you can safely take it. It has certain side effects on liver too like your liver functions may get deranged and jaundice might occur.
But this effect is uncommon.
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