Good eve sir. am suffering dysthymia, anxiety neurosis, soft mania (sudden angry) and overactive bladder and l5 -s1 slipped disc last 20 years .jam taking some scars, snris.escitalopram is stomach upset. paroxetine is sexual did function, mirtazapine over sedation, fluoxetine is weak molecule, venlafaxine is sexual side effect. Recently doctor prescribed tab duloxetine30 (1-0-1, tab olanzapine 5 mg (0-0-1), tab divalproex500 (0-0-1) and clonazepam 0.5 mg (-0-01 ). I tired all medicines. But not working. 3 months regularly jam taking medicines and discontinued because side effects. Now jam 88 kgs belly stomach. Jam male age 40 years. Is duloxetine effective than other serious, snris.tcas. Why quetiapine not prescribed me. I fear to lithium. Aripiprazole why not. I am pharmacist.

Dr. Saranya DevanathanPsychiatrist51yrs exp

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Dear lybrate-user, first of all you need to know the diagnosis. It may be a bipolar disorder or recurrent depressive disorder or dysthymia. Treatment of any illness is both pharmacological and non pharmacological, as a pharmacist, you may think, only a tablet will solve all your problems. It is not true. You need life style changes like diet and exercise. You may need therapy to detect early signs of recurrence and deal with it promptly. As a pharmacist, you may know that no drug is without any side effect. You need to assess whether the disorder is worse or the side effects are worse. All antidepressants need to be given with a mood stabiliser like lithium or divalproex in adequate dose (serum levels). Read pharmacology for dispensing drugs to others - follow your doctor for your prescription. Use non medical methods to tolerate side effects of drugs. Finally duloxetine may work better for overacting bladder.  

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Ms. Rachna MishraPsychologist10yrs exp

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1.use deep breathing deep breathing is another effective way to relieve stress and anxiety. It helps you with physical symptoms such as shallow breathing and rapid heart rate, and it also helps with controlling your thoughts. When you practice deep breathing, you're forced to take your thoughts off of whatever is causing you anxiety and to focus on the breathing technique that you are using. 2.keep a journal journaling can be an effective way to deal with your anxiety and to find relief. It helps you to take all of the things that are rolling around in your head and get them out of your head and down on paper. Sometimes seeing the things that we're worried about on paper can help us to see that they're not as big of a deal as we thought they were. It can also help us to find solutions that we have been overlooking. 3.hang out with friends if you're struggling with anxiety, sometimes the last thing that you want to do is go hang out with your friends. Even if it's an activity that you enjoy with people that you like, the thought of it can be stressful. Your brain already feels overwhelmed with things that you feel you need to figure out, and it can seem like a bad use of time to do something fun. 4. Exercise, find what works for you: you might be tired of hearing about how great exercise is for your health. But, the reason you hear about it so much is that there's no way around it. Exercise it's good for both your physical body and for your mind. Getting regular exercise has been proven to help you sleep better at night, clear your head, and boost your mood. It's a great way to use up all that pent-up energy that you have in a way that's going to benefit you in multiple areas of your life.  

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