Medication for Autonomic Nervous System Disorders - Psychiatry

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When it comes to managing autonomic nervous system disorders, particularly with medications like Lexapro (Escitalopram), it's important to understand how these medications work and the implications of discontinuing and resuming them.
Firstly, if you have not taken Lexapro for two weeks, it is generally considered a discontinuation of the medication. Stopping a medication suddenly, especially one that affects neurotransmitters like serotonin, can lead to a resurgence of symptoms, which you are experiencing. Lexapro is an SSRI (selective serotonin reuptake inhibitor) that is commonly prescribed for anxiety and depression, and it can take several weeks to build up in your system to achieve its full therapeutic effect.
If you are considering resuming Lexapro after a two-week hiatus, it is advisable to consult with your prescribing physician or a mental health professional before doing so. They can assess your current symptoms and determine the best course of action. It’s important to have a professional evaluation, especially if your symptoms have returned or worsened. They may suggest restarting the medication at the same dose or adjusting it based on your current condition.

Regarding the duration of treatment, SSRIs like Lexapro are often prescribed for several months to years, depending on the individual's response and the severity of their symptoms. Some patients may require long-term treatment to maintain symptom control, while others may be able to taper off after a period of stability. It’s essential to have regular follow-ups with your healthcare provider to monitor your progress and make necessary adjustments to your treatment plan.

As for concerns about developing tolerance or resistance to the medication, it is a common worry among patients. Tolerance can occur with some medications, leading to the need for higher doses to achieve the same effect. However, SSRIs typically do not lead to tolerance in the same way that some other classes of medications (like benzodiazepines) do. That said, if you find that the medication is becoming less effective over time, it’s crucial to discuss this with your doctor. They may consider adjusting your dosage or exploring alternative treatment options.

In summary, if you have stopped taking Lexapro for two weeks and are experiencing a return of symptoms, it is advisable to consult with your healthcare provider before resuming the medication. They can provide guidance tailored to your specific situation, including whether to restart the medication and how long you may need to continue treatment. Regular monitoring and open communication with your healthcare team are key to effectively managing autonomic nervous system disorders and ensuring that your treatment plan remains appropriate for your needs.