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  Depression: What to Do with Those Antidepressant Side Effects? by Dr. Michael Rayel Maria’s depression was difficult to treat. As you can recall, various medications had been Supplements Reviews tried to no avail. But after several months of treatment, Maria has eventually become stable on a combination of two antidepressants. She’s now able to do her usual activities and is motivated to go back to work — something she has struggled to do for a while. Despite her improvement, antidepressant side effects have emerged and are bothersome. Maria begins to consider discontinuing her medications prematurely. Antidepressant side effects are real and negatively affect patient’s compliance. Many patients like Maria consider stopping the medication even at the risk of relapse because of distressing side effects. How do you deal with some of the common antidepressant side effects? Insomnia Some antidepressants e.g. SSRIs (serotonin-reuptake inhibitor) are highly stimulating that they caus...

  Depression: My Antidepressant Doesn’t Work. What Can My Psychiatrist Do? by Dr. Michael Rayel Maria has been increasingly depressed for the past few years. She has tried at least four newer antidepressants but so far, she doesn’t seem Supplements Reviews to respond. Unable to work, she’s now feeling helpless and hopeless. Likewise, her family is discouraged. Frustrated and baffled by Maria’s lack of progress, the family doctor refers her to a psychiatrist. What can the psychiatrist do to help Maria? The psychiatrist has several options in dealing with a treatment-resistant or refractory depression . First, Maria’s psychiatrist can optimize the dose of her antidepressant. Maria has been taking low doses of antidepressants. In spite of her lack of response, the medication dosage has not been increased. To obtain a clinical response, her psychiatrist should increase the dose every two to three weeks. The antidepressant can be adjusted up to the maximum allowable dose if no or only ...

  St John's Wort and Depression by Dr. Michael Rayel The bright yellow flower of the St. Johns Wort (hypericum perforatum) with it's ray-like petals, Supplements Reviews represents the power of the sun that forces away the darkness. This already points to the anti-depressant effects of the St Johns Wort which are highly respected, even in conventional medicine. St. John's Wort, a perennial plant, has been used for hundreds of years to treat depression, unrest and anxiety disorders as well as nerve pain. For a long time, doctors and herbalists alike have known about its use as a sedative, but also as treatment for wounds, burns, insect bites, stomach ulcers and more. It is still used widely today and it's effectiveness has been proven to a point where some insurance companies are now covering the treatment. It is not a powerful drug -- when used to treat depression -- in the sense of bringing a quick recovery, but shows excellent long term results in many patients. T...