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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 13 of 13. This is the beginning of the thread.
Posted by Lamdage22 on May 28, 2016, at 5:21:56
True or false:
Luvox is the SSRI least apt to worsen psychosis.
Luvox is the SSRI least apt to cause sexual side effects. (Aside from Viibryd and Brintellix)
Luvox is likely to help psychosis and anxiety.
Thanks
Posted by Jeroen on May 29, 2016, at 4:14:01
In reply to Fluvoxamin, posted by Lamdage22 on May 28, 2016, at 5:21:56
i'd like to know too
Posted by Phillipa on May 29, 2016, at 9:32:29
In reply to Re: Fluvoxamin, posted by Jeroen on May 29, 2016, at 4:14:01
Jeroen I've read that it is better for psychotic depression. Always worried me as not psychotic myself. Maybe this was a new finding after it was released? Phillipa
Posted by ed_uk2010 on May 29, 2016, at 14:59:07
In reply to Fluvoxamin, posted by Lamdage22 on May 28, 2016, at 5:21:56
>Luvox is the SSRI least apt to worsen psychosis.
SSRIs do not usually worsen psychosis in people who take an antipsychotic at the same time, unless they are prone to manic or mixed episodes, in which case all SSRIs have the potential to aggravate certain symptoms. Some people may be more affected by one SSRI than another.
>Luvox is the SSRI least apt to cause sexual side effects. (Aside from Viibryd and Brintellix)
Luvox allegedly causes less ejaculatory dysfunction that the worst offenders eg. paroxetine.
>Luvox is likely to help psychosis and anxiety.
It's likely to help some types of anxiety, but not all. I doubt it will help psychosis, at least not on its own.
The main issues with Luvox are nausea, drowsiness/fatigue and withdrawal symptoms when stopped.
Posted by Jeroen on May 29, 2016, at 15:12:44
In reply to Re: Fluvoxamin, posted by ed_uk2010 on May 29, 2016, at 14:59:07
i am prone to manic episodes so this ain't no good for me
i tried minocycline, and it worked like that seroquel experience in 2004, but got IBS from that, taking pro biotics for over a year now with good results, i would like to try doxycycline
what do you think? i also might have lymes disease like Philippa ;§
Posted by ed_uk2010 on May 29, 2016, at 16:27:28
In reply to hey ed_uk, thanks, posted by Jeroen on May 29, 2016, at 15:12:44
Hi Jeroen,
Lyme disease is rare in Belgium. Have you put any more tunes on YouTube recently?
Posted by Phillipa on May 29, 2016, at 18:19:55
In reply to hey ed_uk, thanks, posted by Jeroen on May 29, 2016, at 15:12:44
Jeroen Ed is correct. Even googled myself. Ed about you newest videos on U tube. Phillipa
Posted by Linkadge on May 29, 2016, at 19:54:01
In reply to Re: Fluvoxamin, posted by ed_uk2010 on May 29, 2016, at 14:59:07
I disagree with Ed on the psychosis issue. Luvox is known to improve psychotic depression as a monotherapy more effectively than other ssris.
Linkadge
Posted by Lamdage22 on May 30, 2016, at 1:26:48
In reply to Re: Fluvoxamin, posted by Linkadge on May 29, 2016, at 19:54:01
i hope i can speak to a pdoc today
Posted by Jeroen on May 30, 2016, at 3:30:03
In reply to Re: hey ed_uk, thanks » Jeroen, posted by Phillipa on May 29, 2016, at 18:19:55
if it's so rare why does my 9 year old nephew has lymes diagnosed?
Posted by ed_uk2010 on May 30, 2016, at 4:54:15
In reply to Re: Fluvoxamin, posted by Linkadge on May 29, 2016, at 19:54:01
> I disagree with Ed on the psychosis issue. Luvox is known to improve psychotic depression as a monotherapy more effectively than other ssris.
Hi Link,
I've heard this too, but I wasn't meaning psychotic depression specifically. I've not come across evidence that fluvoxamine is especially useful in schizophrenia or schizoaffective disorder. It could be worth a try though.
Posted by Phillipa on May 30, 2016, at 9:42:46
In reply to if it's so rare why does my 9 year old has lymes, posted by Jeroen on May 30, 2016, at 3:30:03
Jereoen rare but not non existent as it's all over the world. Just more common in certain areas and countries. Phillipa
Posted by linkadge on May 31, 2016, at 19:46:07
In reply to Re: Fluvoxamine » Linkadge, posted by ed_uk2010 on May 30, 2016, at 4:54:15
Hi Ed,
Yes, there is no clear evidence that luvox works as an antipsychotic in individuals with no concurrent depressive symptoms.
However, in individuals with psychotic or delusional depression, there is evidence that luvox can be more effective than SSRIs in monotherapy. This is important, since psychotic depression can be particularly hard to treat, and often warrants a antidepressant and antipsychotic.
For instance, there are a few case studies I have read where effexor worsened delusional depression, and a switch to luvox resulted in significant improvement.
For an individual with depression with psychotic features (which may or may not be mood congruent), I would think luvox would be a reasonable initial choice.
Linkadge
This is the end of the thread.
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