Application Information

This drug has been submitted to the FDA under the reference 017090/001.

Names and composition

"TOFRANIL-PM" is the commercial name of a drug composed of IMIPRAMINE PAMOATE.

Forms

ApplId/ProductId Drug name Active ingredient Form Strenght
017090/001 TOFRANIL-PM IMIPRAMINE PAMOATE CAPSULE/ORAL EQ 75MG HCL **Federal Register determination that product was not discontinued or withdrawn for safety or efficacy reasons**
017090/002 TOFRANIL-PM IMIPRAMINE PAMOATE CAPSULE/ORAL EQ 150MG HCL **Federal Register determination that product was not discontinued or withdrawn for safety or efficacy reasons**
017090/003 TOFRANIL-PM IMIPRAMINE PAMOATE CAPSULE/ORAL EQ 125MG HCL **Federal Register determination that product was not discontinued or withdrawn for safety or efficacy reasons**
017090/004 TOFRANIL-PM IMIPRAMINE PAMOATE CAPSULE/ORAL EQ 100MG HCL **Federal Register determination that product was not discontinued or withdrawn for safety or efficacy reasons**

Similar Active Ingredient

ApplId/ProductId Drug name Active ingredient Form Strenght
017090/001 TOFRANIL-PM IMIPRAMINE PAMOATE CAPSULE/ORAL EQ 75MG HCL **Federal Register determination that product was not discontinued or withdrawn for safety or efficacy reasons**
017090/002 TOFRANIL-PM IMIPRAMINE PAMOATE CAPSULE/ORAL EQ 150MG HCL **Federal Register determination that product was not discontinued or withdrawn for safety or efficacy reasons**
017090/003 TOFRANIL-PM IMIPRAMINE PAMOATE CAPSULE/ORAL EQ 125MG HCL **Federal Register determination that product was not discontinued or withdrawn for safety or efficacy reasons**
017090/004 TOFRANIL-PM IMIPRAMINE PAMOATE CAPSULE/ORAL EQ 100MG HCL **Federal Register determination that product was not discontinued or withdrawn for safety or efficacy reasons**
090444/001 IMIPRAMINE PAMOATE IMIPRAMINE PAMOATE CAPSULE/ORAL EQ 75MG HCL
090444/002 IMIPRAMINE PAMOATE IMIPRAMINE PAMOATE CAPSULE/ORAL EQ 100MG HCL
090444/003 IMIPRAMINE PAMOATE IMIPRAMINE PAMOATE CAPSULE/ORAL EQ 125MG HCL
090444/004 IMIPRAMINE PAMOATE IMIPRAMINE PAMOATE CAPSULE/ORAL EQ 150MG HCL
091099/001 IMIPRAMINE PAMOATE IMIPRAMINE PAMOATE CAPSULE/ORAL EQ 75MG HCL
091099/002 IMIPRAMINE PAMOATE IMIPRAMINE PAMOATE CAPSULE/ORAL EQ 100MG HCL
091099/003 IMIPRAMINE PAMOATE IMIPRAMINE PAMOATE CAPSULE/ORAL EQ 125MG HCL
091099/004 IMIPRAMINE PAMOATE IMIPRAMINE PAMOATE CAPSULE/ORAL EQ 150MG HCL
202338/001 IMIPRAMINE PAMOATE IMIPRAMINE PAMOATE CAPSULE/ORAL EQ 75MG HCL
202338/002 IMIPRAMINE PAMOATE IMIPRAMINE PAMOATE CAPSULE/ORAL EQ 100MG HCL
202338/003 IMIPRAMINE PAMOATE IMIPRAMINE PAMOATE CAPSULE/ORAL EQ 125MG HCL
202338/004 IMIPRAMINE PAMOATE IMIPRAMINE PAMOATE CAPSULE/ORAL EQ 150MG HCL

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Answered questions

What is the difference between Tofranil and Tofranil-PM?
Asked by Ernesto Grzegorek 2 years ago.

Extract from site listed below...; Tofranil is used to treat depression. It is a member of the family of drugs called tricyclic antidepressants. Tofranil-PM, which is usually taken once daily at bedtime, is approved to treat major depression. Answered by Vannessa Vina 2 years ago.

Tofranil-PM is meant to be taken at night. Answered by Candida Colagiovanni 2 years ago.


Weight gain from drugs for bipolar/psychotic/mood disorders?
I have trouble with horrendous mood swings. I am a 47 year old female. They had diagnosed me as bipolar, but lithium, depacote, nothing worked, but I gained weight like crazy. I didn't really fit the profile for bipolar other than mood swings (no spending sprees, no promiscuity, etc.). The doctor tried... Asked by Alisha Fetty 2 years ago.

I have trouble with horrendous mood swings. I am a 47 year old female. They had diagnosed me as bipolar, but lithium, depacote, nothing worked, but I gained weight like crazy. I didn't really fit the profile for bipolar other than mood swings (no spending sprees, no promiscuity, etc.). The doctor tried Risperdal and it worked! I felt normal for the first time in years. Then they took a prolactin test, it was 37.7, and normal is 1-20, so he took me off and put me on Seroquel. I am on a therapeutic dose, no relief, still mood swings like crazy and MORE weight gain. Some days I eat nothing at all, and I still gain (and still act crazy). I would like to go back to Risperdal if that number is not completely out of the question. At least if I have to be 30 pounds heavier, I don't have mood swings with the Risperdal. Anyone have any luck with these or other drugs for mood swings, and what did you do about the weight gain? I feel HORRIBLE! Answered by Ashley Dennen 2 years ago.

I take the seroqual and they gave me Tofranil Pm, Its a mood stabilizer. I have had great results with them. unfortunatley, most antipsycotics/antidepressants cause weight gain. It sucks. I haven't gained much weight but then again I don't get hungry either. But NOT eating can actually make you gain weight. Talk to your doctor about your concerns at your next visit. As far as loosing the weight I drink alot of ice tea (its a natural diuretic- loose water weight) and I try to eat small meals through out the day, even if i'm not really hungry.... Good Luck! Answered by Camie Shank 2 years ago.

I am a nursing student and I just finished my psych rotation. My impression was that Risperdal was the drug of choice and obviously very effective. But it was always used in conjunction with another drug. Ask your doctor about adding another drug or to try again with Risperdal. Insist that u feel Risperdal helps and u want to get back on it. Try it and see if the prolactin test is the same again- if it is, try another option. Unfortunately, weight gain is a frequent side effect of antipsychotic drugs. The only way to solve that problem is to deal with it- lose weight like everyone else- work out and eat right. Answered by Jayme Dorsay 2 years ago.

I know it is hard to think about but it sounds more like you need to see a gyn and get on hormones. Mood swings at 47 are more indicative of the need to replace hormones. I know. I was diagnosed a little over a year ago as being bipolar and was sent to a therapist who told me I was not and that I was just depressed. So, get a second opinion on that too. Go for walks when you feel like eating and or swinging out at the world. Get some healthy snacks. Join a women's league of some sort, it will also get your mind working somewhere else. Answered by Justina Mogro 2 years ago.

If you were not having any side effects related to the prolactin elevation many professionals believe that it probably isn't necessary to stop the Risperdal. You may also consider a lower dose if you are very concerned about this blood prolacatin level. Answered by Mariette Bedor 2 years ago.

I'm just on anti-depressants, but I did gain weight. I've been going to Curves gym and it's been helping. I really hope you find a medication that works for you - I just wanted to convey my best wishes. I remember how hard it was to find the right medication, but once I did, I felt so much better. Hang in there. Answered by Shanita Zeminski 2 years ago.

I AM BIPOLAR AND I ALSO TAKE SERIQUL AND I HAVE GAINED ALMOST 50 POUNDS IN LESS THAN A YEAR.I WAS ADMITTED INTO A PHYSIC WARD AND WAS PUT ON GEODON/CYMBALTA/SEQUEL/VALIUM/LITHEM AND TODAY ALL I TAKE IS 900 MILLS OF SEQUEL AT BED TIME BECAUSE IT WAS MAKING ME TO TIRED DURING THE DAY.TRY ASKING YOUR DR. TO BE PUT ON MIRIAM IT IS A DIET PILL AND SO FAR IT HAS WORKED (NOT AS MUCH AS I WOULD LIKE) Answered by Verda Glaspy 2 years ago.


I used to be, in a way, sort of different persons-depending on; read on:?
depending on which type of tri-cyclic anti-depressant that i was taking; when on Tofranil PM (TIMED RELEASE); I THINK that for some reason --too much of it was released in my body ALL AT ONE TIME!--CAUSING EXTREME MANIA. (I thiink it was taken off market--not sure why!) & i'd work on lots of Mental Work -when... Asked by Guillermina Sakamaki 2 years ago.

depending on which type of tri-cyclic anti-depressant that i was taking; when on Tofranil PM (TIMED RELEASE); I THINK that for some reason --too much of it was released in my body ALL AT ONE TIME!--CAUSING EXTREME MANIA. (I thiink it was taken off market--not sure why!) & i'd work on lots of Mental Work -when on Tofranil- reg. OR PM. & when on Pamelor & back when it'd help some (only the Name Brand of Pamelor-ever helped me!!!--anyway -when on it - it'd help me do more Physical Work--such as Sewing!!! I cut out & sewed 7 pair of shorts for my then 3 yrs old Son -at that time--in One Nite; Lately take generic Pamelor -just 10 mg. along with 2.5 Mg. Zyprexa with no luck at all! now i not good at mental nor physical work!!! any comments on all the above; hope i made myself Clear; best wishes!!!!! anyone taken Tofranil PM ? any similar results? etc . Answered by Fredda Homyak 2 years ago.

If you get any more manic than you are now, you'll be swinging from the chandelier. I pride myself on being a fairly perceptive person, but you've left me clueless. No, it really wasn't clear, except to say that you need to see someone soon. It sounds like you're in the throes of a deep manic episode. I've had similar episodes to what you're talking about, but not with those drugs. I really think you need to get someone to drive you to the ER tonight. At the very least, call your doctor tomorrow. Good luck. Answered by Keith Pomerantz 2 years ago.


How many anti depressants is there on the Market?
Asked by Hiedi Schrott 2 years ago.

•Amitriptyline (Elavil®) •Amoxapine (Asendin®) •Bupropion (Aplenzin™, Budeprion XL®, Budeprion™ SR, Buproban®, Wellbutrin SR®, Wellbutrin XL®, Wellbutrin®, Zyban®) •Citalopram (Celexa®) •Clomipramine (Anafranil®) •Desipramine (Norpramin®) •Desvenlafaxine (Pristiq™) •Doxepin (Sinequan®, Silenor®) •Duloxetine (Cymbalta®) •Escitalopram (Lexapro®) •Fluoxetine (Prozac®, Sarafem®, Selfemra™) •Fluvoxamine (Luvox®, Luvox® CR) •Imipramine hydrochloride (Tofranil®) •Imipramine pamoate (Tofranil PM®) •Isocarboxazid (Marplan®) •Maprotiline (Ludiomil®) •Mirtazapine (Remeron®) •Nefazodone (Serzone®) •Nortriptyline (Pamelor®) •Paroxetine (Paxil®, Paxil CR®, Pexeva®) •Phenelzine (Nardil®) •Protriptyline (Vivactil®) •Selegiline (Emsam®) •Sertraline (Zoloft®) •Tranylcypromine (Parnate®) •Trazodone (Desyrel®) or trazodone ER (Oleptro™) •Trimipramine (Surmontil®) •Venlafaxine (Effexor®, Effexor XR®). •Citalopram (Celexa®) •Escitalopram (Lexapro®) •Fluoxetine (Prozac®, Sarafem®, Selfemra™) •Fluvoxamine (Luvox®, Luvox® CR) •Paroxetine (Paxil®, Paxil CR®, Pexeva®) •Sertraline (Zoloft®). Serotonin-norepinephrine reuptake inhibitors (SNRIs) include: •Duloxetine (Cymbalta®) •Desvenlafaxine (Pristiq™) •Venlafaxine (Effexor®, Effexor XR®). There is one SNRI, milnacipran (Savella™) that is not approved for treating depression, although it may be used "off-label" for this purpose. Monoamine oxidase inhibitors (MAOIs) used for depression include: •Isocarboxazid (Marplan®) •Phenelzine (Nardil®) •Selegiline (Emsam®) •Tranylcypromine (Parnate®). Tricyclic antidepressants include: •Amitriptyline (Elavil®) •Amoxapine (Asendin®) •Clomipramine (Anafranil®) •Desipramine (Norpramin®) •Doxepin (Sinequan®, Silenor®) •Imipramine hydrochloride (Tofranil®) •Imipramine pamoate (Tofranil PM®) •Maprotiline (Ludiomil®) •Nortriptyline (Pamelor®) •Protriptyline (Vivactil®) •Trimipramine (Surmontil®). Miscellaneous other antidepressants include: •Bupropion (Aplenzin™, Budeprion XL®, Budeprion™ SR, Buproban®, Wellbutrin SR®, Wellbutrin XL®, Wellbutrin®, Zyban®), a norepinephrine and dopamine reuptake inhibitor (NDRI) •Mirtazapine (Remeron®) •Nefazodone (Serzone®) •Trazodone (Desyrel®) or trazodone ER (Oleptro™). Answered by Bobbye Theuret 2 years ago.

