Hard on the Liver??? . . . Good for the mood???

My mother has cirrhosis of the liver and also severe depression. She is 70 yrs. old What would be the safest med for her to take??? She seems to be unable to live and manage her issues due to depression.

In general, depression in the elderly can be very difficult to treat.  As with . . . → Read More: Hard on the Liver??? . . . Good for the mood???

Prescribing Outside The Box

Kurt writes in with a very common question:

I was prescribed 70mg Vyvanse for debilitating chronic fatigue. The 70mg was totally ineffective. At 6′2″, 220 pounds, I think the dosage was too small. My psychiatrist will not increase the dosage. I self-titrated and found that 210mg will get me through the working day but I’m . . . → Read More: Prescribing Outside The Box

Tapering off Celexa (or any antidepressant) when you get pregnant

Please can you tell me how to alleviate Citalopram withdrawel? I need to reduce asap as I’m pregnant but doctor says just redude by 10mg every other day whereas Pharmacist says it’s not good to take during preganancy, So I want to stop taking it….any help appreciated.

So much controversy exists over the use of . . . → Read More: Tapering off Celexa (or any antidepressant) when you get pregnant

Against all odds . . . getting into the Christmas spirit

For all of you who do not celebrate Christmas . . . substitute your own holiday here.  Regardless of where you live or who you associate with, this time of the year brings rituals of togetherness, reflection, thankfulness, giving, receiving and hope.  The artificialness of this is annoying to many . . . perhaps most. . . . → Read More: Against all odds . . . getting into the Christmas spirit

Managing Bipolar During HepC Treatment Without Losing Your Liver

I have been on Interferon/Ribovarin (HepC TX) and also have Chronic Fatigue Sydrome separate from HepC. I have been on TX for 6 mos now and the depression is TRULY starting to come through. MY CONCERN is that I am 10 months drug/alcohol free, menopausal & bipolar. I have NOT taken anti-depressants since 2006 because . . . → Read More: Managing Bipolar During HepC Treatment Without Losing Your Liver

Getting past the urine drug screen while taking Vyvanse

A colleague writes in . . .

I am an RN in a recovery nurse program secondary to ‘emotional condition’ . . . I had some mental health issues that were not being treated. My psychiatrist, who is an addictionologist, prescribed Vyvance for ADHD since Strattera was not effective and led to flattened affect and other . . . → Read More: Getting past the urine drug screen while taking Vyvanse

Managing the munchies–a typical problem with the atypicals

Are there people out there who have been on Abilify for awhile (3 months to several years) who continue to have an increased appetite from it? Or does this side effect eventually stabilize and no longer be a part of daily life?

I am trying to be patient with being on Abilify b/c I think . . . → Read More: Managing the munchies–a typical problem with the atypicals

What's a little chest pain when I can at least pay attention to the ER doc when he tells me I've had my first heart attack!

This one made me a bit worried . . . 

I am a 30 year old male, and I’ve been taking stimulant ADD meds for about 15 years. The last 5 years I’ve been on Metadate CD 60mg every AM. Worked pretty good, and insurance covered most of it.My doctor switched me to Focalin XR,20mg . . . → Read More: What's a little chest pain when I can at least pay attention to the ER doc when he tells me I've had my first heart attack!

Rash from Lamictal . . . do you have to stop it?

This letter brings up an important question about Lamictal . . .

I’m a 45 y/o female properly diagnosed and treated as bipolar for 1 & 1/2 years. Prior to this diagnosis, I was treated soley for depression for 10 years (the last 5 as refractory.) I am presently doing GREAT on Lamictal 200mg daily . . . → Read More: Rash from Lamictal . . . do you have to stop it?

Neurontin as a first line agent . . . I Don't Think So!

I received this question from a concerned consumer last week . . .

A week ago I was prescribed gabapentin, an anti-epileptic drug, for the off-label use of social anxiety and “affective mood disorder.” I have been concerned about this ever since I began my research on it a few days ago. Most of what . . . → Read More: Neurontin as a first line agent . . . I Don't Think So!