I have been on paroxetine 75 mg and olanzapine 5 mg a day, in connection with anxiety and dysphoria. I was still feeling low on these medications and needed an addition. We tried a lot of antidepressants and antipsychotic but none of those worked on me. Thus my doctor increased paroxetine to 100 mg and after much thought has put me recently on arcalion (sulbutiamine) 200 mg a day. 1. I just wish to know in how many days I will start noticing the good effects of sulbutiamine 200 mg? 2. I am on 3rd day and feeling that anxiety has increased slightly. How long shall I wait to gauge the efficacy of sulbutiamine? Thank you. Do not wish to go for therapies.

Anxiety

3Doctors Answered

Dr. Sushil Kumar SompurPsychiatrist15yrs exp

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We would need a detailed list of medications you have used and the number of days or weeks you were on them since you say that you have "tried a lot of antidepressants and antipsychotics but none of those worked" as regards you question salbutamol is not a medication that is usually used in any of the psychiatric disorders and therefore is a question for your psychiatrist. However, if you need to clarify you are welcome to consult us online. Look forward to hearing from you. If you need help with booking an appointment online with me on this website either text, an appointment for a confidential and private consultation you may do so by contacting the help desk of Lybrate.

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Dr. Parth NagdaPsychiatrist10yrs exp

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You will probably need the addition of a mood stabilizer like lithium or valproate if you've never tried these and have been feeling low since a long time. Addition of those drugs is the standard line of management if we consider your illness as dysthymia / resistant depression. Do ask you doctor for about the same.

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Dr. Kriti VyasPsychologist11yrs exp

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Dear Lybrate user I would suggest you to consult a clinical psychologist as well, because along with these medicines you need therapy as well. Therapy will benefit you by bringing life style changes and modifying your unhealthy thought patterns. All the best.

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