Being that this alt med web page has been hijacked by means of druggies, I am now not certain what so as to add. Do your due diligence regarding drug results. If you arn't suidical and are open to "choices", check out one million hr full of life rigorous activity according to day that could be running, get a few solar, or typical gentle in your dermis, and watch much less TV. Make certain your bod can tolerate activity, get a pressure scan if integral. Answered by Kazuko Gawrych 2 years ago.


What antidepressant worked best for you?
I don't think I've experienced any side effects from the tofranil pm. It made me a little dizzy sometimes when I first started taking it but not any more. It's helped a lot, but I'm still not back to my old, normal, happy self. Asked by Dimple Jablonski 2 years ago.

I was on zoloft for about a year and a half. It worked fanstasticly, to the point where nothing bothered me- but it also killed the sex drive and made me tired alot. Prozac was a little better with less side affects- I wasn't AS happy on that one. I weaned off all meds about 3 years ago......none is best I think, if you can take it. Good luck. Answered by Thanh Joa 2 years ago.

Hi hon... i can't take antidepressants. I am one of a handfull of weird people who has terrible side-effects. however, i suffer from depression and have all of my life. i am pleased to hear you are feeling better.... and it's probably the medication helping. the rest is up to you... you didn't say whether you were in therapy or not, but i'm assuming the answer is 'no'. truth is, happiness comes from within.... your anti-depressant may be helping to lift your mood, but if you are feeling bored, unhappy, maybe you need to spice up your life? Have you ever thought of making good use of some of your free time? What about taking a class? Like karate? Swimming? Dance? You could try a hobby... there are so many neat projects to try out there -- scrapbooking, card making, painting, beading etc. These days, we have huge craft stores available, and the possibilities for a new project are endless! Another thing you might do is make plans to do things with family or friends.. even if it's playing a game, or cards....or even a picnic in the park... Exercise is another good way to lift your spirits... a 20 minute, brisk walk or exercise program several times a week will help to lift your mood... when we exercise or engage in any strenuous activity, our brain releases hormones called "endorphins". Endorphins are our "happy hormones" and they make us feel loads better! Just a few suggestions from a fellow depressive, with lots of life experience. sending all best wishes and good thoughts your way! Answered by Beverley Fanizza 2 years ago.

I think It Is wonderful at 13 you have taken awareness of your depression.But i am curious to why you are asking ? Is there side affects the antidepressants are causing ? only because you didn't state the type of depression you have.The reason i say this is if you are becoming irritable and manic and racy you may want to mention this to you prescribing and then they can explore a mood stabilizer.You should be very proud of yourself.there aren't many adults who can except there depression and want to do something about it . keep up the good work. Answered by Lanora Disalvatore 2 years ago.

They all work well it is just a matter of which one does the best job for you. As you can see by the two responses each person is different. I use Zoloft and do well on that. My friend uses prozac is good on that one. Answered by Lili Eddings 2 years ago.

Lexapro... wellbutron makes everything taste like ****! it's just plain awful! Prozac was wonderful too... not to many Dr.'s will give it out any more... the newer drugs make them more $$$! Good Luck... I'm sorry you or a friend is having problems! Honestly I am! Answered by Leah Mckeown 2 years ago.

Zoloft.. it;'s the only one with minimal side effects for me and i've tried almost EVERY other one out there. Answered by Nadia Boccella 2 years ago.

make sure you eat plenty of walnut....it has chemicals needed for brain....depression as you know is because of chemical imbalance of the brain...you need to have a balanced diet and walnut is rich in things brain needs. Answered by Daphine Kealoha 2 years ago.

wellbutrin....fewer side effects Answered by Torie Madruga 2 years ago.

Faith, prayer and fasting:-) Answered by Joy Bardo 2 years ago.


Safe to take two anti-depressants at same time?
This is a question for a doctor, pharmacist or nurse practitioner. Is it safe for an otherwise healthy person to take Sertraline (Zoloft) and Tofranil-PM together? One is an SSRI and the other is a tricyclic, and it seems like an awful lot of medication to me. But my doctor says it's perfectly safe to take... Asked by Tommye Nowak 2 years ago.

This is a question for a doctor, pharmacist or nurse practitioner. Is it safe for an otherwise healthy person to take Sertraline (Zoloft) and Tofranil-PM together? One is an SSRI and the other is a tricyclic, and it seems like an awful lot of medication to me. But my doctor says it's perfectly safe to take them. I appreciate any feedback. Answered by Marcie Gori 2 years ago.

Safe only if it is not for long tem use. Do you take both at the same time. Ideally you should take the Zoloft in the AM and the Tofranil in the PM. Does the zoloft make you drowsy? How long have you been on both meds? Do you have many side effects? Is your Dr. a psychiatrist? Has he mentioned to you how long he would like to keep you on both meds? I just want to make sure that you're being properly supervised. Do you suffer from a diagnosed chemical imbalance and are you also receiving counselling? Thanks and I hope you will get back to me, Pharma-info Answered by Austin Jodon 2 years ago.

What you could do is get an antidepressant that comes in a liquid form - then you can increase the dose really slowly, to avoid the side effects. Prozac, Citalopram and Seroxat all come in either liquid or drop form. Talk to your doctor about this and he'll advise you as to how to increase the dose gradually. Also, bear in mind that many of us feel tired on antidepressants, especially during the first few weeks - but it usually passes. If you're only on them for two weeks, you're never finding out if they're actually going to work, you're only getting the side effects! If you haven't already tried it, ask your doctor about Effexor - it might not make you so tired. Prozac is also quite stimulating. Be aware that if you take Effexor, some people have a problem when it's time to stop it; it has to be done REALLY slowly. Citalopram (Celexa) is also thought to have less side effects than many other medications, so if you haven't tried it, ask your doctor. Answered by Kimberley Willems 2 years ago.

They are usually safe together and many other people have taken this combination without problems. However, a rare complication is called "serotonin syndrome." This is because both sertraline (Zoloft) and imipramine (Tofranil) boost the brain's own natural serotonin chemical transmitter system, and the two together might boost this system more than either one alone. The serotonin syndrome can involve agitation and confusion. If you don't experience something like this, then you are probably just fine. Answered by Elvia Luzader 2 years ago.

look online for Zoloft side effects, uses, and contradictory medicine. For example, (and i hate to use this) Anna Nicole Smith's son was taking Lexapro, Zoloft (i think) and of course methadone....that's a lethal combination. However, i take Lexapro at night, and i also have Xanax that i can take anytime i need to...the two do not act with or against each other. You just need to look mainly for the "DO NOT TAKE THE FOLLOWING MEDICATIONS:" for both scripts. If it says, "use caution or consult with your doctor if you are taking __________" then it should be fine...i'm taking an antibiotic now that has a caution for Xanax...haven't had a problem. Quite honestly...the Zoloft should put you to sleep if you take it at night...you shouldn't need the sleeper pill (if that's what it is...). Or, better yet, instead of a sleeper pill...try to get muscle relaxers to put you to sleep. Answered by Georgiana Botkin 2 years ago.

It is not uncommon for people who have major depressive disorder and cannot get control of their depression with one medication to take more than one. These medications work differently. Zoloft effects seratonin while Tofranil-PM effects primarily norepinephrine. The Tofranil-PM is probably to help you sleep at night. You are correct, these medications should be used with caution together, but it is alright to take them together under your doctor's supervision. Answered by Royce Scola 2 years ago.

This is from my soon to be wife who is a chiropratic assistant and has alot of knowledge with safety problems with anti depressants. Anti depressants (ads) have to formulated to your needs. That is why no two presciptions work for one person. If someone takes to much ads that can off balance them very much. An example is when my sister in law had her prescription increased and it off balanced her enough that she needed to go home work. She is taking zoloft. When i say off balance it does the opposite of what it needs to do which means you actually become very depressed. Know this is something that you can do if you dont want to take medicatioon for your depression. "Corrective Chiropratic" which means that the chiropractor fixes your body and helps you become more healthy and all with out medication. Trust me i know this sounds wierd saying chiropratic care would help with depression but it worked on me. I had bad bad stress and anxiety problems. My chiropractor told me that my spine was inverted (very bad and dangerous) because of my time in the marine corps that made my connection of my nervers from my brain and the rest of the body was offset and making the problems that i had. Three months no anxiety and my stress is at a great level my blood pressure is normal. Important information is that your brain is responsible with depression. When your spinal cord compresses your brain stem that is when problems accure. This happens to everyone. I would tell you to just try it. Planet Chiropratic and Delta Chiropratic is two big names in corrective care. Answered by Xavier Alarcone 2 years ago.

I would say go with your doctor's advice, but if you are hesitant it's okay to get a second opinion. It's your health and you should feel comfortable maintaining it Answered by Tonie Villetas 2 years ago.

no one works against the other I would say stick with the generic Prozac as the trycilic ha a few nasty side effects thirst sweating tirdness , i have had no bad effects from the Prozac generic Answered by Randolph Hopewell 2 years ago.


