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Male | 25

Will vortioxetine benefit OCD, anxiety, and depression better than mirtazapine?

Hi. I suffer from severe OCD, anxiety and depression and I'm on two antidepressants - fluoxetine and mirtazapine. I am wondering about the efficacy of vortioxetine in treating OCD, anxiety and depression and whether replacing mirtazapine with vortioxetine will bring improvement to my mental health. I can't find any information on Google. Both of them are atypical antidepressants. Is vortioxetine superior or inferior to mirtazapine in general? Someone told me that vortioxetine is "very mild" in terms of efficacy. Is that true? Thank you.

1 Answer
Dr. Vikas Patel

Psychiatrist

Answered on 30th May '24

Like mirtazapine, vortioxetine is believed to help with anxiety, depression, and OCD. Some trials have shown vortioxetine may be useful for these conditions. However, everyone reacts to drugs differently. Therefore, you must talk to your doctor about any changes in your medication so that they can find something that will work for you.

64 people found this helpful

Questions & Answers on "Psychiatriy" (330)

I was prescribed adderall and klonopins throughout most of my 20s. My doctor retired when I was 30 years old and I never got a new doctor, therefore I stopped getting my medications. I am now 40 and truly feel like I need to be back on my meds. What should I do to get prescribed my medications as soon as possible?

Male | 40

To get back on your medications, it's important to visit a psychiatrist or a general physician who can assess your current condition and prescribe the necessary treatment. Explain your medical history and the medications you were on. They will guide you on the best course of action and may restart your previous prescriptions after a thorough evaluation.

Answered on 3rd June '24

Dr. Vikas Patel

Dr. Vikas Patel

My friend suffering from following problem 1 if family member not talking politely or net & clean way then she crying too much 2. After that talking with herself ( I am positive, everyone talking with me polite, all is well, ok etc) 3.crying too much, closes her eye, sleeping on floor, pain in her left side chest, stomach sounding very fast like gad gad, plam light bluish

Female | 26

Your friend is having a hard time dealing with stress and experiencing emotional troubles, which in turn, are causing physical problems. She might be crying, talking to herself, and feeling a sharp pain in her chest, which is a clear indication of stress and anxiety. The noises in the stomach and blueish palms may be the first signs of a high pulse rate and lack of normal blood circulation. Advice her to speak to someone she trusts and make deep breathing a habit, and have her try relaxation techniques to minimize stress. 

Answered on 24th July '24

Dr. Vikas Patel

Dr. Vikas Patel

I don't know why it happens but whenever i think about a person my mind says that They should die or what if they die, even if have no bad feelings for them. Starts imaging death images. these thoughts come on theirown and come anytime whenever i watch tv or videos. i don't force myself to think about it. But when they come i had to do some rituals to feel relax. its happening from childhood but now its disturbing me.Can someone tell me what ami suffering from. I have arithmomania too. I count patterns on wall, stairs ,tiles, count words on my teeth with my tongue, i add vehicles number.All these things makes me angry andfrustated.Now i regularly outburst my anger on my parents. i want to cry but i can't only few drop that's it. I am 21 year old male.

Male | 21

you seem to have obsessive thoughts.dee a clinical psychologist for the needful.You can reach me

Answered on 23rd May '24

Dr. Srikanth Goggi

Dr. Srikanth Goggi

Hello my age 23 male I have heavy alcohol addiction so some ayurvedic person gives me some ayurvedic medical and he said conditions if you drink any alchohal in future aftr taking ayurvedic medicine in future you will die. Is true?

Male | 23

Alcohol addiction is serious, and professional help is vital. Be cautious with Ayurvedic remedies; extreme effects when drinking aren't common but can occur. The best option is to address addiction properly with the guidance and support of healthcare professionals.

Answered on 19th July '24

Dr. Vikas Patel

Dr. Vikas Patel

What drs would prescribe tramadol 50mg 2/ day and klonopin 2/day long term in Nc?

Female | 60

Tramadol helps mode­rate pain. Klonopin helps anxiety. Doctors pre­scribe these me­dicines when other tre­atments fail. You may need the­m long term if you have chronic pain or anxiety. Howe­ver, these me­dicines can become addictive­. So, take them precise­ly as your doctor instructs. Be certain to discuss any worries with your doctor.

