Treat depression effectively with Fluox (Fluoxetine / Lovan)

Fluox (Fluoxetine / Lovan) 20 mg belongs to a class of medications called selective serotonin reuptake inhibitors (SSRIs). It is used for the treatment of depression and helps to elevate mood. Fluoxetine is also used to reduce or eliminate the symptoms of obsessive-compulsive disorder (OCD) as well as to treat the eating disorder, bulimia nervosa.

Selective serotonin reuptake inhibitors work by increasing the amount of a neurotransmitter, called serotonin, which is available in certain parts of the brain. Although you may start feeling better within a few weeks of treatment, the full effects of the medication may not be evident until several weeks of treatment have passed.

How to take fluoxetine?

Take Fluoxetine at the same time each day. It is best taken in the morning.

Swallow the whole capsule with a glass of water. Do not open or chew.

If you have problems swallowing capsules, let your doctor know as you could be prescribed dispersible tablets which are dissolved in water and then swallowed. 

You can take Fluoxetine with or without food.

Limit or avoid drinking alcohol while you are taking Fluoxetine.

If you forget to take your dose, wait until the next day and take your normal dose then. Do not take double the dose.

Keep taking Fluoxetine every day. It may take 4 to 6 weeks before you experience the full benefits of fluoxetine.

Do not stop taking Fluoxetine suddenly; speak to your doctor, nurse or pharmacist before stopping.

Who should NOT take this medication?

Do not take Fluoxetine if you:

- are allergic to Fluoxetine or any ingredients of the medication

- have taken a MAO inhibitor (e.g., phenelzine, tranylcypromine) or thioridazine within the past 14 days

Do not take MAO inhibitors or thioridazine until at least 5 weeks after you stop your treatment with Fluoxetine.

Can I take Prozac with other medicines?

It is important to tell your doctor or pharmacist what medicines you are already taking before you start treatment with this medicine. Similarly, check with your doctor or pharmacist before taking any new medicines while taking this one, to make sure that the combination is safe.

Depression and Insomnia

For years, doctors have known that depression and sleep disorders are linked. Up to 80 percent of people with depression also struggle with insomnia, the inability to fall asleep or stay asleep. About 15 percent of people with depression suffer from hypersomnia, or chronic oversleeping.

When treating people with both these disorders, doctors have found that treating insomnia issues often helps patients overcome depression more quickly. There's a misconception that people who are depressed sleep all the time or have trouble getting out of bed.

Yet, in reality this isn't often the case. Studies show that this particular reaction only occurs in about 15% of depressed patients. The majority of people suffering from depression don't sleep well - and depression and insomnia are much more likely to be found together. 

Treating Depression and Insomnia

Selective serotonin reuptake inhibitors (SSRIs) are often used to treat depression. These can be beneficial in treating people who are suffering from both depression and sleeplessness, as they produce both sedating and mood-lifting effects. 

SSRI's include the medications Fluox (Fluoxetine), Celexa (Citaopram) and Zoloft (Sertraline). Sometimes a hypnotic sleep medication such as Zolpidem (Zolbien) or Zimovane (Zopiclone) may also prescribed by your doctor. 

Although medication may seem like an effective course of treatment, it only provides short-term results. In order to obtain a permanent relief from this illness, it is highly important to benefit from a combination of psychotherapy (including cognitive-behavioral therapy) and/or pharmacological (drug) treatment. Each of these therapies can be used to treat both depression and insomnia but psychologists must carefully identify the exact cause of these symptoms prior to suggest a particular course of treatment. However, depression and insomnia is not exactly the most pleasant combination that you should learn how to wive with. 

Insomnia and depression are bad enough on their own, but when combined they can wreak serious havoc on your physical and mental health. If you’re experiencing depression-related insomnia, take your sleeplessness seriously and get treatment for it. You might be surprised how much better it makes you feel.

Depression and the Elderly

Depression is a mental health condition. It is a mood disorder in which feelings of sadness, loss, anger, or frustration interfere with daily life for weeks or longer.

Depression in older adults is a widespread problem, but it is not a normal part of aging. It is often not recognized or treated.

Major depression (also known as clinical depression) is a medical illness. It is a chemical imbalance in the brain and can appear in people regardless of age, race or economic status. The illness can appear after a triggering event or for no apparent reason at all.

Depressive symptoms that occur in the older patient are similar to the symptoms in younger adults.

Signs & Symptoms

- Constant “blue” or sad mood that does not improve even with happy occurrences

- Reduced total sleep time

- Frequent waking during the night

- Frequent physical complaints (example: stomachaches, headaches, dizziness, and/or joint pain that does not respond or responds inconsistently to treatment, despite a thorough medical evaluation and therapy)

- Increased fatigue or lack of energy

- Decreased interest in usual pleasurable activities

- Withdrawal from social interaction · Hopelessness

- Thoughts of suicide

- Decreased appetite

- Guilt or preoccupation with past events

- Decreased concentration and/or increased forgetfulness

- Irritability

- Frequent tearfulness or crying without an obvious precipitating event.

