I am suffering from chronic depression and anxiety neurosis+soft mania last 17 years. I am male. And also overactive bladder, l5-s1 slipped disc problem. Today doctor gave me tab duloxetine20 ,tab divalproex500, 0lanz2.5 and nurowell. I know duloxetine is weak drug than other serious, snri. Can I take escitalopram instead of duloxetine.

Dr. R.N.ChaturvediPsychologist35yrs exp

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You are suffering for 17 years from chronic depression and anxiety but you could not think about psychological counseling and psychological therapy for the removal of your problem I assure you that if you apply this therapy through the online or offline process without any medication for three weeks on you it will give you better results.  

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Dr. Rashmi NavelkarPsychiatrist9yrs exp

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Yes you can take. But as you mentioned you have depression and soft mania. If you are diagnosed as bipolar disorder then generally ssris are not prescribed. Instead of duloxetine or escitalopram you can request your psychiatrist to consider quitipin instead.  

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