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What Are The Side Effects Of Nexito?
Question: hi , i was on rexipra 10 for 2 months and then my doc changed my medication to nexito 10 mg once a day and a sos medicine . i have been taking nexito for the last 2 weeks and in between i experienced panic attacks twice. today i have been feeling unexceptionally unwell , is it because i dint sleep well last nite, the feeling of uneasiness is when you start a new medication, is it possible that nexito side effects are kicking now ? because when i started nexito 2 weeks back, i dint have any problem as such . is nexito a good replacement for rexipra ? What could be the side effects of nexito? a
Brief Answer:
There is no difference between nexito and rexipra
Detailed Answer:
Dear XXXXX,
Thanks for using Healthcaremagic.
I have read your query and understand your concerns.
I like to inform you that recent feelings of being unwell are probably not related to change of medications. In fact both rexipra and nexito are same medicine from two different companies and contain escitaopram. I mean to say that salt in both medicines are same and there is no difference.
Feelings of panic attack can be part of disorder for which you are taking medicine or due to skipping of sos medicine which was probably prescribed for acute anxiety attacks.
After 10 weeks (2 month rexipra and 2 weeks nexito) of use escitalopram is generally safe and not associated with any significant serious side effects although it may have mild gastrointestinal symptoms.
Hope I am able to answer your concerns.
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.
There is no difference between nexito and rexipra
Detailed Answer:
Dear XXXXX,
Thanks for using Healthcaremagic.
I have read your query and understand your concerns.
I like to inform you that recent feelings of being unwell are probably not related to change of medications. In fact both rexipra and nexito are same medicine from two different companies and contain escitaopram. I mean to say that salt in both medicines are same and there is no difference.
Feelings of panic attack can be part of disorder for which you are taking medicine or due to skipping of sos medicine which was probably prescribed for acute anxiety attacks.
After 10 weeks (2 month rexipra and 2 weeks nexito) of use escitalopram is generally safe and not associated with any significant serious side effects although it may have mild gastrointestinal symptoms.
Hope I am able to answer your concerns.
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.
Above answer was peer-reviewed by :
Dr. Deepak
What do you think may cause this uneasiness ? is it due to recurring of symptoms? should i ask doc to change my medication to a higher dose or should i wait for few more days . before rexipra i was on paxidep for almost 3 yrs ( 25mg ) .
Brief Answer:
I think higher dose should be used
Detailed Answer:
Hello,
Thanks for reverting back to me.
Although it is difficult for me to predict what is happening with your body but from the available description it appears that you need probably higher dose as 10 weeks is sufficient time for this medicine to work.
The second option is to augment the nexito with low dose of atypical anti psychotics for example olanzapine 2.5 mg or risperidone 1 mg.
Considering your earlier history of failure of paxidep one of the above option should be exercised at this level.
I hope this helps you further.
Thanks and regards.
I think higher dose should be used
Detailed Answer:
Hello,
Thanks for reverting back to me.
Although it is difficult for me to predict what is happening with your body but from the available description it appears that you need probably higher dose as 10 weeks is sufficient time for this medicine to work.
The second option is to augment the nexito with low dose of atypical anti psychotics for example olanzapine 2.5 mg or risperidone 1 mg.
Considering your earlier history of failure of paxidep one of the above option should be exercised at this level.
I hope this helps you further.
Thanks and regards.
Above answer was peer-reviewed by :
Dr. Prasad
just to clarify, paxidep was working fine . i wanted to get rid of paxidep and medicines in general and hence opted for a low dose medicine which was rexipra. with rexipra 10 mg i was completely fine. i was on that medicine for 2 months when doc said he would want to change it to nexito 10 mg as it was a milder medicine than rexipra though same chemical composition . when i started nexito, it was doing fine but since last 2 dys i feel very unwell with a second panic attack happening after taking nexito. do u think i should continue with nexito 10 mg or should i opt for a higher dose . also, yesterday i skipped my nexito dose
Brief Answer:
I think continue with same dose
Detailed Answer:
Dear XXXX,
Thanks for follow up.
I think sticking to 10 will be suffice for you and no increase in dose is necessary at this moment. Skipping the dose may create problem as withdrawal symptoms tend to occur with these medicines.
I will take this opportunity to explain that only gradual reduction is viable option to get rid from any medicines and sudden stoppage may cause more problems than any benefits.
Hope I am able to answer your concerns.
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.
I think continue with same dose
Detailed Answer:
Dear XXXX,
Thanks for follow up.
I think sticking to 10 will be suffice for you and no increase in dose is necessary at this moment. Skipping the dose may create problem as withdrawal symptoms tend to occur with these medicines.
I will take this opportunity to explain that only gradual reduction is viable option to get rid from any medicines and sudden stoppage may cause more problems than any benefits.
Hope I am able to answer your concerns.
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.