Answered on 1st Aug '24

Dr. Vikas Patel

Dr. Vikas Patel

mental health , depression , anti depressants

Female | 43

Depression is a mental health problem that can deeply affect a person and their life. Seeing a qualified therapist who is either a psychiatrist is essential. They are in a position to make a comprehensive assessment and to outline appropriate treatment approaches, including the prescribing of antidepressant drugs where necessary

Answered on 23rd May '24

Dr. Vikas Patel

Dr. Vikas Patel

I haven't been feeling the effects of drugs like caffeine, codeine or nicotine for some time now and it's concerning me. I was put onto risperidone and propranolol for seven months before this started happening. Could you help me determine the cause?

Male | 20

It's true that these­ medications can sometimes influe­nce your body's reaction to caffeine­, codeine, or nicotine. The­re's a chance these­ drugs are altering your response­s. The wisest step would be­ discussing your concerns with a healthcare profe­ssional. They'll help decide­ the ideal approach for your situation.

Answered on 23rd May '24

Dr. Vikas Patel

Dr. Vikas Patel

Hii sir I was taken daxid 50 mg tablet.I am feared that tablet side effects.if any problems in sexual hormones change.

Male | 19

Daxid 50 mg could influence sexual hormones in certain individuals. They may experience symptoms such as changes in libido or trouble getting aroused. This could be because some drugs interfere with the body’s hormone levels. If you notice these changes, discuss them with your doctor. They can find a remedy for this issue or change your medication if necessary. Pay attention to how you feel and if anything seems wrong, don’t hesitate to ask for assistance.

Answered on 27th May '24

Dr. Vikas Patel

Dr. Vikas Patel

I took 15 30mg codeine tablets and 7 50mg cyclizine tablets, about 4 hours ago. Am I going to die?

Female | 35

You consumed too many code­ine and cyclizine tablets. The­se can hurt you badly. Sleepine­ss and slowed breathing are risks. Dizzine­ss, confusion, feeling sick may occur. It's crucial to reach out imme­diately if experie­ncing such symptoms. Call emergency se­rvices right away. 

Answered on 25th July '24

Dr. Vikas Patel

Dr. Vikas Patel

How to overcome agoraphobia

Consult psychiatrist and start medications and behavior therapy 

Answered on 23rd May '24

Dr. Ketan Parmar

Dr. Ketan Parmar

I get fainting and I have so many negative thoughts and it's change my behaviour and I suffer lot

Female | 18

Your drooping spirits and the negatives in your thinking have the consequence of your behavior. Various causes of these signs are found hence people having been under a lot of stress or anxiety experience the same feeling. When you go through the emotions focus on the end of this exercise: slow breathing and calming of the soul. Besides, communicating with your close friends or even family members can be helpful. You can also recognize that it's important to ask for help when needed.

Answered on 23rd May '24

Dr. Vikas Patel

Dr. Vikas Patel

Hi - I am taking for 10 months now mirtazipine 30 mg. Is it ok to half the dose - or do I need to build down more slowly? I gain a lot of weight … Thank you

Female | Joke

A common side effect of mirtazapine is weight gain. Talk with your doctor before you reduce your dose. They might recommend a strategy to decrease the dose gradually so that you won't have withdrawal symptoms. It is dangerous to quickly change your dose; therefore, it is necessary to do it carefully under the supervision of your doctor. 

Answered on 6th Sept '24

Dr. Vikas Patel

Dr. Vikas Patel

Mene librium 10 ki 6 tablet li hai abhi

महिला | 30

If you take 6 Librium 10 tablets at once, it is dangerous. Librium is a drug used for treating anxiety which can make you feel sleepy or confused as well as lead to shallow breathing when taken in large amounts. To avoid any negative effects, make sure to take only the dose prescribed by your doctor and contact them immediately if you believe that you have overdosed on this medicine so that they can advise accordingly.

Answered on 25th June '24

Dr. Vikas Patel

Dr. Vikas Patel

How to get gender identity disorder letter

Female | 21

If you need a letter for gender identity disorder diagnosis, make sure to see a mental health professional who is well experienced in gender identity disorder issues. It could be a psychologist, psychiatrist, or any licensed therapist. It is recommended that this matter should be discussed with qualified person, who can support you properly and guide you throughout this process. 

Answered on 23rd May '24

Dr. Vikas Patel

Dr. Vikas Patel

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