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Serenata 50 MG Tablet Health Feed

Asked for male, 63 years old from Delhi
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My father is 58 years old suffering from depression, for past 6-7 years & he is depressed due to my sister marriage. After treatment and medicines he become fit and fine. Later 1-2 year ago he becomes more active, aggressive and energetic than before, this behaviour remains for 1+ years. From last 5-6 months he again slowly gets into depression and becomes less active, does not talk much, keep tensed. Doctor prescribed half tablet of gatomir 15 (mirtazapine) at night and 1 tablet of zotral 50 (sertraline) at morning for 15 days. However 7+ days are past but he is not eating properly and we does not see much improvement. Can you please explain is it normal while taking anti depression medicines, and is this medicine is ok? Can we wait for some more time for improvement or we contact our doctor to change medicines?

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Masters In Clinical Psychology

Psychologist•Gurgaon
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Hi lybrate-user,
He is not suffering from Depression any more its taken form of Mania. A manic episode is characterized by period of at least 1 week where an elevated, expansive or unusually irritable mood, as well as notably persistent goal-directed activity is present. The mood disturbance associated with manic symptoms should be observable by others (e. G. Friends or relatives of the individual) and must be uncharacteristic of the individual’s usual state/behavior. These feelings must be ...more
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Mbbs, Md

Pulmonologist•Lucknow
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Go to skin specialist. Whether it is allergic disease or something else. Than take medication as they advice.
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MD - Psychiatry

Psychiatrist•Chennai
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There are better medications which produce total remission of symptoms compared to zotral, consult a psychiatrist, if already consulting one, get a 2nd opinion and try alternate medication. All the best.
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Diploma in Psychological Medicine, MBBS

Psychiatrist•Ludhiana
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It's not like that you can't take both medication simultaneously. But there should be some reason to combine medications. If you have optimum dose of one drug than only you can go for combination therapy for same problem.
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Diploma in Clinical Nutrition, Certified...read more

Dietitian/Nutritionist•Bangalore
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Weight gain can happen using psychiatric medicines. You should be eating carefully avoiding processed foods like bread, biscuits, ice creams, less sugar, oil & salt. Avoid too much milk and milk products. Combine fruits, vegetables, salads etc with your regular food.
Asked for male, 27 years old from Aurangabad
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Diploma in Nutrition and Health Educatio...read more

Dietitian/Nutritionist•Delhi
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Sertraline is an ssri, it should be safe if your liver and kidney are healthy. Sertraline usual dose is around 50 mg. Usually antidepressants are taken long term as opposed to benzodiazepines that are short term. You should be fine, given you exercise daily, stay relaxed. There is no such thing as safest antidepressant, all antidepressants have their own side effects profile.
But you may try mirtazapine as it has least side effects.
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My doctor is changing me from sertraline 200 mg to escitalopram 20 mg, because of ongoing side effects on sertraline. This is the cross taper schedule: for 6-7 days: reduce from 200 mg to 150 mg sertraline further 6-7 days: reduce from 150 mg to 100 mg sertraline further 6-7 days: reduce from 100 mg sertraline to 50 mg sertraline and add 5 mg escitalopram further 6-7 days: reduce 50 mg sertraline to 25 mg sertraline, increase escitalopram to 10 mg. To finish: stop sertraline altogether, continue with 20 mg escitalopram. Does this cross taper seem okay? I am trying to reduce the risk of sertraline withdrawal. I also have a fear of vomiting. Is this schedule likely to make me vomit? Or should I avoid most withdrawal? I am on my second week now, so I am now on 100 mg sertraline. What side effects can be expected when going from 150 mg-100 mg sertraline? Thanks for the help and information.

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MSC - Counselling Psychology

Psychologist•Bangalore
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Hi lybrate-user! I understand you are faced with a lot of confusion at the moment. It may be in your best interest to follow the regimen prescribed by your psychiatrist and openly discuss your fear of withdrawal and induction of vomiting with him. The regimen of psychiatric medication is very essential. It maybe helpful to go along with their recommendation. If you see any side effects, complete the dosage as prescribed and then follow up with your doctor. Sometimes side effects come from your b...more
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MD - Psychiatry

Psychiatrist•Chennai
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There is nothing called better or inferior. All medications are tailored to an individual depending on the symptoms, response and tolerability. Over the Counter self medication and self medication by googling is dangerous to one's body and mind. Lorazepam is a benzodiazepine and can cause severe dependence and side effects on a longer run. Escitalopram ad Sertraline are SSRI's and need to be prescribed carefully adjusting/ titrating dosage by a psychiatrist. Hope this info helps.
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MBBS, Basic Life Support (B.L.S), Advanc...read more

General Physician•Delhi
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..The medication should be used with caution in the elderly, women who are pregnant or breastfeeding, patients with liver or kidney problems, Parkinson's disease or a blood disorder called acute porphyria.
let's discuss your complete medical history in detail, post discussion i'll be able to provide you right medical consultation.
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