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Mixed Therapy with Antidepressants
Selective serotonin reuptake inhibitors and Achat hoodia france other antidepressants may be used in a secondary-treatment approach that can be used without prior use of antidepressants. If the antidepressants or other drugs are given concomitantly, a total dose may be higher than recommended by your health professional. In these circumstances, you may wish to speak your doctor.
There is no need to avoid antidepressants during treatment with any antiepileptic medication since side effects of an antiepileptic can also cause side effects of an antidepressant.
The following information is provided specifically for patients who use anticonvulsants the treatment of seizures:
The recommended doses of anticonvulsants have been based upon the recommendations of Expert Committee on Drug Safety of the Food and Drug Administration. Your doctor or practitioner has used the recommended doses and is aware of any discrepancies. The dosage changes listed below were suggested by your provider. Some side effects associated with the use of drugs have their causes, severity and possible duration noted here.
Depression and suicide should be brought up with your health professional, particularly if you consider that may be experiencing these side effects. If your doctor suspects that you are contemplating suicide, please call the U.S. National Suicide Prevention Lifeline at 1-800-273-TALK (8255) to reach a National Suicide Hotline crisis and support service.
When it is possible to take both anticonvulsants and antidepressants for an extended period of time without serious side effects, you should do so, and if you have not started any treatment recently, please begin with the antidepressant. treatment for depression and anxiety should continue to be a primary treatment for about 6-12 months, while your doctor considers the effectiveness of anticonvulsants. If side effects the antidepressants are particularly severe or not resolving, please discontinue use of the drug at any time.
Tardive dyskinesia and idiopathic intrusiveness can affect a child with epilepsy and may require treatment. In those children, the anticonvulsants are same drugs which may be used instead: levetiracetam, phenytoin, carbamazepine, and lamotrigine. Some symptoms associated with both tardive dyskinesia and idiopathic intrusiveness, in those children, can be relieved by medication therapy.
For information on how to treat your child or other adult with depression, please look at the following resources:
References
[1] Tarr JD, Tzanko P, Rovner W, et al: A systematic review of treatment with antidepressant drugs in adolescents and young adults with bipolar disorder. Journal of Attention Disorders 1998;1:49-76.
[2] Wernli H. The use of antidepressants in children and teenagers. In: Wernli H. Pharmacological aspects of the treatment depression in children and adolescents. Basel: Karger. 2003:11-22.
[3] Krasowski KA, Wollack D, Ehrlich RD, et al. An open-label trial of oral carbamazepine in adolescents with treatment-resistant bipolar disorder. The Jonsson Comprehensive Psychiatry Study Group. JAMA. 2001;285:814-20.
[4] McLeod RS. Adolescents with treatment-resistant depression and suicide risk: implications for a broadened treatment approach. In: McLeod RS. Pharmacological aspects of the treatment depression in youth.
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