Sir/ madam. Jam suffering from dysthymia, chronic anxiety, insomnia,cfs ,urine incontinence (overactive bladder, l5-s1 slipped disc last 20 years. Recently 1 month back I have diabetes, grade 2 fatty liver. I take ssris, snri,antipsychotic, antipsychotic,mood stabilizers last 20 years but no cure. Now one doctor prescribed sertraline50 mg clonotril 0.5,another doctor fluoxetine, aripiprazole10 mg. Which combination is best for me .i have sugar fasting 120 ,post lunch 190, grade 2 fatty liver. Jam severe laziness, procrastinating person. My stomach is 40 inches, weight is 90 kgs. My age is 41.
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Dear lybrate-user, since you are suffering since 20 years, it has become your personality itself. It is better that you take a comprehensive treatment for all your problems. Medicinewise, you can take either sertraline or fluoxetine or any antidepressant. You can take clonotril or aripiprazole whichever is giving you relief. But, you should concentrate on weight reduction by diet and exercise. Probably you need motivational enhancement therapy for at least 12 weeks to stick to diet and exercise. Weight reduction will help diabetes and slipped disc also. You need therapy in the long run to keep yourself active. All the best.
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Believe in one doctor and take medicines regularly. Along with medicine, consult a psychologist and go for therapies and yoga to put your lifestyle in track and to stop procrastination. Yoga, breath work and cbt therapies work wonders to put your life in track. All the best.
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