Adjusting Medicine Over The Summer Part I–Antidepressants

A common question as we head into the summer months is what to do about medications. Most parents (and some kids) are very reluctant to change medications over the school year since a return of symptoms covered by the medicine can be very, very disruptive. Summertime is the logical time to consider some changes. Antidepressants . . . → Read More: Adjusting Medicine Over The Summer Part I–Antidepressants

Don’t Be Fooled By The Packaging . . . Or The Marketing!!!

I fielded a call from a patient, complaining that I wrote XL instead of SR after my prescription for Wellbutrin. My bad. She is on the SR and not the XL. A quick call to the pharmacy and the problem was solved. But, was it a problem in the first place? For a small minority . . . → Read More: Don’t Be Fooled By The Packaging . . . Or The Marketing!!!

Is It Worth It To Stop Your Medicine? . . . Only Time Will Tell

I have finally reached a situationally stable period of time in my life, and asked my Dr about reducing my meds. I was taking so many – 300 mg Buproprion, 1500 mg Valproic Acid, 600 mg Carbamazepine, 1 mg Clonazepam, 600 mg Seroquel, and 200 mg Lamotrigine. Ee gad! I have been diagnosed Schizoaffective,or . . . → Read More: Is It Worth It To Stop Your Medicine? . . . Only Time Will Tell

Making Effexor more Effective for depression and anxiety

Anne writes in . . . (I) am currently taking effexor. effectiveness marginal. still depressed and still anxious in social circumstances, perhaps, I just need more time with that aspect. what, if any other drug might I combine with the effexor to help with the depression?

The first step, of course, is to make sure . . . → Read More: Making Effexor more Effective for depression and anxiety

Paddling Upstream . . . Figuring Out The Role Of TMS In The Treatment Of Major Depression

Whenever a new medication or new technology hits the market, there is always a learning curve for both the public and for practicing physicians. Tempering the excitement about receiving/delivering help with a dose of skepticism is healthy. It keeps the public and physicians from being bamboozled by snake oil salesmen. That is the whole idea . . . → Read More: Paddling Upstream . . . Figuring Out The Role Of TMS In The Treatment Of Major Depression

Approaching the (possibly) Unapproachable Doctor

I am a 33 year old female diagnosed with major depression 7 years ago and ADD about 5 years ago. I’ve been on several Tricyclics, SSRIs, Cymbalta, Effexor, Wellbutrin, Tegretol, Abilify, Provigil, Klonapin, Synthoid(for slight underactive thyroid possibly contributing to depression),Yaz (for possible PMDD contributing to depression), and Concerta, plus more (many of these I’ve . . . → Read More: Approaching the (possibly) Unapproachable Doctor

Depression Not Getting Better, But Not Out Of Options

Over the past 2.5 years I have been on and off 7 different antidepressants (5 SSRIs, one SNRI) but my doctor has not been satisfied that the benefits outweigh the risks/side effects. He says he is out of drug options and is looking to my psychologist to help me. For about the past year and . . . → Read More: Depression Not Getting Better, But Not Out Of Options

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

It's not just about the receptors . . . Sometimes it's just about common sense

Dell writes in with an issue . . . but I think the real issue is deeper than the chemistry . . .

I’ve just been prescribed Vyvanse for refractory Clinical Depression. I was hospitalized twice decades ago then was started on a regimen of dexedrine which I never abused. It got me through . . . → Read More: It's not just about the receptors . . . Sometimes it's just about common sense

When is Lamictal Good for Regular Old Depression?

In our striving to provide our patients with the latest, the greatest and the newest treatments for one condition or another, many psychiatrists go out on a limb to try new things. Some of us go wwwwaaaaaayyyyy out on a limb. There are two sides to this, of course. You don’t want a shrink who . . . → Read More: When is Lamictal Good for Regular Old Depression?