I have been diagnosed with depression and I myself feel like it is on the borderline of obsessive?
I told that doctor several times to change my meds and all he would do was make it a higher dose and tell me to come back in 2 or 3 months and I dunno about rhab I'm a game addict and I don't think I could live without my games and internet and stuff Asked by Tyisha Stouall 2 years ago.

it's all I can think about especially if me and my family are fighting it gets really bad I'm 24 and it has been going on since I was about 15 then it was played off as teen angst now its just something we don't talk about I did try and get help I went to my local pathways and the doctor there kept feeding me pills that didn't work and the therapist that was supposed to help me just talked about what I did that day or something stupid well I kept going because it was all I had anyways he kept upping the dosage I think the pills were named tofranil he started me on tofranil pm but it was going to cost me $700.00 a month and my family is middle class at best and couldn't afford it though the samples he gave me of it was working anyways I digress he kept upping the dosage of this tofranil and I kept taking it still wasn't helping so I went back and he heightened the dosage again well this time there was a trigger my girlfriend dumped me and I snapped I happened to have a bottle of vodka sitting at the I went home drank the entire bottle in a few drinks ( I wasn't thinking clearly)and I kept telling everyone to leave me alone so anyways I was laying in my room and finally the fear of death the fear of letting my family down all of that was gone and I started taking my tofranil I'd take one and then few mins later I'd take another and I'm not sure how many times I did this next thing I know I awoke in the hospital with a tube in my throat and the doctors telling my family they weren't sure I was gonna make it anyways after that I quit going to pathways and I've been fighting with my self since about 2007to keep myself alive every single day is misery to me the pain of just waking up in the morning is terrible the only other place that helps with this sort of thing costs $350.00 for the first visit and $150.00 every other visit and I am not able to afford this is there anything that you can recommend because I'm soo weary Answered by Sue Farrow 2 years ago.

hi I think that first of all u need to change the meds, if what u have been taking is obviously not helping even on high doses then change it, your doctor should have actually considered this already ( oh and is he a psychiatrist? i think if not see one and get them to prescribe something just tell them about what u are on and how it is not working). i had to try a lot of meds before i found one that worked for me long term. also find another counsellor if possible sometimes some counsellors just dont help some people, there just isnt a good patient counsellor connection, so find someone new. and also if u can get medical aid, or health cover or even try save up for it, i would seriously recommend going to a rehab for a few months, i also tried suicide and as my family did not know what to do with me they sent me to rehab for 6 months (yes a long time but was worth it) i really feel that if u are very very depressed and feel complete despair and are unsure as to how safe u are to yourself then rehab if a good choice, u will be in a safe environment with 24 hr care and counselling available also depending on the rehab u go to as some do specialize in depression you will have professionals who know what they are talking about. in the mean time get onto new meds and also try positivity and gratitude thought, it sounds ridiculous but write down 10 things you are grateful for every day, it can be anything from, being grateful for a pillow when u sleep to the sun shining, anything no matter how small, when one is depressed we completely blank out what is in our lives so by writing things down even the small things we remiond ourselves of what we do have and also just about life in general (sometimes it is the small things that we write down that make life and living so much more real sort of wake us up to the fact that there is more than despair) please try it it does work and help just keep at it, also when u have negative thoughts (which being depressed i know come all the time, make yourself aware that they are negative in a way you will be capturing them and as your awareness of the negativity grows u will eventually be able to catch the negativity before it becomes a full blown thought and be able to remodel it in a positive way so that the - becomes +. it does take a while and will seem silly and stupid to do at first but if u persevere it does help. just please get your meds changed first. i hope it all works out for u. god bless Answered by Elias Grieves 2 years ago.


A question about antidepressants....?
I've been given antidepressants to prevent me from having panic attacks. (I have an anxiety disorder). How will they stop me from having panic attacks in terms of brain functioning? And how will I feel? Thanks. Asked by Zachery Lalin 2 years ago.

Antidepressant medications have been shown to reduce panic severity, eliminate attacks, and improve overall quality-of-life measures in patients with panic disorder. The main kinds of drugs used for the treatment of panic attacks are: Benzodiazepines, SSRIs (Selective Serotonin Reuptake Inhibitors) and TCAs (Trycyclic antidepressants). Benzodiazepines Alprazolam (Xanax) Clonazepam (Klonopin) SSRIs Citalopram (Celexa) Fluoxetine (Prozac) Fluvoxamine (Luvox) Paroxetine (Paxil) Sertraline (Zoloft) TCAs Clomipramine (Anafranil) Imipramine (Tofranil-PM) Other agents Mirtazapine (Remeron) Answered by Shanta Cereceres 2 years ago.


What is the difference between Tofranil and Tofranil-PM?
Asked by Dessie Hayashida 2 years ago.

Extract from site listed below...; Tofranil is used to treat depression. It is a member of the family of drugs called tricyclic antidepressants. Tofranil-PM, which is usually taken once daily at bedtime, is approved to treat major depression. Answered by Ina Ratleff 2 years ago.

Tofranil-PM is meant to be taken at night. Answered by Faustino Lamphere 2 years ago.


Weight gain from drugs for bipolar/psychotic/mood disorders?
I have trouble with horrendous mood swings. I am a 47 year old female. They had diagnosed me as bipolar, but lithium, depacote, nothing worked, but I gained weight like crazy. I didn't really fit the profile for bipolar other than mood swings (no spending sprees, no promiscuity, etc.). The doctor tried... Asked by Eldora Kornn 2 years ago.

I have trouble with horrendous mood swings. I am a 47 year old female. They had diagnosed me as bipolar, but lithium, depacote, nothing worked, but I gained weight like crazy. I didn't really fit the profile for bipolar other than mood swings (no spending sprees, no promiscuity, etc.). The doctor tried Risperdal and it worked! I felt normal for the first time in years. Then they took a prolactin test, it was 37.7, and normal is 1-20, so he took me off and put me on Seroquel. I am on a therapeutic dose, no relief, still mood swings like crazy and MORE weight gain. Some days I eat nothing at all, and I still gain (and still act crazy). I would like to go back to Risperdal if that number is not completely out of the question. At least if I have to be 30 pounds heavier, I don't have mood swings with the Risperdal. Anyone have any luck with these or other drugs for mood swings, and what did you do about the weight gain? I feel HORRIBLE! Answered by Lynna Vanpoppelen 2 years ago.

I take the seroqual and they gave me Tofranil Pm, Its a mood stabilizer. I have had great results with them. unfortunatley, most antipsycotics/antidepressants cause weight gain. It sucks. I haven't gained much weight but then again I don't get hungry either. But NOT eating can actually make you gain weight. Talk to your doctor about your concerns at your next visit. As far as loosing the weight I drink alot of ice tea (its a natural diuretic- loose water weight) and I try to eat small meals through out the day, even if i'm not really hungry.... Good Luck! Answered by Dannie Koso 2 years ago.

I am a nursing student and I just finished my psych rotation. My impression was that Risperdal was the drug of choice and obviously very effective. But it was always used in conjunction with another drug. Ask your doctor about adding another drug or to try again with Risperdal. Insist that u feel Risperdal helps and u want to get back on it. Try it and see if the prolactin test is the same again- if it is, try another option. Unfortunately, weight gain is a frequent side effect of antipsychotic drugs. The only way to solve that problem is to deal with it- lose weight like everyone else- work out and eat right. Answered by Samatha Estus 2 years ago.

I know it is hard to think about but it sounds more like you need to see a gyn and get on hormones. Mood swings at 47 are more indicative of the need to replace hormones. I know. I was diagnosed a little over a year ago as being bipolar and was sent to a therapist who told me I was not and that I was just depressed. So, get a second opinion on that too. Go for walks when you feel like eating and or swinging out at the world. Get some healthy snacks. Join a women's league of some sort, it will also get your mind working somewhere else. Answered by Lakia Barbot 2 years ago.

If you were not having any side effects related to the prolactin elevation many professionals believe that it probably isn't necessary to stop the Risperdal. You may also consider a lower dose if you are very concerned about this blood prolacatin level. Answered by Jacob Tirado 2 years ago.

I'm just on anti-depressants, but I did gain weight. I've been going to Curves gym and it's been helping. I really hope you find a medication that works for you - I just wanted to convey my best wishes. I remember how hard it was to find the right medication, but once I did, I felt so much better. Hang in there. Answered by Josue Chappel 2 years ago.

I AM BIPOLAR AND I ALSO TAKE SERIQUL AND I HAVE GAINED ALMOST 50 POUNDS IN LESS THAN A YEAR.I WAS ADMITTED INTO A PHYSIC WARD AND WAS PUT ON GEODON/CYMBALTA/SEQUEL/VALIUM/LITHEM AND TODAY ALL I TAKE IS 900 MILLS OF SEQUEL AT BED TIME BECAUSE IT WAS MAKING ME TO TIRED DURING THE DAY.TRY ASKING YOUR DR. TO BE PUT ON MIRIAM IT IS A DIET PILL AND SO FAR IT HAS WORKED (NOT AS MUCH AS I WOULD LIKE) Answered by Elfriede Blankenbecler 2 years ago.


I used to be, in a way, sort of different persons-depending on; read on:?
depending on which type of tri-cyclic anti-depressant that i was taking; when on Tofranil PM (TIMED RELEASE); I THINK that for some reason --too much of it was released in my body ALL AT ONE TIME!--CAUSING EXTREME MANIA. (I thiink it was taken off market--not sure why!) & i'd work on lots of Mental Work -when... Asked by Lavonna Neef 2 years ago.

depending on which type of tri-cyclic anti-depressant that i was taking; when on Tofranil PM (TIMED RELEASE); I THINK that for some reason --too much of it was released in my body ALL AT ONE TIME!--CAUSING EXTREME MANIA. (I thiink it was taken off market--not sure why!) & i'd work on lots of Mental Work -when on Tofranil- reg. OR PM. & when on Pamelor & back when it'd help some (only the Name Brand of Pamelor-ever helped me!!!--anyway -when on it - it'd help me do more Physical Work--such as Sewing!!! I cut out & sewed 7 pair of shorts for my then 3 yrs old Son -at that time--in One Nite; Lately take generic Pamelor -just 10 mg. along with 2.5 Mg. Zyprexa with no luck at all! now i not good at mental nor physical work!!! any comments on all the above; hope i made myself Clear; best wishes!!!!! anyone taken Tofranil PM ? any similar results? etc . Answered by Shad Schleicher 2 years ago.

If you get any more manic than you are now, you'll be swinging from the chandelier. I pride myself on being a fairly perceptive person, but you've left me clueless. No, it really wasn't clear, except to say that you need to see someone soon. It sounds like you're in the throes of a deep manic episode. I've had similar episodes to what you're talking about, but not with those drugs. I really think you need to get someone to drive you to the ER tonight. At the very least, call your doctor tomorrow. Good luck. Answered by Griselda Armentrout 2 years ago.


How many anti depressants is there on the Market?
Asked by Neal Cyphers 2 years ago.

•Amitriptyline (Elavil®) •Amoxapine (Asendin®) •Bupropion (Aplenzin™, Budeprion XL®, Budeprion™ SR, Buproban®, Wellbutrin SR®, Wellbutrin XL®, Wellbutrin®, Zyban®) •Citalopram (Celexa®) •Clomipramine (Anafranil®) •Desipramine (Norpramin®) •Desvenlafaxine (Pristiq™) •Doxepin (Sinequan®, Silenor®) •Duloxetine (Cymbalta®) •Escitalopram (Lexapro®) •Fluoxetine (Prozac®, Sarafem®, Selfemra™) •Fluvoxamine (Luvox®, Luvox® CR) •Imipramine hydrochloride (Tofranil®) •Imipramine pamoate (Tofranil PM®) •Isocarboxazid (Marplan®) •Maprotiline (Ludiomil®) •Mirtazapine (Remeron®) •Nefazodone (Serzone®) •Nortriptyline (Pamelor®) •Paroxetine (Paxil®, Paxil CR®, Pexeva®) •Phenelzine (Nardil®) •Protriptyline (Vivactil®) •Selegiline (Emsam®) •Sertraline (Zoloft®) •Tranylcypromine (Parnate®) •Trazodone (Desyrel®) or trazodone ER (Oleptro™) •Trimipramine (Surmontil®) •Venlafaxine (Effexor®, Effexor XR®). •Citalopram (Celexa®) •Escitalopram (Lexapro®) •Fluoxetine (Prozac®, Sarafem®, Selfemra™) •Fluvoxamine (Luvox®, Luvox® CR) •Paroxetine (Paxil®, Paxil CR®, Pexeva®) •Sertraline (Zoloft®). Serotonin-norepinephrine reuptake inhibitors (SNRIs) include: •Duloxetine (Cymbalta®) •Desvenlafaxine (Pristiq™) •Venlafaxine (Effexor®, Effexor XR®). There is one SNRI, milnacipran (Savella™) that is not approved for treating depression, although it may be used "off-label" for this purpose. Monoamine oxidase inhibitors (MAOIs) used for depression include: •Isocarboxazid (Marplan®) •Phenelzine (Nardil®) •Selegiline (Emsam®) •Tranylcypromine (Parnate®). Tricyclic antidepressants include: •Amitriptyline (Elavil®) •Amoxapine (Asendin®) •Clomipramine (Anafranil®) •Desipramine (Norpramin®) •Doxepin (Sinequan®, Silenor®) •Imipramine hydrochloride (Tofranil®) •Imipramine pamoate (Tofranil PM®) •Maprotiline (Ludiomil®) •Nortriptyline (Pamelor®) •Protriptyline (Vivactil®) •Trimipramine (Surmontil®). Miscellaneous other antidepressants include: •Bupropion (Aplenzin™, Budeprion XL®, Budeprion™ SR, Buproban®, Wellbutrin SR®, Wellbutrin XL®, Wellbutrin®, Zyban®), a norepinephrine and dopamine reuptake inhibitor (NDRI) •Mirtazapine (Remeron®) •Nefazodone (Serzone®) •Trazodone (Desyrel®) or trazodone ER (Oleptro™). Answered by Beverley Sparger 2 years ago.

