Trintellix (vortioxetine) for Major Depression or possibly Anxiety.

Posted by horowitz71 @horowitz71, Aug 15 2:38pm

Does anyone take Trintellix for Major Depression or Anxiety?

My doctor recently (5 weeks ago) took me off Zoloft/sertraline and prescribed me the relatively new medication Trintellix (vortioxetine),
10 mg/daily. Along with Parkinson's Disease, I've lived with PTSD most of my life (currently 74 yrs old), was diagnose Bipolar 1 many years ago, and my social anxiety has gotten progressively worse. I went out on my own at age 14 after being severely beaten by my stepfather (my father was incarcerated for four years when I was eleven, and I had been living with various relatives until returning home at age 13). I'm a Vietnam vet, seeing a psychiatrist and neurologist through the VA--a hit and miss situation, especially since the recent staffing changes. I'd been taking Benzos (prescribed as much as 4 mg/day, along with Ambien, for more than 30 years when diagnosed with PD while living abroad). Upon my return to the states, I had a doctor who continued my Benzos--2 mg/daily until relocating to Monterey, CA. The VA does not prescribe Benzos, but my neurologist (outside of VA) prescribed Xanax/alprazolam 2 mg/day (for my Parkinson's) until I found a better neurologist at the Palo Alto VA Hospital--next to Stanford Univ., where I got the head of the school's neurology department to see me, but abruptly stopped Benzos. That was about five months ago. I'm not adapting well at all. Without being active: surfing , playing tennis regularly, and doing martial arts, I've become isolated and nervous/afraid; I have horrible insomnia and am afraid to even leave the apartment unless necessary. I try to go to a H2O class for people with MS and PD, but am no longer able to drive and can only afford Lyft for seniors when I share a ride--doesn't happen often. My psychiatrist understands my situation, but cannot prescribe anti-anxiety meds (prohibited by the VA). I haven't found anybody in my area (through Medicare or otherwise) who will prescribe Benzos). My VA doctor prescribed Trintellix because it "may" have a side effect of reducing my anxiety. It's been five weeks since I began taking 5 mg/day (dr. says if it helps, he will increase to 10 mg.) I haven't felt any difference between the Zoloft I'd been taking and Trintellix. Has anyone taken this medication, and if so, how long did it take to work, and what did you experience? I know that abruptly stopping Benzos is no advised, and even gradually reducing them can be extraordinarily difficult and may take years to adjust even when tapering under clinical supervision. Has anyone tried either inpatient or outpatient treatment for Benzo detox? I don't even know if that is an option for me, but it's difficult for me to make it through each day. I'm nervous, afraid, and have never felt depressed for such a long time as now. I've gotten used to brief periods of depression, but have never suffered major or long-term depression. I know it will end, but currently, life is not much fun.

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Profile picture for lynnhurster @lynnhurster

My sincere apologies. I did not intend this as a response to your post. It was my error and I should have paid closer attention to the protocol. I meant to respond to the comment posted by Horowitz71.

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@ lynnhurster

Oh please don’t worry about it. 😊

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I have been diagnosed as bipolar 2, and coirrectly I believe since it pretty much explains my whole life. I was on antidepressants and got flipped. It can happen, and in my case it got pretty scary. Insane depression. Worse than I'd ever known. I went on lamictal about a year-and-a-half ago and have had remarkable success. It was originally administered for epilepsy, then showed significant promise with bipolar, and is prescribed "off label" for the condition. I went from severe depression to all but none, and when it does set in, it's pretty minor and passes quickly, more along the lines of the sort of normal depression everyone experiences from time to time. It never gets existential like it used to. It turned my life around. It's worth asking about.
https://pmc.ncbi.nlm.nih.gov/articles/PMC2655087/
https://pmc.ncbi.nlm.nih.gov/articles/PMC2655087/

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Profile picture for rosebookay @rosebookay

Believe it or not the current antidepressants do not work for many people. The person is saying the side effects were not worth taking antidepressants and they will no longer torture themselves with things that don’t work. What’s so hard to understand about that? If they work for you, consider yourself fortunate. I am a mental health professional and, believe me, there are many people for whom antidepressants don’t work, cause more issues than they are worth and most definitely don’t help them with anxiety. I thought your reaction was judgmental and I’m sure the person doesn’t need to be reminded how hard this is on themself and their family. You seem to think they have made an unreasonable decision when this is the decision many are forced to make.

