Refill your antidepressant or anxiety medication online in Texas
Already taking sertraline (Zoloft), escitalopram (Lexapro), bupropion (Wellbutrin), buspirone or another non-controlled medicine for anxiety or depression? Continue your treatment with a private online evaluation from a physician-led Texas telehealth team. If appropriate, your prescription goes to the pharmacy you choose.
$39 self-pay clinical evaluation. You are paying for a clinician evaluation; a prescription is not guaranteed and is issued only when medically appropriate.
Antidepressant and anxiety medication refills, same medicine and dose
Who this is for
Adults in Texas who already have a prescription for a non-controlled anxiety or depression medicine, are doing well on it, and want the same medicine and dose. You'll be asked for a photo of your current pharmacy label.
Take the self-checkNot offered
- No Xanax (alprazolam), Klonopin, Ativan, Valium or other benzodiazepines
- No Adderall, Ambien or any controlled substance
- No new prescriptions, dose changes or switching medicines
- No lithium or antipsychotic medicines
Take the self-check below. If you may be eligible, text START to 469-951-0477 and we'll send a secure link to a short health questionnaire reviewed by a clinician.
Free depression and anxiety self-check (PHQ-9 and GAD-7)
The PHQ-9 and GAD-7 are short questionnaires clinicians use to track depression and anxiety. Over the last 2 weeks, how often have you been bothered by the following? Your answers stay in your browser and are not saved or sent.
Call or text 988 (24/7, press 2 for Spanish), text HOME to 741741, or call 911 if you are in danger. Online refills aren't the right service right now, so the online refill option is turned off. When you're safe, your own doctor or a psychiatrist can review your treatment.
Can I continue my medicine online?
This self-check is educational and is not a diagnosis. A clinician reviews your full health history before any treatment decision. A prescription is provided only if it's safe and appropriate for you.
Anxiety and depression medicines we continue
SSRIs and SNRIs
- Sertraline (Zoloft)
- Escitalopram (Lexapro)
- Citalopram (Celexa)
- Fluoxetine (Prozac)
- Paroxetine (Paxil)
- Venlafaxine XR (Effexor XR)
- Desvenlafaxine (Pristiq)
- Duloxetine (Cymbalta)
Other non-controlled medicines
- Bupropion (Wellbutrin SR, XL)
- Mirtazapine (Remeron)
- Buspirone (formerly BuSpar)
- Trazodone (for sleep with depression)
- Hydroxyzine (Vistaril, Atarax) for anxiety
We continue the medicine and dose you already take. We don't prescribe Xanax or other benzodiazepines, stimulants, sleeping pills like Ambien, or any controlled substance, and we don't start, switch or change the dose of medicines at this time.
Running low on your antidepressant? Don't stop suddenly
Stopping many antidepressants abruptly, especially paroxetine and venlafaxine, can cause discontinuation symptoms such as dizziness, irritability, trouble sleeping, flu-like feelings or brief "brain zaps." Request your refill a week or more before you run out. If you've already missed doses, tell the clinician when you complete your questionnaire.
How online medication refills work
- Take the free self-check on this page, then text START to 469-951-0477.
- Complete a secure health questionnaire from the link we text you, about your medicine, how you're doing, side effects and other medicines, plus a photo of your current pharmacy label.
- A licensed clinician reviews it, by secure message or a short video visit.
- If appropriate, your prescription is sent to your local Texas pharmacy, such as CVS, Walgreens, H-E-B, Walmart or Kroger.
Serving patients across Texas, including Dallas–Fort Worth, Houston, Austin, San Antonio, El Paso, McKinney, Plano and Frisco. We recommend continuing care with a primary care doctor, and counseling or therapy alongside medicine.
Who shouldn't use online anxiety or depression refills
For your safety, we refer you to your own doctor, a psychiatrist or emergency care if you:
- Are having thoughts of suicide or hurting yourself, or attempted suicide in the past year
- Were hospitalized for mental health in the past year
- Have bipolar disorder, or periods of very little sleep with high energy, racing thoughts or risky behavior
- Hear or see things others don't
- Take Xanax or another benzodiazepine, a stimulant, lithium or an antipsychotic
- Feel your symptoms are getting worse, or want to change your medicine or dose
Anxiety and depression refill questions
Can I refill my antidepressant online in Texas?
Yes, if you are in Texas, already have a current prescription for a non-controlled antidepressant or anxiety medicine, are doing well on it and want the same medicine and dose. A clinician reviews your answers and sends a prescription to your pharmacy only if it is safe and appropriate.
Do you prescribe Xanax, Klonopin, Ativan or other benzodiazepines?
No. We do not prescribe or refill Xanax (alprazolam), Klonopin (clonazepam), Ativan (lorazepam), Valium (diazepam) or any other controlled substance, including Adderall, Ambien or other sleep and stimulant medicines. Please continue those with the doctor who prescribes them.
Which anxiety and depression medicines do you refill?
Common non-controlled medicines such as sertraline (Zoloft), escitalopram (Lexapro), citalopram (Celexa), fluoxetine (Prozac), paroxetine (Paxil), venlafaxine (Effexor XR), desvenlafaxine (Pristiq), duloxetine (Cymbalta), bupropion (Wellbutrin), mirtazapine (Remeron), buspirone, trazodone and hydroxyzine, at the dose you already take.
Can you start a new antidepressant or change my dose?
Not at this time. We only continue a current prescription at the same dose. For new treatment, a dose change or switching medicines, please see your primary care doctor or a psychiatrist.
What happens if I run out of my antidepressant?
Stopping some antidepressants suddenly can cause discontinuation symptoms such as dizziness, irritability, flu-like feelings or brief electric-shock sensations. Do not stop on your own; request a refill early or contact your prescriber or pharmacist.
Will I need a video visit?
Sometimes. Depending on your answers, your clinician may complete your care by secure message or a short video visit.
Am I guaranteed a prescription?
No. You pay for a medical evaluation. A clinician decides whether treatment is safe and appropriate for you.
Which states do you serve?
Available in Texas, Oklahoma and Florida. Your physical location is confirmed at care.
What if I'm having thoughts of hurting myself?
Please call or text 988, the Suicide and Crisis Lifeline, available 24 hours a day, or call 911 if you are in immediate danger. Online medication refills are not the right service during a crisis.
Is my information private?
The self-check on this page runs only in your browser and nothing is saved. You only text us the word START; we then send a secure link, and your health questionnaire is collected through a HIPAA-compliant intake system.
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