Being that this alt med web page has been hijacked by means of druggies, I am now not certain what so as to add. Do your due diligence regarding drug results. If you arn't suidical and are open to "choices", check out one million hr full of life rigorous activity according to day that could be running, get a few solar, or typical gentle in your dermis, and watch much less TV. Make certain your bod can tolerate activity, get a pressure scan if integral. Answered by Santina Otter 2 years ago.


What antidepressant worked best for you?
I don't think I've experienced any side effects from the tofranil pm. It made me a little dizzy sometimes when I first started taking it but not any more. It's helped a lot, but I'm still not back to my old, normal, happy self. Asked by Synthia Zuchelkowski 2 years ago.

I was on zoloft for about a year and a half. It worked fanstasticly, to the point where nothing bothered me- but it also killed the sex drive and made me tired alot. Prozac was a little better with less side affects- I wasn't AS happy on that one. I weaned off all meds about 3 years ago......none is best I think, if you can take it. Good luck. Answered by Wilma Milito 2 years ago.

Hi hon... i can't take antidepressants. I am one of a handfull of weird people who has terrible side-effects. however, i suffer from depression and have all of my life. i am pleased to hear you are feeling better.... and it's probably the medication helping. the rest is up to you... you didn't say whether you were in therapy or not, but i'm assuming the answer is 'no'. truth is, happiness comes from within.... your anti-depressant may be helping to lift your mood, but if you are feeling bored, unhappy, maybe you need to spice up your life? Have you ever thought of making good use of some of your free time? What about taking a class? Like karate? Swimming? Dance? You could try a hobby... there are so many neat projects to try out there -- scrapbooking, card making, painting, beading etc. These days, we have huge craft stores available, and the possibilities for a new project are endless! Another thing you might do is make plans to do things with family or friends.. even if it's playing a game, or cards....or even a picnic in the park... Exercise is another good way to lift your spirits... a 20 minute, brisk walk or exercise program several times a week will help to lift your mood... when we exercise or engage in any strenuous activity, our brain releases hormones called "endorphins". Endorphins are our "happy hormones" and they make us feel loads better! Just a few suggestions from a fellow depressive, with lots of life experience. sending all best wishes and good thoughts your way! Answered by Yolanda Betterman 2 years ago.

I think It Is wonderful at 13 you have taken awareness of your depression.But i am curious to why you are asking ? Is there side affects the antidepressants are causing ? only because you didn't state the type of depression you have.The reason i say this is if you are becoming irritable and manic and racy you may want to mention this to you prescribing and then they can explore a mood stabilizer.You should be very proud of yourself.there aren't many adults who can except there depression and want to do something about it . keep up the good work. Answered by Tandy Graser 2 years ago.

They all work well it is just a matter of which one does the best job for you. As you can see by the two responses each person is different. I use Zoloft and do well on that. My friend uses prozac is good on that one. Answered by Carlee Moretto 2 years ago.

Lexapro... wellbutron makes everything taste like ****! it's just plain awful! Prozac was wonderful too... not to many Dr.'s will give it out any more... the newer drugs make them more $$$! Good Luck... I'm sorry you or a friend is having problems! Honestly I am! Answered by Belia Keppel 2 years ago.

Zoloft.. it;'s the only one with minimal side effects for me and i've tried almost EVERY other one out there. Answered by Larue Shingleton 2 years ago.

make sure you eat plenty of walnut....it has chemicals needed for brain....depression as you know is because of chemical imbalance of the brain...you need to have a balanced diet and walnut is rich in things brain needs. Answered by Hassan Hampe 2 years ago.

wellbutrin....fewer side effects Answered by Casey Kintigh 2 years ago.

Faith, prayer and fasting:-) Answered by Herschel Finigan 2 years ago.


Safe to take two anti-depressants at same time?
This is a question for a doctor, pharmacist or nurse practitioner. Is it safe for an otherwise healthy person to take Sertraline (Zoloft) and Tofranil-PM together? One is an SSRI and the other is a tricyclic, and it seems like an awful lot of medication to me. But my doctor says it's perfectly safe to take... Asked by Leonida Hessing 2 years ago.

This is a question for a doctor, pharmacist or nurse practitioner. Is it safe for an otherwise healthy person to take Sertraline (Zoloft) and Tofranil-PM together? One is an SSRI and the other is a tricyclic, and it seems like an awful lot of medication to me. But my doctor says it's perfectly safe to take them. I appreciate any feedback. Answered by Joaquina Woodson 2 years ago.

Safe only if it is not for long tem use. Do you take both at the same time. Ideally you should take the Zoloft in the AM and the Tofranil in the PM. Does the zoloft make you drowsy? How long have you been on both meds? Do you have many side effects? Is your Dr. a psychiatrist? Has he mentioned to you how long he would like to keep you on both meds? I just want to make sure that you're being properly supervised. Do you suffer from a diagnosed chemical imbalance and are you also receiving counselling? Thanks and I hope you will get back to me, Pharma-info Answered by Tequila Wikert 2 years ago.

What you could do is get an antidepressant that comes in a liquid form - then you can increase the dose really slowly, to avoid the side effects. Prozac, Citalopram and Seroxat all come in either liquid or drop form. Talk to your doctor about this and he'll advise you as to how to increase the dose gradually. Also, bear in mind that many of us feel tired on antidepressants, especially during the first few weeks - but it usually passes. If you're only on them for two weeks, you're never finding out if they're actually going to work, you're only getting the side effects! If you haven't already tried it, ask your doctor about Effexor - it might not make you so tired. Prozac is also quite stimulating. Be aware that if you take Effexor, some people have a problem when it's time to stop it; it has to be done REALLY slowly. Citalopram (Celexa) is also thought to have less side effects than many other medications, so if you haven't tried it, ask your doctor. Answered by Kristi Struve 2 years ago.

They are usually safe together and many other people have taken this combination without problems. However, a rare complication is called "serotonin syndrome." This is because both sertraline (Zoloft) and imipramine (Tofranil) boost the brain's own natural serotonin chemical transmitter system, and the two together might boost this system more than either one alone. The serotonin syndrome can involve agitation and confusion. If you don't experience something like this, then you are probably just fine. Answered by Darryl Zeitz 2 years ago.

look online for Zoloft side effects, uses, and contradictory medicine. For example, (and i hate to use this) Anna Nicole Smith's son was taking Lexapro, Zoloft (i think) and of course methadone....that's a lethal combination. However, i take Lexapro at night, and i also have Xanax that i can take anytime i need to...the two do not act with or against each other. You just need to look mainly for the "DO NOT TAKE THE FOLLOWING MEDICATIONS:" for both scripts. If it says, "use caution or consult with your doctor if you are taking __________" then it should be fine...i'm taking an antibiotic now that has a caution for Xanax...haven't had a problem. Quite honestly...the Zoloft should put you to sleep if you take it at night...you shouldn't need the sleeper pill (if that's what it is...). Or, better yet, instead of a sleeper pill...try to get muscle relaxers to put you to sleep. Answered by Hollie Bilder 2 years ago.

It is not uncommon for people who have major depressive disorder and cannot get control of their depression with one medication to take more than one. These medications work differently. Zoloft effects seratonin while Tofranil-PM effects primarily norepinephrine. The Tofranil-PM is probably to help you sleep at night. You are correct, these medications should be used with caution together, but it is alright to take them together under your doctor's supervision. Answered by Georgette Molle 2 years ago.

This is from my soon to be wife who is a chiropratic assistant and has alot of knowledge with safety problems with anti depressants. Anti depressants (ads) have to formulated to your needs. That is why no two presciptions work for one person. If someone takes to much ads that can off balance them very much. An example is when my sister in law had her prescription increased and it off balanced her enough that she needed to go home work. She is taking zoloft. When i say off balance it does the opposite of what it needs to do which means you actually become very depressed. Know this is something that you can do if you dont want to take medicatioon for your depression. "Corrective Chiropratic" which means that the chiropractor fixes your body and helps you become more healthy and all with out medication. Trust me i know this sounds wierd saying chiropratic care would help with depression but it worked on me. I had bad bad stress and anxiety problems. My chiropractor told me that my spine was inverted (very bad and dangerous) because of my time in the marine corps that made my connection of my nervers from my brain and the rest of the body was offset and making the problems that i had. Three months no anxiety and my stress is at a great level my blood pressure is normal. Important information is that your brain is responsible with depression. When your spinal cord compresses your brain stem that is when problems accure. This happens to everyone. I would tell you to just try it. Planet Chiropratic and Delta Chiropratic is two big names in corrective care. Answered by Gabriel Yeck 2 years ago.

I would say go with your doctor's advice, but if you are hesitant it's okay to get a second opinion. It's your health and you should feel comfortable maintaining it Answered by Vertie Burcham 2 years ago.

no one works against the other I would say stick with the generic Prozac as the trycilic ha a few nasty side effects thirst sweating tirdness , i have had no bad effects from the Prozac generic Answered by Jean Lanzarin 2 years ago.


I have been diagnosed with depression and I myself feel like it is on the borderline of obsessive?
I told that doctor several times to change my meds and all he would do was make it a higher dose and tell me to come back in 2 or 3 months and I dunno about rhab I'm a game addict and I don't think I could live without my games and internet and stuff Asked by Shane Fagen 2 years ago.

it's all I can think about especially if me and my family are fighting it gets really bad I'm 24 and it has been going on since I was about 15 then it was played off as teen angst now its just something we don't talk about I did try and get help I went to my local pathways and the doctor there kept feeding me pills that didn't work and the therapist that was supposed to help me just talked about what I did that day or something stupid well I kept going because it was all I had anyways he kept upping the dosage I think the pills were named tofranil he started me on tofranil pm but it was going to cost me $700.00 a month and my family is middle class at best and couldn't afford it though the samples he gave me of it was working anyways I digress he kept upping the dosage of this tofranil and I kept taking it still wasn't helping so I went back and he heightened the dosage again well this time there was a trigger my girlfriend dumped me and I snapped I happened to have a bottle of vodka sitting at the I went home drank the entire bottle in a few drinks ( I wasn't thinking clearly)and I kept telling everyone to leave me alone so anyways I was laying in my room and finally the fear of death the fear of letting my family down all of that was gone and I started taking my tofranil I'd take one and then few mins later I'd take another and I'm not sure how many times I did this next thing I know I awoke in the hospital with a tube in my throat and the doctors telling my family they weren't sure I was gonna make it anyways after that I quit going to pathways and I've been fighting with my self since about 2007to keep myself alive every single day is misery to me the pain of just waking up in the morning is terrible the only other place that helps with this sort of thing costs $350.00 for the first visit and $150.00 every other visit and I am not able to afford this is there anything that you can recommend because I'm soo weary Answered by Tama Spanish 2 years ago.

hi I think that first of all u need to change the meds, if what u have been taking is obviously not helping even on high doses then change it, your doctor should have actually considered this already ( oh and is he a psychiatrist? i think if not see one and get them to prescribe something just tell them about what u are on and how it is not working). i had to try a lot of meds before i found one that worked for me long term. also find another counsellor if possible sometimes some counsellors just dont help some people, there just isnt a good patient counsellor connection, so find someone new. and also if u can get medical aid, or health cover or even try save up for it, i would seriously recommend going to a rehab for a few months, i also tried suicide and as my family did not know what to do with me they sent me to rehab for 6 months (yes a long time but was worth it) i really feel that if u are very very depressed and feel complete despair and are unsure as to how safe u are to yourself then rehab if a good choice, u will be in a safe environment with 24 hr care and counselling available also depending on the rehab u go to as some do specialize in depression you will have professionals who know what they are talking about. in the mean time get onto new meds and also try positivity and gratitude thought, it sounds ridiculous but write down 10 things you are grateful for every day, it can be anything from, being grateful for a pillow when u sleep to the sun shining, anything no matter how small, when one is depressed we completely blank out what is in our lives so by writing things down even the small things we remiond ourselves of what we do have and also just about life in general (sometimes it is the small things that we write down that make life and living so much more real sort of wake us up to the fact that there is more than despair) please try it it does work and help just keep at it, also when u have negative thoughts (which being depressed i know come all the time, make yourself aware that they are negative in a way you will be capturing them and as your awareness of the negativity grows u will eventually be able to catch the negativity before it becomes a full blown thought and be able to remodel it in a positive way so that the - becomes +. it does take a while and will seem silly and stupid to do at first but if u persevere it does help. just please get your meds changed first. i hope it all works out for u. god bless Answered by Scottie Rochholz 2 years ago.


