Summary of "DULOXETINA VS SERTRALINA / FANNY PSIQUIATRA ACLARA EL MEDICAMENTO"
Key Wellness Strategies, Self-Care Techniques, and Productivity Tips from the Video:
- Understanding Antidepressants:
- Duloxetine and Sertraline are both antidepressants primarily prescribed for depression and anxiety disorders.
- They are non-addictive and generally safe when used as prescribed.
- Not intended as sleeping aids but may help improve sleep indirectly by reducing anxiety or depression.
- Usually taken in the morning with food to avoid stomach discomfort and help with adherence.
- Establish a routine by placing medication where it won’t be forgotten (e.g., near breakfast area or work desk).
- Common Side Effects and Management:
- Possible side effects include:
- Sleepiness or fatigue (some patients may feel sleepy and take it at night).
- Headaches (often transient; can be managed with analgesics and usually improve after a week).
- Dry mouth (more common with Sertraline than Duloxetine; manageable by staying hydrated).
- Dizziness.
- Rare but important side effect: Hyponatremia (low sodium), especially in older adults taking Duloxetine — periodic blood tests may be recommended.
- Weight changes vary; some may lose weight due to improved mood and reduced anxiety-driven eating impulses.
- Emotional blunting (e.g., feeling unable to cry) can happen but usually reflects mood stabilization rather than a medication side effect.
- Possible side effects include:
- Differences Between Duloxetine and Sertraline:
- Sertraline is a Selective Serotonin Reuptake Inhibitor (SSRI), often first-line treatment for depression and anxiety.
- Duloxetine is a dual-action antidepressant affecting both serotonin and norepinephrine, often used when SSRIs are ineffective or when patients have chronic pain conditions (Fibromyalgia, Neuropathic Pain, Tension Headaches).
- Duloxetine may have a more activating effect due to norepinephrine action.
- Sertraline is generally more affordable and widely prescribed.
- Prescription and Use Considerations:
- Antidepressants can be prescribed by psychiatrists, general practitioners, and sometimes gynecologists.
- Medication doses may need adjustment over time; gradual dose increases are common.
- Combining an SSRI (like Sertraline) with a dual antidepressant (like Duloxetine) is possible but uncommon and should be carefully managed.
- Antidepressants should not be stopped abruptly due to side effects; consult your doctor if adverse effects occur.
- Pregnancy: Sertraline has more safety data and is considered relatively safe; Duloxetine can be continued under medical supervision.
- Additional Notes:
- Mental health education and open communication with healthcare providers are essential.
- Patients are encouraged to ask questions, share experiences, and seek support.
- Lifestyle factors such as diet, routine, and hydration play a supportive role in treatment.
- The psychiatrist emphasizes the importance of personalized treatment and follow-up.
Presenters / Sources:
- Dr. Fanny, Psychiatrist at Mosia facilities, Mexico City
- Various patient comments and questions integrated into the live discussion
Category
Wellness and Self-Improvement
