Measuring Success . . . "I think I'm a 5"

“So, Mrs. Kapsmanjacketter, on a scale of 1 to 10 with 10 being the most depressed you have ever been, how have you been feeling since our last visit . . . ”

And so, yet another rapid fire med check begins in the land of managed care. How many times have you, my devoted . . . → Read More: Measuring Success . . . "I think I'm a 5"

Worked The First Time . . . Why Not The Second?

“Confused” writes in with a question . . .

In the past I have been prescribed Klonopin 1mg 3x a day. This worked well for me until I built a tolerance. Several years have passed, I never experienced addiction or withdralls. I have been prescibed this medicine again for panic attacks, anxiety & being social . . . → Read More: Worked The First Time . . . Why Not The Second?

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

What is Causing What? . . . Multiple Factors Contributing To A New Mom's Woes

I am a 27-year-old female with an extensive psychiatric history. I have been on almost every type of medication except tricyclics and stimulants. I am diagnosed with Bipolar I and Borderline Personality Disorder. Currently, I am seeing a new psychiatrist who is “pill-happy”. I feel like she doesn’t listen to me. Right now I am . . . → Read More: What is Causing What? . . . Multiple Factors Contributing To A New Mom's Woes

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

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 . . . → 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!

When is it time to go off the meds?

Joelle writes in with a common question:

I am on 600 mg of Lamictal and was prescribed this medication a year ago. My doctor increased my dose from 50mg slowly taking me to 600mg over a period of 4 months. It took this much to feel less suicidal and even balanced in my mind. Recently . . . → Read More: When is it time to go off the meds?

Physically sick from the meds . . . what to do . . . what to do

Leslie writes in with a question . . .

I have been taking Lamictal for a short period of time. My doctor added Abilify 10 days ago and I have had a low grade fever ever since. She says it’s flu but I now am certain it is the medication. The fever has also made . . . → Read More: Physically sick from the meds . . . what to do . . . what to do

Meridia and antidepressants–Part I and Part II

PART I

Last week a patient came in with question regarding the use of antidepressants while taking the weight loss drug Meridia. Seems her family doc took her off the two antidepressants I had her on to treat her depression (Lexapro and Wellbutrin if my memory serves me), and gave her Meridia to treat . . . → Read More: Meridia and antidepressants–Part I and Part II