A question about antidepressants....?
I've been given antidepressants to prevent me from having panic attacks. (I have an anxiety disorder). How will they stop me from having panic attacks in terms of brain functioning? And how will I feel? Thanks. Asked by Chung Sulek 2 years ago.

Antidepressant medications have been shown to reduce panic severity, eliminate attacks, and improve overall quality-of-life measures in patients with panic disorder. The main kinds of drugs used for the treatment of panic attacks are: Benzodiazepines, SSRIs (Selective Serotonin Reuptake Inhibitors) and TCAs (Trycyclic antidepressants). Benzodiazepines Alprazolam (Xanax) Clonazepam (Klonopin) SSRIs Citalopram (Celexa) Fluoxetine (Prozac) Fluvoxamine (Luvox) Paroxetine (Paxil) Sertraline (Zoloft) TCAs Clomipramine (Anafranil) Imipramine (Tofranil-PM) Other agents Mirtazapine (Remeron) Answered by Cristen Kukla 2 years ago.


What is the difference between Tofranil and Tofranil-PM?
Asked by Jonathon Leckington 2 years ago.

Extract from site listed below...; Tofranil is used to treat depression. It is a member of the family of drugs called tricyclic antidepressants. Tofranil-PM, which is usually taken once daily at bedtime, is approved to treat major depression. Answered by Luanna Dench 2 years ago.

Tofranil-PM is meant to be taken at night. Answered by Sharice Maharaj 2 years ago.


Weight gain from drugs for bipolar/psychotic/mood disorders?
I have trouble with horrendous mood swings. I am a 47 year old female. They had diagnosed me as bipolar, but lithium, depacote, nothing worked, but I gained weight like crazy. I didn't really fit the profile for bipolar other than mood swings (no spending sprees, no promiscuity, etc.). The doctor tried... Asked by Lasandra Arnaud 2 years ago.

I have trouble with horrendous mood swings. I am a 47 year old female. They had diagnosed me as bipolar, but lithium, depacote, nothing worked, but I gained weight like crazy. I didn't really fit the profile for bipolar other than mood swings (no spending sprees, no promiscuity, etc.). The doctor tried Risperdal and it worked! I felt normal for the first time in years. Then they took a prolactin test, it was 37.7, and normal is 1-20, so he took me off and put me on Seroquel. I am on a therapeutic dose, no relief, still mood swings like crazy and MORE weight gain. Some days I eat nothing at all, and I still gain (and still act crazy). I would like to go back to Risperdal if that number is not completely out of the question. At least if I have to be 30 pounds heavier, I don't have mood swings with the Risperdal. Anyone have any luck with these or other drugs for mood swings, and what did you do about the weight gain? I feel HORRIBLE! Answered by Lashawnda Villada 2 years ago.

I take the seroqual and they gave me Tofranil Pm, Its a mood stabilizer. I have had great results with them. unfortunatley, most antipsycotics/antidepressants cause weight gain. It sucks. I haven't gained much weight but then again I don't get hungry either. But NOT eating can actually make you gain weight. Talk to your doctor about your concerns at your next visit. As far as loosing the weight I drink alot of ice tea (its a natural diuretic- loose water weight) and I try to eat small meals through out the day, even if i'm not really hungry.... Good Luck! Answered by Tayna Lasenby 2 years ago.

I am a nursing student and I just finished my psych rotation. My impression was that Risperdal was the drug of choice and obviously very effective. But it was always used in conjunction with another drug. Ask your doctor about adding another drug or to try again with Risperdal. Insist that u feel Risperdal helps and u want to get back on it. Try it and see if the prolactin test is the same again- if it is, try another option. Unfortunately, weight gain is a frequent side effect of antipsychotic drugs. The only way to solve that problem is to deal with it- lose weight like everyone else- work out and eat right. Answered by Elayne Hipwell 2 years ago.

I know it is hard to think about but it sounds more like you need to see a gyn and get on hormones. Mood swings at 47 are more indicative of the need to replace hormones. I know. I was diagnosed a little over a year ago as being bipolar and was sent to a therapist who told me I was not and that I was just depressed. So, get a second opinion on that too. Go for walks when you feel like eating and or swinging out at the world. Get some healthy snacks. Join a women's league of some sort, it will also get your mind working somewhere else. Answered by Magdalena Dimoulakis 2 years ago.

If you were not having any side effects related to the prolactin elevation many professionals believe that it probably isn't necessary to stop the Risperdal. You may also consider a lower dose if you are very concerned about this blood prolacatin level. Answered by Tonda Berky 2 years ago.

I'm just on anti-depressants, but I did gain weight. I've been going to Curves gym and it's been helping. I really hope you find a medication that works for you - I just wanted to convey my best wishes. I remember how hard it was to find the right medication, but once I did, I felt so much better. Hang in there. Answered by Britteny Elvington 2 years ago.

I AM BIPOLAR AND I ALSO TAKE SERIQUL AND I HAVE GAINED ALMOST 50 POUNDS IN LESS THAN A YEAR.I WAS ADMITTED INTO A PHYSIC WARD AND WAS PUT ON GEODON/CYMBALTA/SEQUEL/VALIUM/LITHEM AND TODAY ALL I TAKE IS 900 MILLS OF SEQUEL AT BED TIME BECAUSE IT WAS MAKING ME TO TIRED DURING THE DAY.TRY ASKING YOUR DR. TO BE PUT ON MIRIAM IT IS A DIET PILL AND SO FAR IT HAS WORKED (NOT AS MUCH AS I WOULD LIKE) Answered by Elva Jaquish 2 years ago.


I used to be, in a way, sort of different persons-depending on; read on:?
depending on which type of tri-cyclic anti-depressant that i was taking; when on Tofranil PM (TIMED RELEASE); I THINK that for some reason --too much of it was released in my body ALL AT ONE TIME!--CAUSING EXTREME MANIA. (I thiink it was taken off market--not sure why!) & i'd work on lots of Mental Work -when... Asked by Delmer Summarell 2 years ago.

depending on which type of tri-cyclic anti-depressant that i was taking; when on Tofranil PM (TIMED RELEASE); I THINK that for some reason --too much of it was released in my body ALL AT ONE TIME!--CAUSING EXTREME MANIA. (I thiink it was taken off market--not sure why!) & i'd work on lots of Mental Work -when on Tofranil- reg. OR PM. & when on Pamelor & back when it'd help some (only the Name Brand of Pamelor-ever helped me!!!--anyway -when on it - it'd help me do more Physical Work--such as Sewing!!! I cut out & sewed 7 pair of shorts for my then 3 yrs old Son -at that time--in One Nite; Lately take generic Pamelor -just 10 mg. along with 2.5 Mg. Zyprexa with no luck at all! now i not good at mental nor physical work!!! any comments on all the above; hope i made myself Clear; best wishes!!!!! anyone taken Tofranil PM ? any similar results? etc . Answered by Isobel Sundahl 2 years ago.

If you get any more manic than you are now, you'll be swinging from the chandelier. I pride myself on being a fairly perceptive person, but you've left me clueless. No, it really wasn't clear, except to say that you need to see someone soon. It sounds like you're in the throes of a deep manic episode. I've had similar episodes to what you're talking about, but not with those drugs. I really think you need to get someone to drive you to the ER tonight. At the very least, call your doctor tomorrow. Good luck. Answered by Dorla Gladu 2 years ago.


How many anti depressants is there on the Market?
Asked by Elizbeth Osterhouse 2 years ago.

•Amitriptyline (Elavil®) •Amoxapine (Asendin®) •Bupropion (Aplenzin™, Budeprion XL®, Budeprion™ SR, Buproban®, Wellbutrin SR®, Wellbutrin XL®, Wellbutrin®, Zyban®) •Citalopram (Celexa®) •Clomipramine (Anafranil®) •Desipramine (Norpramin®) •Desvenlafaxine (Pristiq™) •Doxepin (Sinequan®, Silenor®) •Duloxetine (Cymbalta®) •Escitalopram (Lexapro®) •Fluoxetine (Prozac®, Sarafem®, Selfemra™) •Fluvoxamine (Luvox®, Luvox® CR) •Imipramine hydrochloride (Tofranil®) •Imipramine pamoate (Tofranil PM®) •Isocarboxazid (Marplan®) •Maprotiline (Ludiomil®) •Mirtazapine (Remeron®) •Nefazodone (Serzone®) •Nortriptyline (Pamelor®) •Paroxetine (Paxil®, Paxil CR®, Pexeva®) •Phenelzine (Nardil®) •Protriptyline (Vivactil®) •Selegiline (Emsam®) •Sertraline (Zoloft®) •Tranylcypromine (Parnate®) •Trazodone (Desyrel®) or trazodone ER (Oleptro™) •Trimipramine (Surmontil®) •Venlafaxine (Effexor®, Effexor XR®). •Citalopram (Celexa®) •Escitalopram (Lexapro®) •Fluoxetine (Prozac®, Sarafem®, Selfemra™) •Fluvoxamine (Luvox®, Luvox® CR) •Paroxetine (Paxil®, Paxil CR®, Pexeva®) •Sertraline (Zoloft®). Serotonin-norepinephrine reuptake inhibitors (SNRIs) include: •Duloxetine (Cymbalta®) •Desvenlafaxine (Pristiq™) •Venlafaxine (Effexor®, Effexor XR®). There is one SNRI, milnacipran (Savella™) that is not approved for treating depression, although it may be used "off-label" for this purpose. Monoamine oxidase inhibitors (MAOIs) used for depression include: •Isocarboxazid (Marplan®) •Phenelzine (Nardil®) •Selegiline (Emsam®) •Tranylcypromine (Parnate®). Tricyclic antidepressants include: •Amitriptyline (Elavil®) •Amoxapine (Asendin®) •Clomipramine (Anafranil®) •Desipramine (Norpramin®) •Doxepin (Sinequan®, Silenor®) •Imipramine hydrochloride (Tofranil®) •Imipramine pamoate (Tofranil PM®) •Maprotiline (Ludiomil®) •Nortriptyline (Pamelor®) •Protriptyline (Vivactil®) •Trimipramine (Surmontil®). Miscellaneous other antidepressants include: •Bupropion (Aplenzin™, Budeprion XL®, Budeprion™ SR, Buproban®, Wellbutrin SR®, Wellbutrin XL®, Wellbutrin®, Zyban®), a norepinephrine and dopamine reuptake inhibitor (NDRI) •Mirtazapine (Remeron®) •Nefazodone (Serzone®) •Trazodone (Desyrel®) or trazodone ER (Oleptro™). Answered by Myrna Sanderford 2 years ago.

Being that this alt med web page has been hijacked by means of druggies, I am now not certain what so as to add. Do your due diligence regarding drug results. If you arn't suidical and are open to "choices", check out one million hr full of life rigorous activity according to day that could be running, get a few solar, or typical gentle in your dermis, and watch much less TV. Make certain your bod can tolerate activity, get a pressure scan if integral. Answered by Letha Barnscater 2 years ago.


What antidepressant worked best for you?
I don't think I've experienced any side effects from the tofranil pm. It made me a little dizzy sometimes when I first started taking it but not any more. It's helped a lot, but I'm still not back to my old, normal, happy self. Asked by Napoleon Westerhold 2 years ago.

