Lexapro (escitalopram) is a type of antidepressant, which is classified as a Selective Serotonin Reuptake Inhibitor. Generally, Lexapro is used to treat people that have some type of depressive disorder, especially people going through major depression issues. It is thought to positively affect communication between nerve cells in the central nervous system and/or restore chemical balance in the brain. Doctors also prescribe Lexapro to treat other types of disorders such as: social anxiety sisorder, anxiety disorder, panic disorder, obsessive compulsive disorder.
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Sleep, appetite or energy may show some improvement within the first 1-4 weeks. Improvement in these physical symptoms can be an important early signal that the medication is working. Depressed mood and lack of interest in activities may need up to 6-8 weeks to fully improve.
Lexapro comes in tablet form, in 5, 10 or 20mg. It also comes in liquid form. Generally, the effective dose of Lexapro ranges from 10 to 20 mg daily. People usually take Lexapro once a day, either in the morning or at night, with or without food. It is very important that Lexapro pills be swallowed whole and not chewed, broken, or crushed.
Nortriptyline is a second-generation tricyclic antidepressant marketed as the hydrochloride salt under the trade names Aventyl and Pamelor. It is used in the treatment of major depression and childhood nocturnal enuresis. Its off-label uses include treatment of chronic fatigue syndrome, chronic pain and migraine, and labile affect in some neurological disorders. It may also be used to help people quit smoking and to treat attention deficit hyperactivity disorder. Nortriptyline comes as a capsule and an oral liquid to take by mouth.
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Every patient is different. You may notice some initial benefit within 2 weeks, however it may take up to 2 months for a full effect. Your doctor may need to increase the dose to get the maximum effect. If you do not feel any improvement in your pain after 2 months, do not suddenly stop taking the tablets but speak to your doctor.
Usual adult dose - 25 mg three or four times daily; dosage should begin at a low level and be increased as required. As an alternative regimen, the total daily dosage may be given once a day. When doses above 100 mg daily are administered, plasma levels of nortriptyline should be monitored and maintained in the optimum range of 50 to 150 ng/mL. Doses above 150 mg/day are not recommended.
Took Lexapro after a serious bout of depression and anxiety. The Drug helped me a lot in the beginning. Got me through a rough patch. However, after 8 weeks of taking, the side effects started to pile up. I remained lethargic during the day yet unable to sleep through the night. The Stomach Upset and Constipation caused bloody stools. It's a cost-benefit analysis. If you bottom out, this drug may help you get through it. I couldn't and wouldn't take long term.
I thought the medication did an okay job. My anxiety never entirely disappeared, but there was a noticeable reduction. The medication would probably have been more effective had it been combined with a talking therapy, but it was not. The treatment had no significant side effects, aside from a little bit of nausea during the initial day or two. None of the more serious effects listed on the bottle were ever a problem. Basically, I had anxiety attacks and was prescribed Lexapro. I took the pill once a day every day for about a year, when I was weaned off. Apparently, if you don't wean yourself, you can experience withdrawal.
Nortriptyline has helped with my constant headache and has also helped me cope with my stress/anxiety. I'm on a low dose (20mg/day) and take at night. The first week I was out cold within minutes of taking the medication. That affect has worn off, but I continue to sleep well and wake up refreshed.
This med is amazing. I've had peripheral Neuropathy for a few years in my feet. I've tried Gabapentin, it didn't work. I tried Nortriptyline, I've been on it for 3-4 weeks...it's amazing... NO pins/needles feeling, no burning sensation! I still have some pressure in my feet, but things are so different now! I'm going to give it more time, but I think I found my holy grail! I understand it may not work for everyone, but so far it's working for me. If you are looking for something, ask your doctor and try it, it might work for you. Good luck to all of you!