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@ rosebookay

Thank you for your comment. You articulated exactly what I was trying to say. I have had periods during this fight of many decades where antidepressants along with therapy both by a psychiatrist and a therapist in addition to the meds. Unfortunately, they all stopped working for me and yes some were torturous for me personally. I also had mentioned I did do TMS twice, once with limited success and the second with no success. I have never stopped trying to treat my depression until my last experience with Trintellex which made me so sick but I still took it for 2-3 years. I had decided enough was enough and believe it or not, my depression has at least been somewhat tolerable since stopping antidepressants. I’m happy that they work for the person who commented to me that he felt sorry for my family. I thought it was truly the most insensitive response I’ve ever heard or read. Thank you for your explanation and validation that there is not a one fix for all.

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Profile picture for daveshaw @daveshaw

I did not mean to offend anyone but having suffered depression for most of my adult life I know how debilitating it can be. You are a health care professional so you certainly must know there are other options for treating depression. My only point was it might be good to look in to other options.
Maybe electroshock therapy might be an alternative. It is far more sophisticated than it used to be and a person I knew had it administered to him and he said it changed his life.
Finding the right medication to treat someone’s depression is one of the most frustrating things in the world. Unfortunately it takes six weeks to start to work which as a professional you are aware of. If it doesn’t work you can always try a combination of antidepressants. I take Zoloft, Buspar, Wellbutrin and Clonazepam and fortunately it has worked for me. My first psychiatrist actually said Zoloft and Wellbutrin complimented each other so well they had a name for it. They called it “Welloft”
My final point is knowing how terrible depression is for the person suffering from it and the people around him I wouldn’t give up.
I wish him all the luck in the world. If that is being judgmental I am truly sorry.

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@daveshaw

Your comment only brought more pain to me. Please in the future realize that there is no treatment that works for everyone do you spare others from your judgmental opinions. Glad you’re having success but not all are as fortunate.

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Profile picture for mwendt54 @mwendt54

@daveshaw

Your comment only brought more pain to me. Please in the future realize that there is no treatment that works for everyone do you spare others from your judgmental opinions. Glad you’re having success but not all are as fortunate.

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I am sorry and I will stop posting on the site. I was just trying to share my experiences hoping it might help others.
You will see no further posts from me.
Good luck to you.

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Profile picture for mwendt54 @mwendt54

@ rosebookay

Thank you for your comment. You articulated exactly what I was trying to say. I have had periods during this fight of many decades where antidepressants along with therapy both by a psychiatrist and a therapist in addition to the meds. Unfortunately, they all stopped working for me and yes some were torturous for me personally. I also had mentioned I did do TMS twice, once with limited success and the second with no success. I have never stopped trying to treat my depression until my last experience with Trintellex which made me so sick but I still took it for 2-3 years. I had decided enough was enough and believe it or not, my depression has at least been somewhat tolerable since stopping antidepressants. I’m happy that they work for the person who commented to me that he felt sorry for my family. I thought it was truly the most insensitive response I’ve ever heard or read. Thank you for your explanation and validation that there is not a one fix for all.

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You are most welcome. From my experience as a mental health professional I too found the response to be very insensitive. I;m glad you found my words to be validating. People seem to think there’s a pill for everything and everyone and it’s simply not true. I wish you all the best on your journey. Many people find they feel surprisingly better when they stop medications that were actually making them worse. Let’s hope that continues for you.

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A. Moderator sent me a message and I had the feeling this moderator was thinking we were bordering on “inappropriate” or rule breaking comments yesterday. I stand by my comments and today, the original poster, validated my response. He had found the posters response to be inappropriate and, from a professional standpoint, it was. When you are a mental health professional you are duty bound to calll out unskilled and inappropriate comments. I;m not sure what credentials the Moderator possesses but as I said earlier, I stand by my comments and am thankful I spoke up as it seemed to help the original poster to be validated in thinking someone’s comments were inappropriate. This moderator did also send the message to the poster who offended the original poster so it really felt like she was issuing a kind of warming. I don;t feel I deserved a warning even if it was disguised as something else and, as I say, I am curious as to the credentials of this Moderator.

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Profile picture for daveshaw @daveshaw

I am sorry and I will stop posting on the site. I was just trying to share my experiences hoping it might help others.
You will see no further posts from me.
Good luck to you.

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@daveshaw

It was never my intention for you to stop posting. Please don’t. I’m sure that your insight from your own experiences will help others. I don’t believe anyone especially people who suffer from any type of mental illness would purposely intend to hurt others. Of course the decision you make as to whether to stop posting is yours, but please don’t stop on my behalf. I do only hope you continue to find the relief you deserve. Take care.

