Brief Answer:
I do not think buspar is first choice

Detailed Answer:
Hello,
Thanks for using Healthcaremagic.

I read your query and understand your concerns.

First of all before making any prescription the golden rule of checking for earlier prescription should be done. As I can see you responded well to zoloft in past the first choice should be zoloft when you have anxiety or depressive symptoms. I understand that buspar is good choice for anxiety but it does not help in depression.
Considering the presence of stressor and experience of feeling bad, fearfulness clearly indicates that antidepressant is better choice over buspar as antidepressant help in both anxiety as well as depression.

In current situation there is no place for alcohol abuse and it should be stopped all together without any delay. At the same time it is important to follow the basic principles of stress management. I hope you are aware what I mean by basic principles of stress management. In case you need for further help I can advice you accordingly.

I hope this helps you.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.

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Brief Answer:
25 is initial dose is rule

Detailed Answer:
Hello,
Thanks for reverting back to me.

Regarding the dose of zoloft it is started with 25 mg and than increased slowly to 100 mg or higher as per need. Most patients respond at 100 mg or above but few of the patients may respond at less than 100 mg dose.

There is no serious interaction between buspar and zoloft and so can be taken together. It is important to mention that there is no point in using both medications in most cases and an attempt should be made to discontinue one. In your case the discontinuation should be done with buspar.

I must acknowledge that the zoloft as well as buspar are prescription only medications and should be used in proper guidance of your doctor.

I hope this assists you further.
Thanks a and regards.


Brief Answer:
I think this can be done

Detailed Answer:
Hello,
Thanks for follow up.

Since during last episode two antidepressants needed to show response this can be done again without any fear. In addition zoloft and welbutrin are compatible to each other in regard to sexual side e effect of zoloft which are prevented by use of wellbutrin.

I hope this clarifies further.
Thanks and regards.

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