I ended up in emergency detox from this med. I had never been actively suicidal, this poison put me there. It might work for some, but it almost killed me. I understand that for every body there is a different chemistry. I think that patients need to be very aware of the possibilities and be very careful. It was nearly impossible to get off of for me.
@Jakey40008 ай бұрын
I'm sorry to hear that, although any mental health physician worth their weight would inform their patient of the side effects, and they likely do but because of the nature of those consultations the patient may be willing to say yes to anything
@ttee69907 ай бұрын
pristiq has helped me somewhat but it made me have high blood pressure. it was the only thing on my genetic testing i can try it should work. everything else didnt work for depression and anxiety. so i live with my issues. and make the best of it. exercize is helpful and eating healthy. having good sleep helps. it is what it is.
@artistTM2 жыл бұрын
I have anxiety, panic attacks and a little depression due to anxiety/panic attacks, my Dr. RX me pristiq due to my genetic testing results, my question is why would she RX me that and not try Effexor (which is also on my use as directed list)?
@stevemarx6204 Жыл бұрын
How long to work I’ve been on it for like 6 weeks now ?
@harshpatel51043 ай бұрын
whats the best time to take it morning or night?
@BeingBetter3 жыл бұрын
Can you do a video on hydroxyzine hcl? I'm taking 50-100 mg a day. It helps me sleep when I'm manic but I'm staying on it when I'm well too. I'm concerned about building a tolerance and it no longer working. I don't want to try any more drugs. It also appears to have gotten rid of my panic disorder and agoraphobia, I'd been not leaving home for years and now I'm out just about every day, still in just the nearest town and not farther but it's a HUGE improvement for me.
@ShrinksInSneakers3 жыл бұрын
yes, I would be happy to cover this medication. Tolerance should not be an issue, the main thing I caution people on is QTc prolongation at doses over 100 mg/day.
@BeingBetter3 жыл бұрын
@@ShrinksInSneakers I'm eagerly awaiting the notification!
@edithzamora22202 жыл бұрын
Hey I have that, did u feel detached from ur emotions and others? Was it pristiq that helped u?
@beeathome1064 Жыл бұрын
Is pristiq one that commonly causes weight gain?
@paulzaker53952 жыл бұрын
Thanks for another informative video. How do the norepinephrine characteristics of Pristiq compare with Wellbutrin? Is one considered stronger? Is the approach to increasing norepinephrine different with each of these drugs?
@ShrinksInSneakers2 жыл бұрын
This information mostly comes from animal studies (rats I believe) and clinically I'm not sure how much it translates to effectiveness in the real work setting but Pristiq has much greater affinity for the NET transporter than bupropion. Hope this helps
@AP-nx6xo Жыл бұрын
Pristiq is better to treat anxiety than Wellbutrin in my humble opinion. On Wellbutrin I worried a lot more than on Pristiq 50 mg. To get off pristiq, Prozac can be extremely helpful from what I’ve heard Hope this helps
@Viralvediosandthug2 жыл бұрын
Wt do you think the combo of pristiq with Wellbutrin?? My doctor suggested me 1 week ago
@ShrinksInSneakers2 жыл бұрын
I can see the rational for the combination it will theoretically increase all three neurotransmitters serotonin, norepinephrine, and serotonin. I would usually make sure an adequate dose is reached with one medication for a long enough duration before adding an additional medication. If this has already been done and you are augmenting it's a reasonable combination. There is a high risk for withdrawal syndrome with desvenlafaxine. It also has more norepinephrine activity than venlafaxine, I have a video detailing that information if you are interested. There are no drug interactions with this combo. Hope this helps, if you have not subscribed to the channel please do and spread the word about what we are doing here.
@lindamastropietro44292 жыл бұрын
I’m on Effexor XR 75 mg. I’ve been on it years. I still have days when the depression is very bad and I can’t function. My APRN raised the Effexor XR to 88 mg. I became very hyprometic. So she dropped me back down to 75 mg. I am frustrated because she doesn’t seem to want to change anything. I take Lamictal I was on 100 mg twice a day now she raised it to 200 mg twice a day. I don’t feel any better. I don’t know what to do
@AP-nx6xo Жыл бұрын
Try pristiq 50 mg. It is more affective than Effexor xr. It’s not metabolized In the liver either. They are just about the same drug
@LuciaAria2 жыл бұрын
For me was my salvation, I'm on pristiq for a month already I was taking 100 mg but now I'm taking 50 mg... I didn't have almost any side effects.
