Posted by llurpsienoodle on June 11, 2008, at 7:02:36
In reply to Any advice on meds? (long), posted by ryno on June 10, 2008, at 18:59:10
Hi Ryan
Thank you for hanging out on Pychobabble and sharing your story. It sounds like you're going through a really tough time right now, but you are brave and seeking help.
> So, to my questions:
> 1. Isn't wellbutrin sr meant to be taken 2x a day?I take 150mg once a day of wellbutrin SR. My pdoc said that taking it 2x a day can interfere with sleep.
> 2. Why did he give me such a low dose?
I started off with 150mg. If there is some concern that you may be bipolar, they may be doing a "wait and see" approach to this medication trial. It's always better to try to get a therapeutic effect with the smallest dose possible. Also small doses might minimize side effects (which include "chattering in your head", for example).
> 3. Wouldn't a TCA be less likely to cause the bad reaction I had to the SSRI?
SSRI's have a milder side effect profile than TCA (in general) and your pcp may be more familiar and comfortable Rx'ing that class of drugs.
> 4. If the diagnosis is ADHD, why not treat me for that too?
Maybe you're being treated with the wellbutrin?
> 5. How do you bring these concerns to the doctor without him thinking I'm some kind of drug seeking pill freak?
Well, there are priorities in treating a patient. The first priority is saving your life, for which an anti-depressant is indicated. After you're stabilized on Wellbutrin (it took me about 2.5 weeks and then I was hypomanic for another 4 weeks) you can begin to work on other issues which require medication/therapy.
>
> Thanks for reading
> --RyanThanks for posting!
-Ll
poster:llurpsienoodle
thread:834046
URL: http://www.dr-bob.org/babble/20080606/msgs/834113.html