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Hello Doctor, Recently Due To Depression And Anxiety I Have

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Posted on Fri, 26 Mar 2021
Question: Hello Doctor,

Recently due to depression and anxiety I have consulted with an psychiatric he prescribed me Mitrip 15 and Citicop P once at night. After taking the medicines for some days I found some hangover next day.So I reduced the dose to Mitrip 7.5 mg at night and Citicop P, however, it didn't worked well for my depression.

Later on I consulted with another Doctor and I was prescribed Desvenlafaxine 50 (Extended Release) at afternoon along with etilozam 0.5 mg at night and 0.25 mg at morning. I have started taking those medicines recently and didn't found any change in mood.

Can I take Desvenlafaxine 50 at afternoon and Mitrip 15 or 7.5 at night instead of etizolam 0.50 mg. Also whether Citicop P may be taken with the desvenlafaxine 50.

For elevated liver enzyme and biliburin I am taking Heptral 400 (as I used to drink), whetehr Heptral 400 is required for this as this is very expensive. Also my TSH is bit high whether medications were required for thyroid.

Some Report were attached.
doctor
Answered by Dr. Dr diwashish biswas (16 hours later)
Brief Answer:
Need further evaluation, for thyroid

Detailed Answer:
Hello
Welcome To Ask A Doctor Service
I have gone through your question, I understand your concern.
No, psychiatrist prescribed you medication after talking with you. And i think first psychiatrist was better, go with his prescription.
Hangover will go away after 15 days, so do not worry about hangover.
Heptral is unnecessary drug, stop it.
Just avoid alcohol, your liver will be normal in 6 months.
For thyroid problem, get anti tpo test done, them i can advice you, wether you need treatment or not.
I hope your query is clear now.
Thanks and regards
Dr Diwashish biswas
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Dr diwashish biswas (4 hours later)
Thanks for your feedback.

As per your suggestion Desvenlafaxine 50 mg and Mitrip 15 mg cannot be taken simultaneously.

Also sir after taking Desvenlafaxine 50 mg I am finding myself active at the same time insomnia type symptoms have started. Whether it is the side effect of the medicine.
doctor
Answered by Dr. Dr diwashish biswas (5 minutes later)
Brief Answer:
Yes

Detailed Answer:
Hello
Welcome To Ask A Doctor Service
I have gone through your question, I understand your concern.
Yes, actually these are side effects and they go away with time.
I hope your query is clear now.
Thanks and regards
Dr Diwashish biswas
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Dr diwashish biswas (23 hours later)
Sorry to disturb u again. The medicine which I mentioned as Mitrip 15 was ignorantly written.

It was Mirnite 15 (mirtazapine 15).

I would like to know whether Mirtazapine 15 and Desvenlafaxine 50 can be taken together.

Also I will revert back to u after getting anti tpo test done.
doctor
Answered by Dr. Dr diwashish biswas (1 hour later)
Brief Answer:
Serotonine syndrome

Detailed Answer:
Hello
Welcome To Ask A Doctor Service
I have gone through your question, I understand your concern.
Both above medicines should not be used simultaneously, because it can lead to serotonine syndrome.
I hope your query is clear now.
Thanks and regards
Dr Diwashish biswas
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. Dr diwashish biswas

Internal Medicine Specialist

Practicing since :2007

Answered : 1010 Questions

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Hello Doctor, Recently Due To Depression And Anxiety I Have

Brief Answer: Need further evaluation, for thyroid Detailed Answer: Hello Welcome To Ask A Doctor Service I have gone through your question, I understand your concern. No, psychiatrist prescribed you medication after talking with you. And i think first psychiatrist was better, go with his prescription. Hangover will go away after 15 days, so do not worry about hangover. Heptral is unnecessary drug, stop it. Just avoid alcohol, your liver will be normal in 6 months. For thyroid problem, get anti tpo test done, them i can advice you, wether you need treatment or not. I hope your query is clear now. Thanks and regards Dr Diwashish biswas