I was on zoloft for about a year and a half. It worked fanstasticly, to the point where nothing bothered me- but it also killed the sex drive and made me tired alot. Prozac was a little better with less side affects- I wasn't AS happy on that one. I weaned off all meds about 3 years ago......none is best I think, if you can take it. Good luck. Answered by Pamelia Mejorado 2 years ago.

Hi hon... i can't take antidepressants. I am one of a handfull of weird people who has terrible side-effects. however, i suffer from depression and have all of my life. i am pleased to hear you are feeling better.... and it's probably the medication helping. the rest is up to you... you didn't say whether you were in therapy or not, but i'm assuming the answer is 'no'. truth is, happiness comes from within.... your anti-depressant may be helping to lift your mood, but if you are feeling bored, unhappy, maybe you need to spice up your life? Have you ever thought of making good use of some of your free time? What about taking a class? Like karate? Swimming? Dance? You could try a hobby... there are so many neat projects to try out there -- scrapbooking, card making, painting, beading etc. These days, we have huge craft stores available, and the possibilities for a new project are endless! Another thing you might do is make plans to do things with family or friends.. even if it's playing a game, or cards....or even a picnic in the park... Exercise is another good way to lift your spirits... a 20 minute, brisk walk or exercise program several times a week will help to lift your mood... when we exercise or engage in any strenuous activity, our brain releases hormones called "endorphins". Endorphins are our "happy hormones" and they make us feel loads better! Just a few suggestions from a fellow depressive, with lots of life experience. sending all best wishes and good thoughts your way! Answered by Kandi Polachek 2 years ago.

I think It Is wonderful at 13 you have taken awareness of your depression.But i am curious to why you are asking ? Is there side affects the antidepressants are causing ? only because you didn't state the type of depression you have.The reason i say this is if you are becoming irritable and manic and racy you may want to mention this to you prescribing and then they can explore a mood stabilizer.You should be very proud of yourself.there aren't many adults who can except there depression and want to do something about it . keep up the good work. Answered by Nana Zamborano 2 years ago.

They all work well it is just a matter of which one does the best job for you. As you can see by the two responses each person is different. I use Zoloft and do well on that. My friend uses prozac is good on that one. Answered by Rosalie Litvak 2 years ago.

Lexapro... wellbutron makes everything taste like ****! it's just plain awful! Prozac was wonderful too... not to many Dr.'s will give it out any more... the newer drugs make them more $$$! Good Luck... I'm sorry you or a friend is having problems! Honestly I am! Answered by Bryon Varakuta 2 years ago.

Zoloft.. it;'s the only one with minimal side effects for me and i've tried almost EVERY other one out there. Answered by William Craigen 2 years ago.

make sure you eat plenty of walnut....it has chemicals needed for brain....depression as you know is because of chemical imbalance of the brain...you need to have a balanced diet and walnut is rich in things brain needs. Answered by Gisele Howie 2 years ago.

wellbutrin....fewer side effects Answered by Melodi Browe 2 years ago.

Faith, prayer and fasting:-) Answered by Kasi Peedin 2 years ago.


Safe to take two anti-depressants at same time?
This is a question for a doctor, pharmacist or nurse practitioner. Is it safe for an otherwise healthy person to take Sertraline (Zoloft) and Tofranil-PM together? One is an SSRI and the other is a tricyclic, and it seems like an awful lot of medication to me. But my doctor says it's perfectly safe to take... Asked by Yuriko Afonso 2 years ago.

This is a question for a doctor, pharmacist or nurse practitioner. Is it safe for an otherwise healthy person to take Sertraline (Zoloft) and Tofranil-PM together? One is an SSRI and the other is a tricyclic, and it seems like an awful lot of medication to me. But my doctor says it's perfectly safe to take them. I appreciate any feedback. Answered by Charolette Politano 2 years ago.

Safe only if it is not for long tem use. Do you take both at the same time. Ideally you should take the Zoloft in the AM and the Tofranil in the PM. Does the zoloft make you drowsy? How long have you been on both meds? Do you have many side effects? Is your Dr. a psychiatrist? Has he mentioned to you how long he would like to keep you on both meds? I just want to make sure that you're being properly supervised. Do you suffer from a diagnosed chemical imbalance and are you also receiving counselling? Thanks and I hope you will get back to me, Pharma-info Answered by Melva Cranmer 2 years ago.

What you could do is get an antidepressant that comes in a liquid form - then you can increase the dose really slowly, to avoid the side effects. Prozac, Citalopram and Seroxat all come in either liquid or drop form. Talk to your doctor about this and he'll advise you as to how to increase the dose gradually. Also, bear in mind that many of us feel tired on antidepressants, especially during the first few weeks - but it usually passes. If you're only on them for two weeks, you're never finding out if they're actually going to work, you're only getting the side effects! If you haven't already tried it, ask your doctor about Effexor - it might not make you so tired. Prozac is also quite stimulating. Be aware that if you take Effexor, some people have a problem when it's time to stop it; it has to be done REALLY slowly. Citalopram (Celexa) is also thought to have less side effects than many other medications, so if you haven't tried it, ask your doctor. Answered by Jina Testani 2 years ago.

They are usually safe together and many other people have taken this combination without problems. However, a rare complication is called "serotonin syndrome." This is because both sertraline (Zoloft) and imipramine (Tofranil) boost the brain's own natural serotonin chemical transmitter system, and the two together might boost this system more than either one alone. The serotonin syndrome can involve agitation and confusion. If you don't experience something like this, then you are probably just fine. Answered by Mathilda Pflanz 2 years ago.

look online for Zoloft side effects, uses, and contradictory medicine. For example, (and i hate to use this) Anna Nicole Smith's son was taking Lexapro, Zoloft (i think) and of course methadone....that's a lethal combination. However, i take Lexapro at night, and i also have Xanax that i can take anytime i need to...the two do not act with or against each other. You just need to look mainly for the "DO NOT TAKE THE FOLLOWING MEDICATIONS:" for both scripts. If it says, "use caution or consult with your doctor if you are taking __________" then it should be fine...i'm taking an antibiotic now that has a caution for Xanax...haven't had a problem. Quite honestly...the Zoloft should put you to sleep if you take it at night...you shouldn't need the sleeper pill (if that's what it is...). Or, better yet, instead of a sleeper pill...try to get muscle relaxers to put you to sleep. Answered by Taina Semenza 2 years ago.

It is not uncommon for people who have major depressive disorder and cannot get control of their depression with one medication to take more than one. These medications work differently. Zoloft effects seratonin while Tofranil-PM effects primarily norepinephrine. The Tofranil-PM is probably to help you sleep at night. You are correct, these medications should be used with caution together, but it is alright to take them together under your doctor's supervision. Answered by Ada Scalise 2 years ago.

This is from my soon to be wife who is a chiropratic assistant and has alot of knowledge with safety problems with anti depressants. Anti depressants (ads) have to formulated to your needs. That is why no two presciptions work for one person. If someone takes to much ads that can off balance them very much. An example is when my sister in law had her prescription increased and it off balanced her enough that she needed to go home work. She is taking zoloft. When i say off balance it does the opposite of what it needs to do which means you actually become very depressed. Know this is something that you can do if you dont want to take medicatioon for your depression. "Corrective Chiropratic" which means that the chiropractor fixes your body and helps you become more healthy and all with out medication. Trust me i know this sounds wierd saying chiropratic care would help with depression but it worked on me. I had bad bad stress and anxiety problems. My chiropractor told me that my spine was inverted (very bad and dangerous) because of my time in the marine corps that made my connection of my nervers from my brain and the rest of the body was offset and making the problems that i had. Three months no anxiety and my stress is at a great level my blood pressure is normal. Important information is that your brain is responsible with depression. When your spinal cord compresses your brain stem that is when problems accure. This happens to everyone. I would tell you to just try it. Planet Chiropratic and Delta Chiropratic is two big names in corrective care. Answered by Jessika Cariddi 2 years ago.

I would say go with your doctor's advice, but if you are hesitant it's okay to get a second opinion. It's your health and you should feel comfortable maintaining it Answered by Porsche Sessa 2 years ago.

no one works against the other I would say stick with the generic Prozac as the trycilic ha a few nasty side effects thirst sweating tirdness , i have had no bad effects from the Prozac generic Answered by Shayne Foucha 2 years ago.


I have been diagnosed with depression and I myself feel like it is on the borderline of obsessive?
I told that doctor several times to change my meds and all he would do was make it a higher dose and tell me to come back in 2 or 3 months and I dunno about rhab I'm a game addict and I don't think I could live without my games and internet and stuff Asked by Eugena Favuzzi 2 years ago.

it's all I can think about especially if me and my family are fighting it gets really bad I'm 24 and it has been going on since I was about 15 then it was played off as teen angst now its just something we don't talk about I did try and get help I went to my local pathways and the doctor there kept feeding me pills that didn't work and the therapist that was supposed to help me just talked about what I did that day or something stupid well I kept going because it was all I had anyways he kept upping the dosage I think the pills were named tofranil he started me on tofranil pm but it was going to cost me $700.00 a month and my family is middle class at best and couldn't afford it though the samples he gave me of it was working anyways I digress he kept upping the dosage of this tofranil and I kept taking it still wasn't helping so I went back and he heightened the dosage again well this time there was a trigger my girlfriend dumped me and I snapped I happened to have a bottle of vodka sitting at the I went home drank the entire bottle in a few drinks ( I wasn't thinking clearly)and I kept telling everyone to leave me alone so anyways I was laying in my room and finally the fear of death the fear of letting my family down all of that was gone and I started taking my tofranil I'd take one and then few mins later I'd take another and I'm not sure how many times I did this next thing I know I awoke in the hospital with a tube in my throat and the doctors telling my family they weren't sure I was gonna make it anyways after that I quit going to pathways and I've been fighting with my self since about 2007to keep myself alive every single day is misery to me the pain of just waking up in the morning is terrible the only other place that helps with this sort of thing costs $350.00 for the first visit and $150.00 every other visit and I am not able to afford this is there anything that you can recommend because I'm soo weary Answered by Ronnie Chretien 2 years ago.

hi I think that first of all u need to change the meds, if what u have been taking is obviously not helping even on high doses then change it, your doctor should have actually considered this already ( oh and is he a psychiatrist? i think if not see one and get them to prescribe something just tell them about what u are on and how it is not working). i had to try a lot of meds before i found one that worked for me long term. also find another counsellor if possible sometimes some counsellors just dont help some people, there just isnt a good patient counsellor connection, so find someone new. and also if u can get medical aid, or health cover or even try save up for it, i would seriously recommend going to a rehab for a few months, i also tried suicide and as my family did not know what to do with me they sent me to rehab for 6 months (yes a long time but was worth it) i really feel that if u are very very depressed and feel complete despair and are unsure as to how safe u are to yourself then rehab if a good choice, u will be in a safe environment with 24 hr care and counselling available also depending on the rehab u go to as some do specialize in depression you will have professionals who know what they are talking about. in the mean time get onto new meds and also try positivity and gratitude thought, it sounds ridiculous but write down 10 things you are grateful for every day, it can be anything from, being grateful for a pillow when u sleep to the sun shining, anything no matter how small, when one is depressed we completely blank out what is in our lives so by writing things down even the small things we remiond ourselves of what we do have and also just about life in general (sometimes it is the small things that we write down that make life and living so much more real sort of wake us up to the fact that there is more than despair) please try it it does work and help just keep at it, also when u have negative thoughts (which being depressed i know come all the time, make yourself aware that they are negative in a way you will be capturing them and as your awareness of the negativity grows u will eventually be able to catch the negativity before it becomes a full blown thought and be able to remodel it in a positive way so that the - becomes +. it does take a while and will seem silly and stupid to do at first but if u persevere it does help. just please get your meds changed first. i hope it all works out for u. god bless Answered by Dakota Skibski 2 years ago.


