best anti-depressant medicine to use during treatments?

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Hello Sisters --

What is the best anti-depressant that actually works while going thru treatments, and which ones go against treatments? I heard Cymbalta and similar SSI meds go against Hormone therapy.

Also, what do you take for pain and nausea -- that won't constipate ?

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  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited September 2012

    Lauryn,

    I don't know that there is one best anti-depressant but you are right about some being contraindicated with other meds. I am on Arimidex and also take Effexor. This has worked well for me. This would be a great discussion to have with your mo or psychiatrist.

    Caryn

  • Downey30
    Downey30 Member Posts: 337
    edited September 2012

    LaurynSister,   I had problems also and my MO prescribed Celexa (generic citalapram).  I tried Effexor for a week but suffered from bad headaches.  Hope this helps.

  • melulv
    melulv Member Posts: 4
    edited September 2012

    Ive been taking prozac and it seems to help but I worry about being so dependent on it. My Drs saying to use till i am done with treament.

  • _Ann_
    _Ann_ Member Posts: 769
    edited September 2012

    In general there's no "best" antidepressant.   It's a trial and error approach. They put you on one, see if you respond and have tolerable side effects, if not they switch you. Lather, rinse, repeat until you hit one that works. Then hopefully it doesn't poop out on you after six months or a year.

    I fell into a weird knowledge gap between my MO and my psychiatrist.  I asked the which drugs are OK with chemo.  She said a psychiatrist would know all that.  Then I went to the psychiatrist, got put onto lamotrigine (not typically used for depression but I got it since I am bipolar).  I wanted to tell him my chemo drugs, he said he'd have no way to evaluate the interactions as he's not familiar with chemo drugs.  Oh well I could not find any info that it was a bad mix so I went on it, added the drug to my meds list at the MO, and the MO did finally give me an OK that it was not a problem with my treatment.

  • CelineFlower
    CelineFlower Member Posts: 875
    edited September 2012

    Ann... do you have access to a onco psychiatrist where you are being treadted for the cancer?

    I am seeing one on the 28th... this has relived some of my worries because of precisly what you just said.. 

    he said he'd have no way to evaluate the interactions as he's not familiar with chemo drugs 

  • bcbarbie10
    bcbarbie10 Member Posts: 319
    edited September 2012

    Melulv, how have you been taking prozac? My psychiatrist started me on 20 mg once a day the said we will titrate in 3-4 weeks depending on the response. Im kinda hopinh the 20mg will work. What dose are you in on?

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited September 2012

    Ann,

    Yes, a psych specializing in cancer patients is what you need. All Kaiser (Santa Clara) patients are referred to an onco psych if they feel they need his services.

    Caryn

  • Galsal
    Galsal Member Posts: 1,886
    edited September 2012

    Don't know if it's the "best", but I use Pristiq.  Was on Tamoxifen when started it.  It's a "cleaner" version of Effexor according to the shrink, not processed by the liver in the same way.  I figured that would be a good thing, considering how many meds we all wind up on during this journey. 

    Unfortunately,  there's no generic yet and my co-pay if $50 for a one month supply.  Thankfully, shrink gave me a rebate card for the Brand so I only pay $35.

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