Zoloft/Celexa
Has anyone had experience with either of these or in combination for helping with anxiety in PWD?
Comments
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Hi Morna, My husband has FTD and has been on Zoloft for 2 years. It has been very effective for him.
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GG06 Thank you
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My husband has been on Celexa for a year for evening agitation and anger. He has been calmer on it.
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My HWD/Alz has been taking Zoloft successfully for over one year.He started at 25 one time per day and now on 50 one time per day .
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Mom is currently on sertraline ( generic Zoloft) and it’s been very helpful in reducing her anxiety along with mirtrazipine for depression. I thought I would lose my mind due to her crying and anxiety until we got her on that combination.
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Thanks for all the replies
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Hi, Morna. My DH has been on citalopram (generic Celexa) for five months or so now for anxiety and anger management. We have had to increase the dose twice (he started on a very low 5 mg a day) twice, and he has tolerated it well. It is making it possible for him to go to and enjoy an adult day program two days a week, which is good for both of us.
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Tigersmom
Thank you 😊
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My love is on sertraline for anxiety and depression since early on. It helped him within two days. He was talking about wanting to do away with himself a few times. He hasn’t mentioned since. He has Alz.1
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My mother did well with Celexa. It took the edge off enough. Her symptoms were mild; if someone has severe behavior issues or anxiety then something stronger is often needed but these SSRIs are often the thing to try first. Less risk and interaction with other meds.
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A dear friend's mom was prescribed Celexa for anxiety/mild agitation in the mid-stages of dementia by her internist. It worked quite well for her.
Sometimes with SSRIs like Celexa and Zoloft, it can take several weeks to determine if it's the right medication and best dose for the person. It's not unusual to have to try a few types before hitting on the best match for your PWD and it's best to start at a low dose and increase it slowly which can be challenging when your LO is suffering.
My own dad was already on Prozac when diagnosed. We did increase the dose to see if it would dial back his anxiety which manifested as agitation and aggression. Dad's neurologist offered a low dose of an atypical antipsychotic in the evenings to help with this and sleep. It wasn't enough. We took dad to a geriatric psychiatrist who took over his psychoactive medications. If the Celexa/Zoloft alone doesn't bring relief from the anxiety, I would encourage you to add a geripsych to his team. Dad's geri psych increased the Seroquel to 2 x daily (same dose) and added a NDRI (similar to an SSRI) at a low dose to his cocktail. We were a little concerned about him taking so many meds, but the low doses allowed the meds to work together with fewer side effects from each. There was still some anxiety, but it responded well to approaches like validation and redirection.
HB
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My DW has been on Risperidone 0.25 mg for about two weeks and seems to be calmer and less agitated in groups. We went to a class reunion yesterday and it went better than precious similar situations.
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Niftynana, MN Chickadee, harshedbuzz, Davegtant
Thanks for your replies and helpful comments
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Norma: just FYI - Zoloft and Celexa would not be used together (if that is what you mean by ‘in combination’,) as they are in the same drug class SSRI. But each one of those can be used in combination with drugs from other classes.
If your loved one has a heart condition of any kind, I would steer away from Celexa and Lexapro, as just recently new cardiac concerns have been published.
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Thank you
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Commonly Used Abbreviations
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