Talk to Psychiatry on Pain, Headache Depression
Asking For Self, Male 23, Lahore
Hi. i have been diagnosed with clinical depression. i am taking some antidepressants and epival tab. I have no energy to work and I can't get up in the morning due to pain specially in limbs and back. i also have headache all the time. i am unable to function properly It has been more than 2 weeks. doctor said it is due to depression. can someone suggest me fighting the pain any tablets or things that I can do to lower the pain. painkillers like ansaid etc doesn't seems to work well. I can't do work due to pain. please help
Dr. Ayesha Uquaily - Psychiatrist
MBBS , FCPS (Psychiatry) , MRCPsych (London) | Karachi
368 Positive Reviews
Sometimes depression presents with pain and this pain will go as depression starts getting better.Antidepressants take some time to work, atleast 4 to 6 weeks to kick in so please be patient and don’t stop the medication.Meanwhile I understand it’s not easy to bear the pain so just take simple paracetamols 2 tabs twice a day and if pain is still severe u can take it even thrice a day.The antidepressant dose needs to be adjusted too over time .
Assoc. Prof. Dr. Aneel Kumar Keswani - Psychiatrist
MBBS , FCPS (Psychiatry) | Karachi
1506 Positive Reviews
Welcome, you need to mention the duration of your depression and which antidepressant medication you are using and since how long, if symptoms persists even after sufficient duration of medication then you should visit your treating doctor to discuss the other possible causes of the pain other then depression like Vitamin D3 deficiency, calcium, Serum B12 level. Hemoglobin level. or if underlying medical conditions has been evaluated then you may need to re-view your treatment and may need counselling session if required. Thank you
Patient
Post Owner
Hi thanks for the reply. i have been taking antidepressants from 1st of August. i was on brintellix then I switched to efoxer because brintellix was not working. i have been taking 75mg of efoxer per day for 3 weeks and for 1 week I have been taking 150mg of efoxer per day, so it has been total a month I have been taking efoxer. but the pain is quite severe. are there any deficiency test for the vitamin or problem you mentioned please let me know. so I can have the test taken
5 years ago
Prof. Dr. Ismail Tariq - Psychiatrist
MBBS, DPM, MCPS (PSYCHIATRY), FCPS (PSYCHIATRY) | Lahore
337 Positive Reviews
I have seen the response of different clinicians to your problem, they have nicely examined the possibility of different factors. I would enter just briefly that headache is perhaps among the most complex symptom . There are many psychosocial factors involve in it, it would be better if you discuss in detail to your doctor and therapist before searching new options and if they are unhelpful you can change your doctor and therapist.
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Patient
Post Owner
i have been on 75mg efoxer for 3 weeks and have been taking 150mg efoxer for 1 week but nothing seems to be improving. i am also taking therapy sessions. for pain I tried nuberal forte but it doesn't seem to work either. I will try paracetamol. thanks if there is any other suggestions to gain energy or to reduce pain please let me know
5 years ago
Patient
Post Owner
*efexor
5 years ago
MBBS , FCPS (Psychiatry) , MRCPsych (London) | Karachi | Book Appointment
We generally under estimate paracetamol here in Pakistan whereas in west that’s the only preferred pain killer but in the right dose which is 1 gm.The dose increment was done only a week ago so too early to say that it’s ineffective..give it some time..It might need further dosage increase as it’s not the optimum dose yet..that would be done after assessment .Thanks
5 years ago
Patient
Post Owner
okay thanks, I will take the paracetamol for the pain and will continue to take the efexor. thank you for the support.
5 years ago