Re: Got back in Escitalopram 2.5 months ago and it's not working
Originally Posted by
matrix123
Can it happen that it needs more time to work?
Maybe. What was the maximum dose taken the first 2 times and how long have you been on 20mg this time?
If not, what would be an alternative to Escitalopram that I can ask the doctor to prescribe (I don't trust much the doctors here, but on the other hand it's good that they can prescribe what you ask).
One option could be supplementing escitalopram with buspirone (Buspar). This is a GAD specific med which works well for some, but not at all for most. However, it has a good track record for reinvigorating pooped out serotonergic ADs. It may boost their effectiveness and ease long term side-effects such as sexual dysfunction. No guarantees, but it is an easier and quicker option than switching to another AD. If it works you should begin to see positive results within 3 weeks.
As for alternative ADs, either the SSRI sertraline (Zoloft), or the TCA amitriptyline (Elavil). You should be able to do a direct overnight switch to sertraline with minimal issues. Switching to amitriptyline is better done via a short cross taper.
__________________
The opinions expressed above are based on my observations and, where applicable, interpretation of cited data and are general in nature. Consult your physician before acting on anything stated.