A complete physical examination to rule out other problems is critical before a diagnosis of depression is made. A complete physical examination to rule out other problems is critical before a diagnosis of depression is made. Other physical diseases (Parkinson's, multiple sclerosis, diabetes, thyroid disorders, certain viral infections, strokes, tumors) and certain medications (steroids, hormones, blood pressure and arthritis medications) used to treat those illnesses can mimic the symptoms depression; they can cause a chemical imbalance in the brain. Therefore, a thorough exam is extremely important, as well as a complete medical history and list of medications currently being taken (both over-the-counter and prescription drugs). Family history of depressive illness should also be noted, due to the genetic component of brain illnesses.

Men and Depression

Depression is an illness that affects both men and women. But people working in mental health services see far fewer men with depression. It seems likely men suffer from depression just as often as women, but they are less likely to ask for help. Male depression is treatable and best treated as early as possible. 

Signs and symptoms of depression in men

Depression has a number of signs and symptoms. Men are each affected in different ways, but three of the most common signs are pain, risk taking, and anger.

Pain. 

Depression may show up as physical signs like constant headaches, stomach problems, or pain that doesn’t seem to be from other causes or that doesn’t respond to normal treatments.

Risk Taking. 

Sometimes depressed men will start taking risks like dangerous sports, compulsive gambling, reckless driving, and casual sex.

Anger. 

Anger can show itself in different ways like road rage, having a short temper, being easily upset by criticism, and even violence. 

Here are some other common signs, especially if they last for a few weeks or months: feeling guilty, worthless, or that you always fail; feeling restless and/or irritable; having no energy; problems sleeping (not sleeping or sleeping too much); feeling angry or violent; feeling like you can’t work or get things done; using alcohol or drugs to feel better; sexual inability; losing interest in hobbies, work, and/or sex; having problems focusing, remembering, or making choices; always feeling sad or nervous; feeling alone; being negative about everything; thinking about death or suicide.

Treatments for depression

There are effective treatments for depression. In fact, more than 80% of men respond to treatment for depression. Your primary care doctor or a psychiatrist can create a treatment plan for you. That plan for treating depression may include:

- Antidepressants. The medicines most often used for depression treatment today are selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs). These antidepressants increase the levels of specific chemicals in the brain.

- Talk therapy. Many kinds of psychotherapy or talk therapy are effective in treating depression. Cognitive therapy, also called cognitive-behavioral therapy (CBT), interpersonal psychotherapy (IPT), and "insight-oriented psychotherapy" are frequently used.

Effectiveness of Cipralex Entact (Escitalopram) in the Treatment of Major Depressive and Anxiety Disorders

How does this medication work? What will it do for me?

Cipralex Entact Escitalopram 10 mg belongs to the group of medications called selective serotonin reuptake inhibitors (SSRIs). It is used to treat depression, obsessive-compulsive disorder (OCD), and generalized anxiety disorder (GAD). It works by increasing levels of a neurotransmitter called serotonin in the brain. Increased serotonin levels can lead to an improved mood.

The medication usually begins to work within 2 to 4 weeks. However, it may take several weeks of treatment before the full effects are seen.

Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take this medication if their doctor has not prescribed it.

How should I use this medication?

The usual dose of Escitalopram is 10 mg/day for depression and 10-20 mg/day for anxiety, preferably at the same time each day. The dose may need to be decreased in the elderly and in people with liver problems. Escitalopram is taken once a day and can be taken either in the morning or evening, with or without food. The tablet should be swallowed whole (not chewed) with a glass of water.

It is important to take this medication exactly as prescribed by your doctor. If you miss a dose, skip the missed dose and continue on with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

Who should not take this medication?

Do not take this medication if you:

- are allergic to escitalopram, citalopram, or any ingredients of the medication

- have a condition known as congenital long QT syndrome or have a heart rhythm disturbance called QT prolongation

- are taking the medication pimozide

- have taken a MAO inhibitor medication (e.g., phenelzine, tranylcypromine, moclobemide) in the past 2 weeks – MAO inhibitors should not be taken until at least 2 weeks after stopping treatment with escitalopram

What are the possible side effects of Cipralex?

Many medications can cause side effects. The most common side effects of Escitalopram are dry mouth, nausea, sleep difficulties, sweating, fatigue and sexual problems.

Less frequently experienced side effects of Cipralex Entact (Escitalopram) 20 mg include: headache, dizziness, irritability and lethargy; vivid dreams; difficulty concentrating; chest pain, high blood pressure or erratic heart rhythm; diarrhea, constipation, increased or decreased appetite, bleeding from the gastrointestinal tract; runny nose, sinus problems and cough; agitation, hallucinations.

How can this medicine affect other medicines?

It is important to tell your doctor or pharmacist what medicines you are already taking, including those bought without a prescription and herbal medicines, before you start treatment with this medicine. Similarly, check with your doctor or pharmacist before taking any new medicines while taking this one, to ensure that the combination is safe.