@yardartistry41212 жыл бұрын
Since 12 years ago I am still in love with only 50mg No side effects!
@LuciaAria2 жыл бұрын
@@yardartistry4121 now I back at 100mg I was having more side effects with 50mg than with 100mg ... And had more anxiety with 50mg, but pristiq change my life. At least my mental state.
@idorion90962 жыл бұрын
It's done the same for me :)
@jayton580 Жыл бұрын
@@yardartistry4121 do you have sexual side effects? Every anti depressant I use effects me sexual
@Chris-jg5vw Жыл бұрын
How long till you were able to feel the effects? I'm thinking it's starting to work for me at 5 days @ 50 MG? Thank you
@crypticclipzz3730 Жыл бұрын
Ive been started at 25mg i have a rare subform of adhd and severe depression and anxiety
@elizabethsteele46332 жыл бұрын
Your presentations are excellent . I'm currently taking Desvenlafaxine 100 . After four weeks I feel my depression is much less " heavy " and more manageable . However , sometimes my anxiety is higher , which has led me to drink a few glasses of wine at night , even though I know that this may be exactly what I should not do . I've tried 9 different antidepressants but none have worked - Amitripiline came close but my family doctor told me to stop due to my age , 67 . My impression is that these medications can have the effect of increasing desire for alcohol . Is there anything to that ?
@ShrinksInSneakers2 жыл бұрын
This is not medical advice, it’s for educational purposes only. Always talk to your doctor prior to making any changes. I’m not aware of any data indicating increased risk of alcohol consumption while taking these medications. Anxiety is an antidepressant impediment. People with comorbid anxiety will have more resistant depression and will be less likely to respond to medication. If a person has had 5 or more trials of medication without remission, medication is unlikely fully control symptoms. This does not mean people should lose hope, but it does mean the expectations of what medication can do has to change. The expectations should shift from achieving remission to, how can I tolerate these symptoms while still living a meaningful life. Being a good psychophramacologist means knowing the limits of medications. With each successive medication failure, the likelihood of the next medication working decreases. If there is true treatment resistance then ECT, pramipexole, and ketamine remain options, with ECT having the best efficacy for depression. I hope this helps, if you haven’t already, please like and subscribe to the channel and spread the word about what we are doing here. We also have daily Instagram content it may be of interest.
@yardartistry41212 жыл бұрын
Yes ma'am you "impression " is very correct !!! Please be very careful with those unhealthy desires For your own good 👍
@tammyboatrite9512 Жыл бұрын
I think you are correct I started drinking at night.
@brittneywelch218611 ай бұрын
Sooooo if you have anxiety and depression....meds won't help that much?
@elizabethsteele463311 ай бұрын
I would say that if you find an antidepressant that you respond to it may help a little . That's strictly my own experience and doesn't necessarily apply to others . @@brittneywelch2186
@alexwiseman9078 Жыл бұрын
Has Pristiq been banned in Europe and that there was a 60 plus million payout via class action in the US?.
@JerichoEden5 ай бұрын
Can you help me treat my boil?
@lindamastropietro44292 жыл бұрын
I take 50 mg of Pristiq for bipolar disorder type two. It’s great three days after I started taking it I stopped waking up crying and wish I was dead I wake up now I have a better mood all together. I still have anxiety though.
@ShrinksInSneakers2 жыл бұрын
Give it some time, many medications require 6-12 weeks of continuous use to see the full benefits. I'm glad you had a good outcome. If you haven't subscribed to the channel yet, please do and spread the word about what we are doing here.
@yardartistry41212 жыл бұрын
@@ShrinksInSneakers SHE IS VERY CORRECT!! I DID FEEL THE DIFFERENCE A SOON AS THE VERY FIRST DAY TOO!! PEOPLE SHOULD TAKE IT AS EARLY AS 6AM OR EARLY MORNING HOURS!