Above answer was peer-reviewed by :
Dr. Deepak
i have started taking rexipra fx 10 mg from saturday onwards along with zicam 0.50 in the nite to be taken for 10 dys and 0.25 in the nite for another 10 dys and stop . i am experiencing appetite loss, sleeplessness, drowsiness and mild depression and anxiety . will these go away soon ? i feel extremely blue at work and donot feel like working . extreme lethargy . what should i do. just to give you a background i was on paxil 25mg since last yr from 2012 whn i decided to change my doc and lower dose . i am completely off paxil now . i was doing well on paxil 25mg. do you think rexipra 10 mg wont work now . it worked for me for 5 months
Brief Answer:
I don't understand rationale for rexipra FX
Detailed Answer:
Hello,
Thanks for reverting back t me.
I do not understand the rationale for moving to rexipra fx while you were doing well with rexipra alone.
In fact rexipra fx contains another drug along with escitalopram. The new drug helps many of the patients but has no value for those who do well with escitalopram alone.
Having said this I think you can discuss with your doctor to move back to paxil as it has shown best response for you till date.
I do not mean that rexipra is not that good but the need of every patient differs and that should be considered.
I hope this helps you.
Thanks and regards.
I don't understand rationale for rexipra FX
Detailed Answer:
Hello,
Thanks for reverting back t me.
I do not understand the rationale for moving to rexipra fx while you were doing well with rexipra alone.
In fact rexipra fx contains another drug along with escitalopram. The new drug helps many of the patients but has no value for those who do well with escitalopram alone.
Having said this I think you can discuss with your doctor to move back to paxil as it has shown best response for you till date.
I do not mean that rexipra is not that good but the need of every patient differs and that should be considered.
I hope this helps you.
Thanks and regards.
Above answer was peer-reviewed by :
Dr. Deepak
i was always on rexipra fx and in between i was moved to nexito 10 mg for 10 dys and i have now moved back to rexipra fx 10 mg along with zicam 0.50 to be taken in the night for 10 dys . rexipra fx worked fine for me before. only because i took a gap of 10 to 12 dys in between as i was on nexito which wasnt suiting me . since i am back on rexipra fx from the last 2 dys , i want to ask how long would it take for the medicine to show effect ? i feel very drowsy during the day, lethargic, mild depressive and anxious, loss of appetite and stomach upset . is it because i started rexipra fx allover again ? how long will it take for the symptoms to go away and i will start feeling fine ?
Brief Answer:
It will take one to two weeks
Detailed Answer:
Dear Dutta,
Thanks for follow up and clarifying about rexipra fx.
As I said above fx (flupenthixol) part helps in most patients and similarly was helping you.
Regarding time duration it will take one to two weeks to show the desirable effect. Although I must clarify that this is the minimum duration which is applicable for you.
Having said this my earlier suggestion to return back to paxil should be discussed with your doctor.
I hope this helps you.
Thanks and regards.
It will take one to two weeks
Detailed Answer:
Dear Dutta,
Thanks for follow up and clarifying about rexipra fx.
As I said above fx (flupenthixol) part helps in most patients and similarly was helping you.
Regarding time duration it will take one to two weeks to show the desirable effect. Although I must clarify that this is the minimum duration which is applicable for you.
Having said this my earlier suggestion to return back to paxil should be discussed with your doctor.
I hope this helps you.
Thanks and regards.
Above answer was peer-reviewed by :
Dr. Deepak
why are you suggesting returning back to Paxil ? is paxil more effective than rexipra fx ? i am actually staying alone and circumstances are such that i cannot go and stay with parents now . so i am getting worried .
Brief Answer:
Paxil and rexipra from same class but act differently for different patients
Detailed Answer:
Dear Dutta,
Thanks for your genuine question.
First of all Paxila and rexipra are antidepressant and from same class and act in similar way. So if you ask me on theoretical basis there is no difference other than side effects.
Every patient responds in different way to different anti depressants. From the past experience we know that you had better response to paxil than rexipra that makes me to think to go back for paxil. It is not about superiority of one or another drug, it is about our response to medicine that matters.
As you know in past you had good response to single medicine but at present you are struggling even after taking two medicines (rexipra fx contains escitalopram and flupentixol) and surely one was not enough (escitaopram).
I hope this gives you required understanding.
Thanks.
Paxil and rexipra from same class but act differently for different patients
Detailed Answer:
Dear Dutta,
Thanks for your genuine question.
First of all Paxila and rexipra are antidepressant and from same class and act in similar way. So if you ask me on theoretical basis there is no difference other than side effects.
Every patient responds in different way to different anti depressants. From the past experience we know that you had better response to paxil than rexipra that makes me to think to go back for paxil. It is not about superiority of one or another drug, it is about our response to medicine that matters.
As you know in past you had good response to single medicine but at present you are struggling even after taking two medicines (rexipra fx contains escitalopram and flupentixol) and surely one was not enough (escitaopram).
I hope this gives you required understanding.
Thanks.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Deepak
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