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Profile picture for daveshaw @daveshaw

I am confused. You suffer from major depression and anxiety and in the same breath you say no more antidepressants for you.
From someone who is 74 and also suffer from major depression that makes no sense. I take Zoloft combined with Wellbutrin and Buspar and have been taking it for thirty years. I also take clonazepam and unlike you I have a very enjoyable life.
I can’t imagine what it must be like to be in a major depressive state and resign yourself to that for the rest of your life.
All I can say is good luck to you. I wouldn’t wish that on my worst enemy. I also feel sorry for your loved ones. I can’t imagine what they must be going through.
The shame is depression is treatable and yet you refuse treatment.

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I feel certain that I'd be doing much better if I were able to continue with the small dose of clonazepam / Alprazolam that I'd been taking as needed (for anxiety and occasional panic attacks.) We're the same age, but somehow you are able to find a doctor who will keep prescribing your Benzos. I was initially prescribed clonazepam by the VA some 30-some years ago. They no longer prescribe Benzos at all, and haven't been fortunate enough to locate anyone within the tri-county area in which I currently live who will prescribe Benzos at all, regardless of the dose or circumstances. Doctors have sympathized about my abrupt discontinuance of the meds, but tell me to "hang in there" or "tough it out." Both the physicians and I know that it's not only extremely difficult, but dangerous to just stop taking these meds. I've done well enough throughout life coping with trauma, depression, and anxiety, but I've never felt so horrible as I do now. Therapists and psychiatrists are mandated reporters, so I refuse to tell them I'm leaning toward suicide if my depression and anxiety doesn't improve. Until I was diagnosed with Parkinson's Disease, I was quite active--surfed, played tennis, did martial arts, and even played pick-up basketball at the school yards. Now, I am able to walk--using a walker or, if I'm well-enough, using a cane. I know that depression eventually subsides, having lived with it most of my life; but never have I had long-lasting and major depression. I know that if I could takes as little as 0.5 or even 0.25 mg/day of either clonazepam/alprazolam I could at least begin socializing, going outdoors regularly, and regaining my life. I'd finally found the ideal "cocktail" for treating Bipolar, depression, anxiety, and enjoying life. Now, it seems over. Just wondering; but how would you react to having your clonazepam stopped.

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Profile picture for horowitz71 @horowitz71

I feel certain that I'd be doing much better if I were able to continue with the small dose of clonazepam / Alprazolam that I'd been taking as needed (for anxiety and occasional panic attacks.) We're the same age, but somehow you are able to find a doctor who will keep prescribing your Benzos. I was initially prescribed clonazepam by the VA some 30-some years ago. They no longer prescribe Benzos at all, and haven't been fortunate enough to locate anyone within the tri-county area in which I currently live who will prescribe Benzos at all, regardless of the dose or circumstances. Doctors have sympathized about my abrupt discontinuance of the meds, but tell me to "hang in there" or "tough it out." Both the physicians and I know that it's not only extremely difficult, but dangerous to just stop taking these meds. I've done well enough throughout life coping with trauma, depression, and anxiety, but I've never felt so horrible as I do now. Therapists and psychiatrists are mandated reporters, so I refuse to tell them I'm leaning toward suicide if my depression and anxiety doesn't improve. Until I was diagnosed with Parkinson's Disease, I was quite active--surfed, played tennis, did martial arts, and even played pick-up basketball at the school yards. Now, I am able to walk--using a walker or, if I'm well-enough, using a cane. I know that depression eventually subsides, having lived with it most of my life; but never have I had long-lasting and major depression. I know that if I could takes as little as 0.5 or even 0.25 mg/day of either clonazepam/alprazolam I could at least begin socializing, going outdoors regularly, and regaining my life. I'd finally found the ideal "cocktail" for treating Bipolar, depression, anxiety, and enjoying life. Now, it seems over. Just wondering; but how would you react to having your clonazepam stopped.

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I said I would not post anymore but I am making an exception for you.
Unfortunately because of the Opioid epidemic in this country “ benzo’s” have been lumped in as a controlled substance. I have never heard of anyone overdosing on clonazepam and I can speak from experience that I certainly don’t use it to get high. I have taken the same dose for over thirty years to treat my depression and I know what I would go through if I tapered much less had to quit cold turkey. I did try tapering because of this site and when I told my primary care physician her comment was why would I do that. She told me that since I don’t smoke or drink and exercise vigorously 6-7 days a week there is no reason for me to stop taking clonazepam. She told me to tune out the chatter on the site regarding “benzo’s” and just continue what I was doing.
I don’t know where the Tri State area is but my guess is it is in a conservative part of the country. Have you tried going outside of the VA network? I would imagine the VA doctors are strictly by the book.
Hang in there. I hope you can find some Doctor willing to think outside the box. They are out there but normally they have been in practice for quite awhile. My primary care physician sees only elderly patients and does think outside the box.
Good luck and I am glad you reached out to me. I wish I could do more for you.

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