A Practical Guide to Rehabilitation in A PRACTICAL GUIDE TO IDIOPATHIC MULTIPLE SCLEROSIS Table 16: Pharmacologic Treatments for Depression Daily Dose Indicated for Generalized Anxiety Disorder Fluoxetine (Prozac®) 20-80 mg --- Sertraline (Zoloft®) 50-200 mg ✓ (social anxiety) Paroxetine (Paxil ) 20-50 mg ✓ Citalopram (Celexa®) 20-40 mg --- 10-20 mg ✓ Duloxetine (Cymbalta®) 40-120 mg ✓ Desvenlafaxine (Pristiq®) 50-100 mg --- Venlafaxine (Effexor ) 75-225 mg ✓ Bupropion (Wellbutrin®) 150-450 mg --- Drug Selective Serotonin Reuptake Inhibitors ® ® Escitalopram (Lexapro ) Serotonin Norepinephrine Reuptake Inhibitors ® Other COMPLEMENTARY AND ALTERNATIVE MEDICINE It is important for clinicians to be familiar with, and to ask patients about, complementary and alternative medicines and supplements that they may be taking or have interest in. Patients should know that caution is sometimes warranted for some of these interventions. For example some treatments may stimulate the immune system, which is undesirable for patients with MS. Drs. Allen and Nathaniel Bowling provide information about a range of complementary and alternative medicinal approaches along with considerations for their use in patients with MS.200 Health and Wellness in MS 47