A question about antidepressants....?
I've been given antidepressants to prevent me from having panic attacks. (I have an anxiety disorder). How will they stop me from having panic attacks in terms of brain functioning? And how will I feel? Thanks. Asked by Alix Situ 2 years ago.

Antidepressant medications have been shown to reduce panic severity, eliminate attacks, and improve overall quality-of-life measures in patients with panic disorder. The main kinds of drugs used for the treatment of panic attacks are: Benzodiazepines, SSRIs (Selective Serotonin Reuptake Inhibitors) and TCAs (Trycyclic antidepressants). Benzodiazepines Alprazolam (Xanax) Clonazepam (Klonopin) SSRIs Citalopram (Celexa) Fluoxetine (Prozac) Fluvoxamine (Luvox) Paroxetine (Paxil) Sertraline (Zoloft) TCAs Clomipramine (Anafranil) Imipramine (Tofranil-PM) Other agents Mirtazapine (Remeron) Answered by Isabel Verch 2 years ago.


What is the difference between Tofranil and Tofranil-PM?
Asked by Justina Avants 2 years ago.

Extract from site listed below...; Tofranil is used to treat depression. It is a member of the family of drugs called tricyclic antidepressants. Tofranil-PM, which is usually taken once daily at bedtime, is approved to treat major depression. Answered by Lissette Skorepa 2 years ago.

Tofranil-PM is meant to be taken at night. Answered by Flora Fankhauser 2 years ago.


Weight gain from drugs for bipolar/psychotic/mood disorders?
I have trouble with horrendous mood swings. I am a 47 year old female. They had diagnosed me as bipolar, but lithium, depacote, nothing worked, but I gained weight like crazy. I didn't really fit the profile for bipolar other than mood swings (no spending sprees, no promiscuity, etc.). The doctor tried... Asked by Etta Crum 2 years ago.

I have trouble with horrendous mood swings. I am a 47 year old female. They had diagnosed me as bipolar, but lithium, depacote, nothing worked, but I gained weight like crazy. I didn't really fit the profile for bipolar other than mood swings (no spending sprees, no promiscuity, etc.). The doctor tried Risperdal and it worked! I felt normal for the first time in years. Then they took a prolactin test, it was 37.7, and normal is 1-20, so he took me off and put me on Seroquel. I am on a therapeutic dose, no relief, still mood swings like crazy and MORE weight gain. Some days I eat nothing at all, and I still gain (and still act crazy). I would like to go back to Risperdal if that number is not completely out of the question. At least if I have to be 30 pounds heavier, I don't have mood swings with the Risperdal. Anyone have any luck with these or other drugs for mood swings, and what did you do about the weight gain? I feel HORRIBLE! Answered by Pamula Teddick 2 years ago.

I take the seroqual and they gave me Tofranil Pm, Its a mood stabilizer. I have had great results with them. unfortunatley, most antipsycotics/antidepressants cause weight gain. It sucks. I haven't gained much weight but then again I don't get hungry either. But NOT eating can actually make you gain weight. Talk to your doctor about your concerns at your next visit. As far as loosing the weight I drink alot of ice tea (its a natural diuretic- loose water weight) and I try to eat small meals through out the day, even if i'm not really hungry.... Good Luck! Answered by Mohammed Tadt 2 years ago.

I am a nursing student and I just finished my psych rotation. My impression was that Risperdal was the drug of choice and obviously very effective. But it was always used in conjunction with another drug. Ask your doctor about adding another drug or to try again with Risperdal. Insist that u feel Risperdal helps and u want to get back on it. Try it and see if the prolactin test is the same again- if it is, try another option. Unfortunately, weight gain is a frequent side effect of antipsychotic drugs. The only way to solve that problem is to deal with it- lose weight like everyone else- work out and eat right. Answered by Lynda Paye 2 years ago.

I know it is hard to think about but it sounds more like you need to see a gyn and get on hormones. Mood swings at 47 are more indicative of the need to replace hormones. I know. I was diagnosed a little over a year ago as being bipolar and was sent to a therapist who told me I was not and that I was just depressed. So, get a second opinion on that too. Go for walks when you feel like eating and or swinging out at the world. Get some healthy snacks. Join a women's league of some sort, it will also get your mind working somewhere else. Answered by Delena Taccariello 2 years ago.

If you were not having any side effects related to the prolactin elevation many professionals believe that it probably isn't necessary to stop the Risperdal. You may also consider a lower dose if you are very concerned about this blood prolacatin level. Answered by Alpha Crabb 2 years ago.

I'm just on anti-depressants, but I did gain weight. I've been going to Curves gym and it's been helping. I really hope you find a medication that works for you - I just wanted to convey my best wishes. I remember how hard it was to find the right medication, but once I did, I felt so much better. Hang in there. Answered by Nobuko Mckellop 2 years ago.

I AM BIPOLAR AND I ALSO TAKE SERIQUL AND I HAVE GAINED ALMOST 50 POUNDS IN LESS THAN A YEAR.I WAS ADMITTED INTO A PHYSIC WARD AND WAS PUT ON GEODON/CYMBALTA/SEQUEL/VALIUM/LITHEM AND TODAY ALL I TAKE IS 900 MILLS OF SEQUEL AT BED TIME BECAUSE IT WAS MAKING ME TO TIRED DURING THE DAY.TRY ASKING YOUR DR. TO BE PUT ON MIRIAM IT IS A DIET PILL AND SO FAR IT HAS WORKED (NOT AS MUCH AS I WOULD LIKE) Answered by Brittanie Mitro 2 years ago.


I used to be, in a way, sort of different persons-depending on; read on:?
depending on which type of tri-cyclic anti-depressant that i was taking; when on Tofranil PM (TIMED RELEASE); I THINK that for some reason --too much of it was released in my body ALL AT ONE TIME!--CAUSING EXTREME MANIA. (I thiink it was taken off market--not sure why!) & i'd work on lots of Mental Work -when... Asked by Freda Reagor 2 years ago.

depending on which type of tri-cyclic anti-depressant that i was taking; when on Tofranil PM (TIMED RELEASE); I THINK that for some reason --too much of it was released in my body ALL AT ONE TIME!--CAUSING EXTREME MANIA. (I thiink it was taken off market--not sure why!) & i'd work on lots of Mental Work -when on Tofranil- reg. OR PM. & when on Pamelor & back when it'd help some (only the Name Brand of Pamelor-ever helped me!!!--anyway -when on it - it'd help me do more Physical Work--such as Sewing!!! I cut out & sewed 7 pair of shorts for my then 3 yrs old Son -at that time--in One Nite; Lately take generic Pamelor -just 10 mg. along with 2.5 Mg. Zyprexa with no luck at all! now i not good at mental nor physical work!!! any comments on all the above; hope i made myself Clear; best wishes!!!!! anyone taken Tofranil PM ? any similar results? etc . Answered by Elmo Legrande 2 years ago.

If you get any more manic than you are now, you'll be swinging from the chandelier. I pride myself on being a fairly perceptive person, but you've left me clueless. No, it really wasn't clear, except to say that you need to see someone soon. It sounds like you're in the throes of a deep manic episode. I've had similar episodes to what you're talking about, but not with those drugs. I really think you need to get someone to drive you to the ER tonight. At the very least, call your doctor tomorrow. Good luck. Answered by Isidro Yzaquirre 2 years ago.


How many anti depressants is there on the Market?
Asked by Coletta Eklund 2 years ago.

•Amitriptyline (Elavil®) •Amoxapine (Asendin®) •Bupropion (Aplenzin™, Budeprion XL®, Budeprion™ SR, Buproban®, Wellbutrin SR®, Wellbutrin XL®, Wellbutrin®, Zyban®) •Citalopram (Celexa®) •Clomipramine (Anafranil®) •Desipramine (Norpramin®) •Desvenlafaxine (Pristiq™) •Doxepin (Sinequan®, Silenor®) •Duloxetine (Cymbalta®) •Escitalopram (Lexapro®) •Fluoxetine (Prozac®, Sarafem®, Selfemra™) •Fluvoxamine (Luvox®, Luvox® CR) •Imipramine hydrochloride (Tofranil®) •Imipramine pamoate (Tofranil PM®) •Isocarboxazid (Marplan®) •Maprotiline (Ludiomil®) •Mirtazapine (Remeron®) •Nefazodone (Serzone®) •Nortriptyline (Pamelor®) •Paroxetine (Paxil®, Paxil CR®, Pexeva®) •Phenelzine (Nardil®) •Protriptyline (Vivactil®) •Selegiline (Emsam®) •Sertraline (Zoloft®) •Tranylcypromine (Parnate®) •Trazodone (Desyrel®) or trazodone ER (Oleptro™) •Trimipramine (Surmontil®) •Venlafaxine (Effexor®, Effexor XR®). •Citalopram (Celexa®) •Escitalopram (Lexapro®) •Fluoxetine (Prozac®, Sarafem®, Selfemra™) •Fluvoxamine (Luvox®, Luvox® CR) •Paroxetine (Paxil®, Paxil CR®, Pexeva®) •Sertraline (Zoloft®). Serotonin-norepinephrine reuptake inhibitors (SNRIs) include: •Duloxetine (Cymbalta®) •Desvenlafaxine (Pristiq™) •Venlafaxine (Effexor®, Effexor XR®). There is one SNRI, milnacipran (Savella™) that is not approved for treating depression, although it may be used "off-label" for this purpose. Monoamine oxidase inhibitors (MAOIs) used for depression include: •Isocarboxazid (Marplan®) •Phenelzine (Nardil®) •Selegiline (Emsam®) •Tranylcypromine (Parnate®). Tricyclic antidepressants include: •Amitriptyline (Elavil®) •Amoxapine (Asendin®) •Clomipramine (Anafranil®) •Desipramine (Norpramin®) •Doxepin (Sinequan®, Silenor®) •Imipramine hydrochloride (Tofranil®) •Imipramine pamoate (Tofranil PM®) •Maprotiline (Ludiomil®) •Nortriptyline (Pamelor®) •Protriptyline (Vivactil®) •Trimipramine (Surmontil®). Miscellaneous other antidepressants include: •Bupropion (Aplenzin™, Budeprion XL®, Budeprion™ SR, Buproban®, Wellbutrin SR®, Wellbutrin XL®, Wellbutrin®, Zyban®), a norepinephrine and dopamine reuptake inhibitor (NDRI) •Mirtazapine (Remeron®) •Nefazodone (Serzone®) •Trazodone (Desyrel®) or trazodone ER (Oleptro™). Answered by Leigh Jackiewicz 2 years ago.

Being that this alt med web page has been hijacked by means of druggies, I am now not certain what so as to add. Do your due diligence regarding drug results. If you arn't suidical and are open to "choices", check out one million hr full of life rigorous activity according to day that could be running, get a few solar, or typical gentle in your dermis, and watch much less TV. Make certain your bod can tolerate activity, get a pressure scan if integral. Answered by Rivka Aultman 2 years ago.


What antidepressant worked best for you?
I don't think I've experienced any side effects from the tofranil pm. It made me a little dizzy sometimes when I first started taking it but not any more. It's helped a lot, but I'm still not back to my old, normal, happy self. Asked by Santos Wimberly 2 years ago.

I was on zoloft for about a year and a half. It worked fanstasticly, to the point where nothing bothered me- but it also killed the sex drive and made me tired alot. Prozac was a little better with less side affects- I wasn't AS happy on that one. I weaned off all meds about 3 years ago......none is best I think, if you can take it. Good luck. Answered by Ivonne Fillinger 2 years ago.

