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Medication for anxiety and depression with ear pain

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Hello. I suffer with anxiey and depresssion also suffer from ear nerve pain that throbs. Can the following be taken together

Mirtazapine at night. Stablon during the day


Mortazapin at night buspar in the day.

Have taken Zoloft and effexor different time and didn't get on with them. But they did help ear symptoms but gave me chillls and sick for weeks stuck them for 8.weeks each also made me more anxious.... What about cymbaita ? In a combo ? Or may be even trazidone with stablon what would you recommend

Category: Psychiatrist

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Thank your for your consult at I have gone through your question in detail and I can understand what you are going through.

I understand that you have both depression and anxiety and they can be managed by both the combinations that you have stated of mirtazapine with tianeptin or mirtazapine with buspar. Both options are good.

However your ear ache cannot be managed by these meds. That will need thorough evaluation of your ear. Many times the culprit is the tympanic membrane. You may need antibiotics such as amoxycilline and cetrizine. It may not be a sign of depression or anxiety.

If you are averse to medications for depression and anxiety then the other option is cognitive behavioral therapy which involves weekly sessions by a therapist who focuses on change in the pattern of thinking and there by cure depression and anxiety.

Hope that was helpful. I would be glad to help you if you need any further details.

Dr.Srikanth Reddy MD

Patient replied :

Should you know what meds would cover nerve pain also. I have had this throbbing for years. It get worst after exercise with weight or running. They act as a trigger. I am waiting to see a specialist just would like any info. Also can buspar be taken with stablon as a combo... The ear issue can also be set off by computer screens. So ccould be vestibular migraine or mineres syndrome, I also take beta histamine...

Thanls for the follow up information.
Your suspicion seems to be right where in the earache does appear to be a type of migraine. If it is so then it should respond to divalproex sodium or propranolol daily. Even carbamazepine is a good drug for nerve pain when ecute.
Also get an MRI brain done to have a look at the head inside.
Yes buspirone can be taken with stablon however stablon has never become popular as an anti depressant and is mostly a second choice drug. There are better drug available like venlafaxine paroxetine bupropion etc...
Hope that helps
Dr. Srikanth Reddy

Patient replied :

snri cymbalta could this be used as a anti depressant as it seems to have trials on Neuro nerve pain too :) thanks

Thanks for the follow up.
Yes, cymbalta is a good option as it has trials on nerve pain and somatoform disorder. You can certainly give it a try.
Dr. Srikanth Reddy

Dr. Srikanth Reddy
Category: Sexologist
Doctor of Medicine (MD), Psychiatry Residency Program,2001 – 2012
M.B.B.S,Mahatma Gandhi Institute Of Medical Sciences, Sevagram

Certificate Course in sex Therapy and Counselling, Sexology and Counselling, A
Sexology,Medikon Sexual Sciences, Mumbai

Training in Advanced Neurology at a leading corporate hospital (CARE hospital) in Hyderabad

Child Psychiatry Training in National Institute of Mental Health and Neuro-Sciences, Bangalore

Sex Therapy and Counsellingat MEDIKON Sexual Sciences, Mumbai.
Dr. Srikanth Reddy and 4 other Medical Specialists are ready to help you

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