@yardartistry41212 жыл бұрын
Yes I do love how I didn't have to wait weeks to feel wonderful!! I at times forget or take breaks but a soon as I start again I feel my 50mg pristique works right away!:))
@AP-nx6xo Жыл бұрын
@@yardartistry4121 ya I agree pristiq works right away !
@lindamastropietro4429 Жыл бұрын
Thank you
@idorion90962 жыл бұрын
Pristique is so effective for me :)
@ShrinksInSneakers2 жыл бұрын
Awesome, glad you found a treatment that works for you. If you haven't subscribed to the channel please do and spread the word about what we are doing here.
@clintparsons3989 Жыл бұрын
I know Effexor turns into pristiq, but pristiq works sooooo much better. I know that doesn’t make sense. They also say there’s no evidence that anything above 50 mg does anything but 100 mgs works sooo much better than 50 for me.
@spencer51137 ай бұрын
It does make sense actually. interestingly, pristiq has a stronger affinity for norepinephrine at the starting doses, so it definitely doesn’t have the same effects as Effexor. There are differences even if minor. That strong norepinephrine effect might be why it works better.
@shehwqbqb41832 жыл бұрын
Can 14 years olds take pristiq
@wgls862 жыл бұрын
Hi, my doctor prescribed 25mg Pristiq to add on to my 45mg of Mirtazepine for anxiety. Just wanna ask is the loss of appetite/weight temporary? I don't wish to lose the healthy weight I've gained after recovering from anorexia
@ShrinksInSneakers2 жыл бұрын
I would have your doctor monitor your weight. Some people do experience decreased appetite and in some cases it is transient. The hope would be mirtazapine would balance this out but I think talking with your doctor and careful monitoring are essential given your diagnosis. All the best
@HeyhitmeBAM Жыл бұрын
Mirtazapine usually makes patient gain weight, and the pristiq doesn’t have as strong weight effect, so hopefully it was ok
@alexwiseman9078 Жыл бұрын
Any mention that there has been a huge payout the class action re Pristiq or the horrible side effects.
@ShrinksInSneakers Жыл бұрын
The pharmaceutical and medical device industry is constantly making payouts for all types of medications and devices. We talk about the side effects of the medication and present the information. The main concern with the SNRIs is worse withdrawal symptoms, this can be avoided if a proper tapering schedule is monitored by the doctor who prescribed the medication. The people who I see have problems are those who abruptly stop without a plan.
@Vault-Born3 ай бұрын
you act like it's a choice- this medication is expensive and commonly prescribed to the disabled. there are obstacles- shortages, shutdowns, etc... @@ShrinksInSneakers
@David-yp5jf3 жыл бұрын
Have you heard of good results of pristiq for ADD? do you think sexual side effects might be lower than with other SNRI?
@ShrinksInSneakers3 жыл бұрын
sexual side effects are still an issue with this medication. Some people have used pristiq off label to treat ADHD, but I tend to stick will medications specifically approved for ADHD. In short yes this medication may help with ADHD and you need to balance the risks and benefits with your doctor
@Susan.Burns634 ай бұрын
I take ADHD medication and I've been on this a month and I finally feel a bit of the old me has returned and I haven't cried in the morning upon waking like I have for the past year at least! I wish you well 👍🇦🇺
@beeathome10643 ай бұрын
Do you take pristiq combined with your adhd medication? If so , how is it for you? I’m on adderall but my doctor prescribed me pristiq with it. I havent started it yet
@maggot922 жыл бұрын
what time is the best to take this medication. in the morning or before going to bed?
@ShrinksInSneakers2 жыл бұрын
Depends on the medication and the patient preference. If we are talking about sedating medications like dopamine blockers then dosing it all at night is a better option. I also dose lithium all at night. With SSRIs and SNRIs they can be activating and best taken earlier in the day. Hope this helps. If you haven’t subscribed to the channel please do, and spread the word about what we are doing. We also do daily Instagram posts to reduce stigma and educate about mental health topics
@yardartistry41212 жыл бұрын
Pristique is better early in the morning
@davidbirdowner982 Жыл бұрын
I just started this today
@olives242610 ай бұрын
how’s it going? just started today 🤞🏻
@mariyamworld47718 ай бұрын
@@olives2426Haw you feel
@StopDropandLOL2 жыл бұрын
Question.. if I take Clomipramine 25mg at night, is it safe to start Pristiq in the morning or should I be discontinuing Clomipramine completely first? I’m getting mixed messages from everyone.