Since caffeine, alcohol, the nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

Fluox (Fluoxetine / Lovan) Treatment For Anxiety

Fluox (Fluoxetine / Lovan) 20 mg is among the most popular antidepressant medications on the market. It operates as an SSRI (selective-serotonin reuptake inhibitor) meaning it prevents the reuptake of the neurotransmitter serotonin. It is thought to help with both depression and anxiety, but it is also prescribed for a number of other conditions.

Dosage & When it is to be taken : 

Fluox (Fluoxetine / Lovan) should be taken exactly as prescribed by your doctor. The recommended dose range is 20 - 80 mg/day.

Fluox (Fluoxetine / Lovan) usually is taken once or twice a day. To be effective, it should be taken regularly. Make a habit of taking it at the same time you do some other daily activity. It may be 4 weeks before you feel any relief from your depression, but the drug's effects should last about 9 months after a 3-month treatment regimen. For obsessive-compulsive disorder, the full effect may take 5 weeks to appear.

Overdosage :

Any medication taken in excess can have serious consequences. An overdose of Fluox can be fatal. In addition, combining Fluox with certain other drugs can cause symptoms of overdose. If you suspect an overdose, seek medical attention immediately.

Common symptoms of Fluox overdose include: Nausea, rapid heartbeat, seizures, sleepiness, vomiting

Other symptoms of Fluox overdose include: Coma, delirium, fainting, high fever, irregular heartbeat, low blood pressure, mania, rigid muscles, sweating, stupor.

Warnings and Precautions : 

Caution should be exercised in patients with history of seizures, heart, liver or kidney problems, stomach bleeding, sugar, metabolic problems, suicidal thoughts, any allergy, who are taking other medications, elderly, children, during pregnancy and breast feeding. 

It may cause drowsiness or dizziness, do not drive a car or operate machinery while taking this medication. 

Avoid alcohol consumption. 

It may develop increased risk of suicidal thoughts in children and teenagers; watch them carefully. 

It may affect blood sugar level; monitor sugar level regularly while taking this medication. 

Patient may develop with increased risk of neuroleptic malignant syndrome (NMS) with the following symptoms: fever, stiff muscles, confusion, abnormal thinking, fast or irregular heartbeat and sweating. If it is so consult with your doctor.

Patient may develop with increased risk of Serotonin Syndrome with the following symptoms: agitation, confusion, hallucinations, coma, fever, irregular heartbeat, tremor, excessive sweating, nausea, vomiting, and diarrhea.

Storage Conditions : 

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing. Keep out of the reach of children.

Antidepressant Medication

How do antidepressant medications help?

The main medical treatment for depression is antidepressant medications. Antidepressant medications help reduce the symptoms of depression, such as: feeling extremely sad for no clear reason; loss of interest or pleasure in things you usually enjoy; sleeping too much or too little; feelings of worthlessness or excessive guilt or worry, and difficulty in thinking, making decisions or concentration. Antidepressants may also be helpful in the treatment of anxiety-related disorders, such as generalised anxiety disorder and eating disorders, obsessive-compulsive disorder, social phobia, and post-traumatic stress disorder.

How do antidepressant medications work?

People with depression and anxiety disorders often have an imbalance in certain natural chemicals in the brain. Antidepressant medications help the brain to restore its usual chemical balance and so reduce symptoms.

What antidepressant medications are there?

There are many different kinds of antidepressants, including:

- Selective serotonin reuptake inhibitors (SSRIs)

- Tricyclic antidepressants (tricyclics)

- Novel antidepressants and others

Like most medicines, antidepressant drugs can cause side effects. Not all people get these side effects. Any side effects you have will depend on the medicine your doctor has chosen for you. Your doctor should talk to you about your medicine.

How long do they take to work?

Antidepressants are usually taken in tablet form. When they are prescribed, you will start on the lowest possible dose thought necessary to improve your symptoms. Like any medication, the length of time a person needs to take antidepressants for depends on how severe the illness is and how they respond to treatment. Some people only need to take them for a short time (usually 6–12 months), while others may need to take them over the long term. Stopping antidepressant medication should only be done gradually, on a doctor's recommendation and under supervision. Antidepressant medication is generally very effective. Around 70% of people with major depression start to feel better with the first type of antidepressant they are prescribed.

What are the possible side effects of antidepressants?

Different antidepressants can have a range of different side effects. Common side effects of antidepressants in general are usually mild and can include: diarrhoea or constipation; nausea; headaches; sleep disturbance; lower sexual responsiveness; dizziness or blurred vision; weight gain; dry mouth; sweating. Side effects should improve within a few days or weeks of treatment as the body gets used to the medication.

How do I know which one is right for me?
Choosing the best medication to prescribe is not always straightforward because the way people respond to medication is different. This means that finding the right one for you may involve trying one or more. However, there are some things you and your doctor can consider to work out what type of antidepressant medication is most likely to be right for you, including whether you have had any physical health problems and what symptoms you are having trouble with.