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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Depression Along With Anxiety

Hello All, My name is Jared, and i have been dealing with symptoms of depression/depersonilzation/ and generalized anxiety. I am an acoa and have dealt with a toxic environment for the last 2 years. I really want to go the healthy route and use nutraaceuticals to remedy my ailments. I currently have my medical card for cannabis, but ive come across a very interesting drug called, Nuvigil, which is usually prescribed for off list reasons. They seem to have a substantial effect on mood elevation, and i believe that this could get me over this hurdle. So, I would like to hear your insight on this drug alongside with my prognosis. I have seen a therapist but have discontinued seeing him. I think CBT would be a better fit, but i just want to see if I could get prescribed this for what im dealing with.
Mon, 9 Sep 2019
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Addiction Medicine Specialist 's  Response
No it isn't. It is a long acting amphetamine. These have a significant side effect profile of anxiety.
And, pretty much CBT is I think the best for anxiety, since you are FIXED with it and it works faster. BUT any of the SSRI"s treat both anxiety and depression. Generally it works best matching the drug to the side effects it produces for finding a good fit and some are more sedating than others.
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Suggest Treatment For Depression Along With Anxiety

No it isn t. It is a long acting amphetamine. These have a significant side effect profile of anxiety. And, pretty much CBT is I think the best for anxiety, since you are FIXED with it and it works faster. BUT any of the SSRI s treat both anxiety and depression. Generally it works best matching the drug to the side effects it produces for finding a good fit and some are more sedating than others.