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.
• 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.

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Presenters / Sources:

• Dr. Fanny, Psychiatrist at Mosia facilities, Mexico City
• Various patient comments and questions integrated into the live discussion

Notable Quotes

— 00:00 — « The intestine is the second brain. »

— 18:17 — « Physical pain will often be related to emotional pain. »

— 19:56 — « If the clinical guidelines themselves tell us, hey, as a first choice, it's better to prescribe an SSRI, then why would we go the other way? »

— 31:07 — « Antidepressants shouldn't stop you from crying. »

— 33:17 — « The ideal scenario is to be able to adjust the dose little by little to be able to see how the person feels and see what the best treatment option is. »

Category

Wellness and Self-Improvement

Video