Neurological Medications: Are They Right for Your Symptoms?

Neuropharmaceuticals

I visited a psychiatrist who did not provide me with a specific diagnosis.
I reported various symptoms that are similar to autonomic nervous system dysregulation, but the doctor advised me to go home and take Escitalopram to repair my brain's neurotransmitters for a week, and to return for a follow-up next week.
However, I am concerned that Escitalopram is used to treat depression, and I worry that my condition may worsen.
Is the medication prescribed by the doctor appropriate?

Wang S, 10~19 year old female. Ask Date: 2020/04/01

Dr. Zhang Gengjia reply Psychiatry

Dear Sir/Madam,
From your letter, it is clear that you are experiencing discomfort and anxiety.
Based on your description, it is difficult to definitively diagnose your condition, but it is likely related to anxiety combined with depression.
Currently, the use of medication can help avoid inappropriate treatments or side effects, so regular outpatient follow-ups and discussions are very important.
Our clinic is open Monday to Friday, both in the morning and afternoon.
I recommend that you consider visiting our facility for a personal evaluation of your symptoms, so we can collaboratively discuss the best course of action for you.
Wishing you good physical and mental health.
Sincerely,
Dr.
Chang Geng-Jia
Department of Psychiatry

Reply Date: 2020/04/01

More Info

When it comes to understanding neurological medications and their appropriateness for your symptoms, it's essential to consider both the specific medication prescribed and the underlying condition being treated. In your case, you mentioned that you are experiencing symptoms that resemble autonomic nervous system dysfunction, but the physician has prescribed Esertan (likely referring to a medication aimed at repairing nerve function) without providing a clear diagnosis.

Esertan, which is often used to treat depression, works by modulating neurotransmitters in the brain, particularly serotonin and norepinephrine. While it can be effective for mood disorders, its efficacy in treating symptoms related to autonomic dysfunction or neuropathic pain is less clear. If your symptoms are primarily related to nerve pain or dysfunction, medications specifically designed for neuropathic pain, such as gabapentin or pregabalin, might be more appropriate. These medications target nerve pain directly and have a different mechanism of action compared to antidepressants.

It's important to note that while antidepressants like Esertan can help improve mood and may indirectly alleviate some physical symptoms by reducing anxiety or depression, they are not primarily designed to address nerve pain or autonomic dysfunction. If your symptoms worsen or do not improve after a week of taking Esertan, it would be advisable to follow up with your physician to discuss your concerns and potentially explore other treatment options.

Moreover, the concern about worsening symptoms is valid. If you feel that the medication is not addressing your primary issues or if you experience side effects, it is crucial to communicate this with your healthcare provider. They may need to reassess your diagnosis and consider alternative treatments that align more closely with your symptoms.

In summary, while Esertan may have some benefits for mood regulation, it may not be the best choice for treating symptoms of autonomic dysfunction or neuropathic pain. It is essential to have an open dialogue with your physician about your symptoms, treatment goals, and any concerns you may have regarding the prescribed medication. If necessary, seeking a second opinion or consulting a specialist in neurology or pain management could provide additional insights and treatment options tailored to your specific needs.

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