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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can PTSD And Mood Disorder Be Treated?

I have recently been diagnosed with PTSD and mood disorder (major depressive) as well as OCD. I currently take Zoloft 200 mg daily at bedtime, Klonopin 1 mg twice daily for anxiety, Remron 30mg daily at bedtime. I also take Nortiptilyn and Fiorcett as needed for migraines. I take Lasik 4x weekly for swelling in my hands and feet. I am researching medications I can take with the Zoloft to help my mood disorder. The Zoloft works well so far for the PTSD however I have noticed my mood disorder worsening. I always feel depressed. I have been suicidal twice within the last ten years with one actual suicide attempt. I find myself having suicidal thoughts often although I do not feel I will follow through with the thought. I see my doctor on Monday. I would like to talk to him about adding a medication to help my mood disorder and decrease suicidal thoughts. It is my understanding that treating PTSD with Zoloft can negatively affect my mood disorder causing it to become worse. Is there a medication for mood disorder that can be taken with Zoloft?
Wed, 20 Dec 2017
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Psychiatrist,  's  Response
Hello

I read your statement and i understand your concern

According to your history, you are taking medication for major depressive disorder and also migraine. The Drug you are taking for depression ie zoloft is worsening your mood disorder.

You should consult your psychiatrist and he can add Tab Lamotrigine 25 mg initially once a day to your dose. He will make you understand the use of the drug as you will have to gradually increase per week the dose of the drug until it reaches 200 mg per day and that will be maintainance dose. Lamotrigine is safe than other mood stabalizers like lithium etc

I Hope this is answer to your question

Thanks

Dr Nasir Ali
I find this answer helpful
Psychiatrist,  Dr. Nasir Ali's  Response
I read your statement and i understand your concern

>According to your history, you are taking medication for major depressive disorder and also migraine. The Drug you are taking for depression ie zoloft is worsening your mood disorder.

>You should consult your psychiatrist and he can add Tab Lamotrigine 25 mg initially once a day to your dose. He will make you understand the use of the drug as you will have to gradually increase per week the dose of the drug until it reaches 200 mg per day and that will be maintenance dose. Lamotrigine is safe than other mood stabilizers like lithium etc

I Hope this is answer to your question

If more queries, ask healthcaremagic.com, we will be available for you

Thanks

Dr Nasir Ali
I find this answer helpful
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How Can PTSD And Mood Disorder Be Treated?

Hello I read your statement and i understand your concern According to your history, you are taking medication for major depressive disorder and also migraine. The Drug you are taking for depression ie zoloft is worsening your mood disorder. You should consult your psychiatrist and he can add Tab Lamotrigine 25 mg initially once a day to your dose. He will make you understand the use of the drug as you will have to gradually increase per week the dose of the drug until it reaches 200 mg per day and that will be maintainance dose. Lamotrigine is safe than other mood stabalizers like lithium etc I Hope this is answer to your question Thanks Dr Nasir Ali