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Doctors Lounge - Psychiatry Answers
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| martine
- Sun Aug 08, 2010 4:23 am |
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I have tried several antidepressants for the last 20 years and nothing seems to work. I was diagnosed with chronic depression, and recently with Attention Deficit Disorder (ADD). The doctor who diagnosed it is giving me Ritaline. It is making me feel better only because I seem to be able to concentrate better at work. However, my anxiety and obsessive negative thoughts are still there taking over rampantly. Is there an antidepressant that works together with Ritaline? (I know tricyclics should not be mixed with Ritaline). Is it OK to stop taking Ritaline during the days I am not working (holidays and Sundays)? My doctor says better not to, but I would like a second opinion. I would like to reduce Ritaline intake as much as possible because side effects are supposed to be horrible.
Thanks
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| Faye Lang, RN, MSW
- Mon Aug 09, 2010 10:31 pm |
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Hello, Martine,
Yes, there are antidepressants that are used with Ritalin, generally those known as SSRIs, or selective serotonin reuptake inhibitors. Your doctor would be the best person to select the specific SSRI, as there are several. Your doctor is correct that it is not a good idea to stop and start Ritalin, as it would result in inconsistent blood levels and thus inconsistent effect. If you are not having side effects now from the dosage you are taking, it's not likely that they'll occur from taking the medication consistently. Most side effects happen when they person is taking the higher dosages, or if they become ill, as with a cold or flu. If you become ill, consult with your doctor about what to do about your medication dosage.
I hope this is helpful to you. Good luck.
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