Common side effects
Keep in mind that these professionals are under tremendous pressure regarding their time, however, a polite question about what they understand about the relationship between a certain class of drugs and acid reflux should be welcomed. In response to my last SharePost, a concerned mother sent a comment reporting her son was experiencing reflux and vomiting, and his doctor had prescribed a low dose of an antidepressant to help with her son’s reflux symptoms. Antidepressants may have a role in inducing worsening of depression and the emergence of suicidality in certain patients during the early phases of treatment. Women who are breastfeeding, pregnant, or planning to become pregnant should speak with their doctor about fluvoxamineâ€™s potential effects on the fetus or infant. There is a less than 1 percent chance of birth defects or premature birth, usually related to the woman taking fluvoxamine in the third trimester.
It could be the stress, too many trips to Starbucks or the spicy chili from the food truck. The number of people plagued by heartburn is increasing — but scientists arenâ€™t sure why. What they do know is that highly popular acid-blocking medications donâ€™t help everyone.
Stomach acid pills may disrupt gut-brain axis
If you’re a little on the heavy side, try to lose some weight. Since most GERD symptoms are experienced lying down in bed, let gravity help.
Other drugs approved to treat insomnia can impair your ability to recall new experiences and may even-although rarely-cause you to walk, eat, have sex, or drive a car while essentially unconscious. Thereâ€™s no evidence that trazodone can cause those serious side effects. Moreover, many doctors believe that trazodone is less likely to cause renewed insomnia once patients stop taking it, although thereâ€™s little evidence to support that thinking. I typically have patients start by using the ginger as needed during antidepressant therapy. If nausea is persistent or pervasive-as it tends to be in the first few weeks of treatment-I will prescribe the ginger at 1,000 mg bid or tid.
So, when are antidepressants prescribed in heartburn cases? Studies show up to one-half of Gastro esophageal reflux disease (GERD in the USA, or Gastro oesophageal reflux disease – GORD – in the UK) patients donâ€™t get complete relief from PPIs, and most donâ€™t have any evidence of acid erosion when doctors examine their esophagus with an endoscope. Gastroenterologists have dubbed this condition non-erosive reflux disease, or NERD. Certain medications and dietary supplements can irritate the lining of your esophagus, causing heartburn pain, and others can increase the severity of gastroesophageal reflux disease (GERD).
People who have taken an antidepressant before but are switching to fluvoxamine should speak with their doctor about an appropriate length of time to detox from the previous antidepressant, so the medications do not negatively impact each other. Firstly, avoid the exercises that can potentially cause acid reflux. Jarring and high-impact exercises such as jogging, do not help. Excessive contraction of stomach muscles can induce symptoms of GORD.
Ask your doctor or pharmacist about other possible drug interactions. To date, none of my patients have reported any serious side effects. The worst complaint I have heard has been mild heartburn, which could have implications for individuals with gastroesophageal reflux disease. I unknowingly took an antidepressant for a month when my pharmacist mistook it for my acid reflux medication. First, even if studies abound about the effectiveness of a certain drug on acid reflux treatment, remember that even in those well controlled studies, the individual responses to the drug varied.
As with other SSRIs, one of the potential serious side effects of fluvoxamine is increased suicidal thinking or self-harming actions. People who are 24 years old or younger are particularly at risk of developing this rare condition, but it can occur in people over 24 years old as well.
And one of them can be heartburn — that burning in your chest or throat that happens when acid flows up from your stomach. People with acid reflux were once instructed to eliminate all but the blandest foods from their diets. But that’s no longer the case. “We’ve evolved from the days when you couldn’t eat anything,” Dr. Wolf says. But there are still some foods that are more likely than others to trigger reflux, including mint, fatty foods, spicy foods, tomatoes, onions, garlic, coffee, tea, chocolate, and alcohol.
Moreover, researchers discovered antidepressants successfully reduced functional chest pain by 18% to 67% andheartburn in GERD patients by 23% to 61%. Then diagnosis, then treatment. Which is mostly NOT the case when psychotropics are prescribed. There are so many things that get overlooked, one biggie; HEAVY METAL TESTING. Almost NEVER is this the course taken. There are a gamut of other tests that need to be done for a proper diagnosis and treatment for an illness, condition,disorder, however you word it?
But if you’ve had these symptoms for a while, they might be caused not by a virus but by a valve-your lower esophageal sphincter. That’s the muscle that controls the passage between the esophagus and stomach, and when it doesn’t close completely, stomach acid and food flow back into the esophagus.
In my opinion, antidepressants should only be used temporarily and under close watch. There is no such thing as side effects.