Hi hon... i can't take antidepressants. I am one of a handfull of weird people who has terrible side-effects. however, i suffer from depression and have all of my life. i am pleased to hear you are feeling better.... and it's probably the medication helping. the rest is up to you... you didn't say whether you were in therapy or not, but i'm assuming the answer is 'no'. truth is, happiness comes from within.... your anti-depressant may be helping to lift your mood, but if you are feeling bored, unhappy, maybe you need to spice up your life? Have you ever thought of making good use of some of your free time? What about taking a class? Like karate? Swimming? Dance? You could try a hobby... there are so many neat projects to try out there -- scrapbooking, card making, painting, beading etc. These days, we have huge craft stores available, and the possibilities for a new project are endless! Another thing you might do is make plans to do things with family or friends.. even if it's playing a game, or cards....or even a picnic in the park... Exercise is another good way to lift your spirits... a 20 minute, brisk walk or exercise program several times a week will help to lift your mood... when we exercise or engage in any strenuous activity, our brain releases hormones called "endorphins". Endorphins are our "happy hormones" and they make us feel loads better! Just a few suggestions from a fellow depressive, with lots of life experience. sending all best wishes and good thoughts your way! Answered by Temeka Alfaro 2 years ago.

I think It Is wonderful at 13 you have taken awareness of your depression.But i am curious to why you are asking ? Is there side affects the antidepressants are causing ? only because you didn't state the type of depression you have.The reason i say this is if you are becoming irritable and manic and racy you may want to mention this to you prescribing and then they can explore a mood stabilizer.You should be very proud of yourself.there aren't many adults who can except there depression and want to do something about it . keep up the good work. Answered by Georgene Bunyard 2 years ago.

They all work well it is just a matter of which one does the best job for you. As you can see by the two responses each person is different. I use Zoloft and do well on that. My friend uses prozac is good on that one. Answered by Maddie Isola 2 years ago.

Lexapro... wellbutron makes everything taste like ****! it's just plain awful! Prozac was wonderful too... not to many Dr.'s will give it out any more... the newer drugs make them more $$$! Good Luck... I'm sorry you or a friend is having problems! Honestly I am! Answered by Neda Potenza 2 years ago.

Zoloft.. it;'s the only one with minimal side effects for me and i've tried almost EVERY other one out there. Answered by Bennett Brodin 2 years ago.

make sure you eat plenty of walnut....it has chemicals needed for brain....depression as you know is because of chemical imbalance of the brain...you need to have a balanced diet and walnut is rich in things brain needs. Answered by Kathryne Kalista 2 years ago.

wellbutrin....fewer side effects Answered by Robena Aamodt 2 years ago.

Faith, prayer and fasting:-) Answered by Wai Scheuerman 2 years ago.


Safe to take two anti-depressants at same time?
This is a question for a doctor, pharmacist or nurse practitioner. Is it safe for an otherwise healthy person to take Sertraline (Zoloft) and Tofranil-PM together? One is an SSRI and the other is a tricyclic, and it seems like an awful lot of medication to me. But my doctor says it's perfectly safe to take... Asked by Loren Brynga 2 years ago.

This is a question for a doctor, pharmacist or nurse practitioner. Is it safe for an otherwise healthy person to take Sertraline (Zoloft) and Tofranil-PM together? One is an SSRI and the other is a tricyclic, and it seems like an awful lot of medication to me. But my doctor says it's perfectly safe to take them. I appreciate any feedback. Answered by Leora Haskin 2 years ago.

Safe only if it is not for long tem use. Do you take both at the same time. Ideally you should take the Zoloft in the AM and the Tofranil in the PM. Does the zoloft make you drowsy? How long have you been on both meds? Do you have many side effects? Is your Dr. a psychiatrist? Has he mentioned to you how long he would like to keep you on both meds? I just want to make sure that you're being properly supervised. Do you suffer from a diagnosed chemical imbalance and are you also receiving counselling? Thanks and I hope you will get back to me, Pharma-info Answered by Kasha Ferg 2 years ago.

What you could do is get an antidepressant that comes in a liquid form - then you can increase the dose really slowly, to avoid the side effects. Prozac, Citalopram and Seroxat all come in either liquid or drop form. Talk to your doctor about this and he'll advise you as to how to increase the dose gradually. Also, bear in mind that many of us feel tired on antidepressants, especially during the first few weeks - but it usually passes. If you're only on them for two weeks, you're never finding out if they're actually going to work, you're only getting the side effects! If you haven't already tried it, ask your doctor about Effexor - it might not make you so tired. Prozac is also quite stimulating. Be aware that if you take Effexor, some people have a problem when it's time to stop it; it has to be done REALLY slowly. Citalopram (Celexa) is also thought to have less side effects than many other medications, so if you haven't tried it, ask your doctor. Answered by Zita Murriel 2 years ago.

They are usually safe together and many other people have taken this combination without problems. However, a rare complication is called "serotonin syndrome." This is because both sertraline (Zoloft) and imipramine (Tofranil) boost the brain's own natural serotonin chemical transmitter system, and the two together might boost this system more than either one alone. The serotonin syndrome can involve agitation and confusion. If you don't experience something like this, then you are probably just fine. Answered by Burton Doxie 2 years ago.

look online for Zoloft side effects, uses, and contradictory medicine. For example, (and i hate to use this) Anna Nicole Smith's son was taking Lexapro, Zoloft (i think) and of course methadone....that's a lethal combination. However, i take Lexapro at night, and i also have Xanax that i can take anytime i need to...the two do not act with or against each other. You just need to look mainly for the "DO NOT TAKE THE FOLLOWING MEDICATIONS:" for both scripts. If it says, "use caution or consult with your doctor if you are taking __________" then it should be fine...i'm taking an antibiotic now that has a caution for Xanax...haven't had a problem. Quite honestly...the Zoloft should put you to sleep if you take it at night...you shouldn't need the sleeper pill (if that's what it is...). Or, better yet, instead of a sleeper pill...try to get muscle relaxers to put you to sleep. Answered by Jay Walz 2 years ago.

It is not uncommon for people who have major depressive disorder and cannot get control of their depression with one medication to take more than one. These medications work differently. Zoloft effects seratonin while Tofranil-PM effects primarily norepinephrine. The Tofranil-PM is probably to help you sleep at night. You are correct, these medications should be used with caution together, but it is alright to take them together under your doctor's supervision. Answered by Donny Awai 2 years ago.

This is from my soon to be wife who is a chiropratic assistant and has alot of knowledge with safety problems with anti depressants. Anti depressants (ads) have to formulated to your needs. That is why no two presciptions work for one person. If someone takes to much ads that can off balance them very much. An example is when my sister in law had her prescription increased and it off balanced her enough that she needed to go home work. She is taking zoloft. When i say off balance it does the opposite of what it needs to do which means you actually become very depressed. Know this is something that you can do if you dont want to take medicatioon for your depression. "Corrective Chiropratic" which means that the chiropractor fixes your body and helps you become more healthy and all with out medication. Trust me i know this sounds wierd saying chiropratic care would help with depression but it worked on me. I had bad bad stress and anxiety problems. My chiropractor told me that my spine was inverted (very bad and dangerous) because of my time in the marine corps that made my connection of my nervers from my brain and the rest of the body was offset and making the problems that i had. Three months no anxiety and my stress is at a great level my blood pressure is normal. Important information is that your brain is responsible with depression. When your spinal cord compresses your brain stem that is when problems accure. This happens to everyone. I would tell you to just try it. Planet Chiropratic and Delta Chiropratic is two big names in corrective care. Answered by Armandina Lockaby 2 years ago.

I would say go with your doctor's advice, but if you are hesitant it's okay to get a second opinion. It's your health and you should feel comfortable maintaining it Answered by Lynell Geddings 2 years ago.

no one works against the other I would say stick with the generic Prozac as the trycilic ha a few nasty side effects thirst sweating tirdness , i have had no bad effects from the Prozac generic Answered by Lissa Fishburn 2 years ago.


I have been diagnosed with depression and I myself feel like it is on the borderline of obsessive?
I told that doctor several times to change my meds and all he would do was make it a higher dose and tell me to come back in 2 or 3 months and I dunno about rhab I'm a game addict and I don't think I could live without my games and internet and stuff Asked by Wendi Cobar 2 years ago.

it's all I can think about especially if me and my family are fighting it gets really bad I'm 24 and it has been going on since I was about 15 then it was played off as teen angst now its just something we don't talk about I did try and get help I went to my local pathways and the doctor there kept feeding me pills that didn't work and the therapist that was supposed to help me just talked about what I did that day or something stupid well I kept going because it was all I had anyways he kept upping the dosage I think the pills were named tofranil he started me on tofranil pm but it was going to cost me $700.00 a month and my family is middle class at best and couldn't afford it though the samples he gave me of it was working anyways I digress he kept upping the dosage of this tofranil and I kept taking it still wasn't helping so I went back and he heightened the dosage again well this time there was a trigger my girlfriend dumped me and I snapped I happened to have a bottle of vodka sitting at the I went home drank the entire bottle in a few drinks ( I wasn't thinking clearly)and I kept telling everyone to leave me alone so anyways I was laying in my room and finally the fear of death the fear of letting my family down all of that was gone and I started taking my tofranil I'd take one and then few mins later I'd take another and I'm not sure how many times I did this next thing I know I awoke in the hospital with a tube in my throat and the doctors telling my family they weren't sure I was gonna make it anyways after that I quit going to pathways and I've been fighting with my self since about 2007to keep myself alive every single day is misery to me the pain of just waking up in the morning is terrible the only other place that helps with this sort of thing costs $350.00 for the first visit and $150.00 every other visit and I am not able to afford this is there anything that you can recommend because I'm soo weary Answered by Shelby Pectol 2 years ago.

hi I think that first of all u need to change the meds, if what u have been taking is obviously not helping even on high doses then change it, your doctor should have actually considered this already ( oh and is he a psychiatrist? i think if not see one and get them to prescribe something just tell them about what u are on and how it is not working). i had to try a lot of meds before i found one that worked for me long term. also find another counsellor if possible sometimes some counsellors just dont help some people, there just isnt a good patient counsellor connection, so find someone new. and also if u can get medical aid, or health cover or even try save up for it, i would seriously recommend going to a rehab for a few months, i also tried suicide and as my family did not know what to do with me they sent me to rehab for 6 months (yes a long time but was worth it) i really feel that if u are very very depressed and feel complete despair and are unsure as to how safe u are to yourself then rehab if a good choice, u will be in a safe environment with 24 hr care and counselling available also depending on the rehab u go to as some do specialize in depression you will have professionals who know what they are talking about. in the mean time get onto new meds and also try positivity and gratitude thought, it sounds ridiculous but write down 10 things you are grateful for every day, it can be anything from, being grateful for a pillow when u sleep to the sun shining, anything no matter how small, when one is depressed we completely blank out what is in our lives so by writing things down even the small things we remiond ourselves of what we do have and also just about life in general (sometimes it is the small things that we write down that make life and living so much more real sort of wake us up to the fact that there is more than despair) please try it it does work and help just keep at it, also when u have negative thoughts (which being depressed i know come all the time, make yourself aware that they are negative in a way you will be capturing them and as your awareness of the negativity grows u will eventually be able to catch the negativity before it becomes a full blown thought and be able to remodel it in a positive way so that the - becomes +. it does take a while and will seem silly and stupid to do at first but if u persevere it does help. just please get your meds changed first. i hope it all works out for u. god bless Answered by Jacki Colapietro 2 years ago.


A question about antidepressants....?
I've been given antidepressants to prevent me from having panic attacks. (I have an anxiety disorder). How will they stop me from having panic attacks in terms of brain functioning? And how will I feel? Thanks. Asked by Rayna Prejsnar 2 years ago.

Antidepressant medications have been shown to reduce panic severity, eliminate attacks, and improve overall quality-of-life measures in patients with panic disorder. The main kinds of drugs used for the treatment of panic attacks are: Benzodiazepines, SSRIs (Selective Serotonin Reuptake Inhibitors) and TCAs (Trycyclic antidepressants). Benzodiazepines Alprazolam (Xanax) Clonazepam (Klonopin) SSRIs Citalopram (Celexa) Fluoxetine (Prozac) Fluvoxamine (Luvox) Paroxetine (Paxil) Sertraline (Zoloft) TCAs Clomipramine (Anafranil) Imipramine (Tofranil-PM) Other agents Mirtazapine (Remeron) Answered by Maurita Festerman 2 years ago.


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