@ShrinksInSneakers2 жыл бұрын
I can't provide direct medical advice so I can only talk about the medications in general. There is always a risk for serotonin syndrome and other complications when combining medications with a similar mechanism of action. I do not see any benefit in combining these two medications together. I prefer to use mono therapy at an adequate dose and for a long enough duration to properly assess effectiveness. Additional advice would be to talk with your doctor before making any changes. If you haven't subscribed to the channel please do, and spread the word about what we are doing here. We are also creating content on a daily basis for instagram check out the page for additional information.
@yardartistry41212 жыл бұрын
Be on pristiq only!! You won't need anything else I promise to you!😊
@alinaadame95382 жыл бұрын
I was previously on Trintellix and was switched to Pristiq 100mg. This is my first week and I am so tired. Will this pass?
@ShrinksInSneakers2 жыл бұрын
Most side effects are transient and do go away over time, I would talk to your doctor if it persists.
@yardartistry41212 жыл бұрын
You should be feeling well by now But I prefer 50mg Stating on 100mg I think was high But your doctor prescribed based on your medical condition
@beeathome10643 ай бұрын
Does anyone take pristiq and adderall together ?
@David-yp5jf3 жыл бұрын
Do you give private consultations?
@ShrinksInSneakers3 жыл бұрын
Not right now, I'm hospital based, but may have something in the future like that. I appreciate the support
@David-yp5jf3 жыл бұрын
@@ShrinksInSneakers What about a consultation on any given time you might have time? I believe that your experience in research might be good for a patient like me. Doctors I have seen are not as up to date as you... Could realy really help
@edithzamora22202 жыл бұрын
Does anyone here have Dpdr? Feeling dissociation from high anxiety or trama and has this helped u?
@brittneywelch218611 ай бұрын
How are you now?
@stephanymckinley56772 жыл бұрын
I read that studies showed there is not any additional benefit of this med taken above 50 mg daily?
@ShrinksInSneakers2 жыл бұрын
There seems to be a sweet spot with many medications where the benefits are maximized and side effects are minimized, I would say 50 mg in this case is accurate. Some people do have benefit over 50 mg but it may not be as robust and comes with more risk of side effects. maybe we will do a video on the sweet spot for each medication
@yardartistry41212 жыл бұрын
@@ShrinksInSneakers very correct!!
@yardartistry41212 жыл бұрын
Very correct!!! 50mg is a love!!! It works beautifully!!😘❤❤❤
@melanie98d2 жыл бұрын
My face and skull never itched so horribly
@jayton580 Жыл бұрын
So does desvenlafaxine still target sert?
@ShrinksInSneakers Жыл бұрын
see my reply on the other comment you left
@jayton580 Жыл бұрын
@@ShrinksInSneakers can my psychiatrist subscribe viagra or anything that will help? Kinda sucks pristiq works but messes up my sexual function. I tried about 4 different anti depressant and finally found that desvenlafaxine works best for my depression and social phobia
@brazilgrl5712 жыл бұрын
Side affect??? I cry at the drop of a hat! My girlfriend who took it was a cryer too. I’m going off because of that. I can’t deal w/ the hypersensitivity anymore. I took it for 2 years. Do you see that as side effect? I don’t see it on any info about it.
@ShrinksInSneakers2 жыл бұрын
This is not a common side effect and not one that I've seen clinically to this point but I also do not use this medication that often. Hope this helps, if you haven't subscribed to the channel please do and spread the word about what we are doing here,
@brazilgrl5712 жыл бұрын
@@ShrinksInSneakers I have an your Insta.
@AP-nx6xo Жыл бұрын
Wellbutrin did that to me just watching a commercial ; something simple would set me off
@brazilgrl571 Жыл бұрын
@@AP-nx6xo I take Wellbutrin now Im still crying for nothing. I wonder if that’s a true side effect???
@AP-nx6xo Жыл бұрын
@@brazilgrl571 it seems to react that way with me. I think medications affect everyone differently .
@gregoryjozefiak58542 жыл бұрын
I have been on 50 mg of pristiq for about a year and have started to attempt tapering off (with the approval of my GP).. Currently the taper plan I am attempting is the first week, on one day 25 mg and the other six days at 50 mg. Then the 2nd week, two days at 25 mg and the other five at 50 mg. Hence I would continue this pattern for seven weeks. My question is, am I tapering too quickly? I do not want to attempt any crossover AD's if I don't have to, but what would you recommend? Thank you for your time and attention..........God bless.
@debsattam12 жыл бұрын
There is nothing called as quick tapper until you are not suffering a lot
@ShrinksInSneakers2 жыл бұрын
That schedule you described sounds reasonable. I expect you will do well. Despite what people say, I have patients who abruptly stop medication and do not experience a withdrawal syndrome, sometimes other comments make it sound like you can never safely stop the medication which is simply not true. It's always a good idea to do an appropraite taper either way
@idorion90962 жыл бұрын
Hope you had better luck than me. I went off against the advice of my dr's. I won't be trying that again. I'm happy to take it for the rest of my life if it helps me be a happy person. And it most definitely does
@javidjohnson58992 жыл бұрын
Desvenelafaxine......as a fellow mental health professional I have always been told by my professors and other collegues to pronounce Venlafaxine as VenLA-Faxine and you are pronouncing it venalfaxine???...I knwo it is a small thing but you are pronouncing it totally different than every other mental health professional I know?
@ShrinksInSneakers2 жыл бұрын
That’s a fair point, I never understand why these medication names have to be so complicated
@tanshievlogs2 жыл бұрын
@@ShrinksInSneakers please my first time watching your video. I just got this medication today the 1 June 2022. I don't know if I should take it. I'm afraid it damage my body. I went to the doctor because I'm always feeling depressed because of what I'm going through. St times I feel suicidal 🙃 but not all the time. But I didn't like how my doctor was talking to me making it look I'm crazy. People go through things differently at times. I'm frm jamaica 🇯🇲. Do you think I should take them? If yes , can I still drink my natural fruits juice that contained leaf greens, pineapple 🍍 ginger, beetroot, carrot 🥕 lettuce ,string beans etc etc. Please I hope you reply.
@lindacarol59822 жыл бұрын
Side effects are too much for every. Mental med I've ever took.
@ShrinksInSneakers2 жыл бұрын
The increased side effect profile is part of the tradeoff for a slightly more effective medication. It can be intolerable for some patients and should be addressed on a case-by-case basis. Many side effects are transient, and others can be effectively treated. My hope is that you found a treatment that works for you. Best of luck on your mental health journey, please let me know if I can assist in anyway
@lindacarol59822 жыл бұрын
@@ShrinksInSneakers well I started prestiq to finally try it and I have gotten better with the depression and I have tons of energy but I shake like tremors and nervousness. Will those side effects go away in time of usage?
@ShrinksInSneakers2 жыл бұрын
@@lindacarol5982 Most side effects will be reduced or go away completely once the receptors adapt to the medication. It's always goo to look at the dose and see if possibly it's too high causing more activation and anxiety. If you haven't subscribed yet please do so and spread the word about what we are doing here. Also check out the instagram page as we are now creating daily content
@lindacarol59822 жыл бұрын
@@ShrinksInSneakers thank you for responding 🙏 😊. My psychiatrist told me to cut it in half but I'm scared to cut it cause it's time released and she was aware of that. She said well it couldn't hurt you. But I am no longer lying on the couch all day with crippling depression 😪. So, I am going to keep taking them I've been on 50 for 3 weeks and 25 for about 4 or 5 day's now. I was always thinking I don't have a mental illness but it is in my family. My mom is possibly bipolar among much more. But, she's too stubborn to go to a shrink and too stubborn to take meds. She doesn't think she has a mental illness but she said grandma did her mom. Well she has it to and my other family has mental health issues. But, thank goodness my son got placed on Prozac and low dose it's helping him. But, he may need 10 more mgs. We're sensitive to alot of meds it seems
@eightytwobucks6232 жыл бұрын
I’ve had a LOT of abnormal dreams. But they also could be messages and VISIONS from JESUS cause I’ve had those before plenty of times before this medicine