Posted by Toby on January 7, 1999, at 9:53:30
In reply to Re: Trazodone with Alcohol, posted by Shirley on January 6, 1999, at 23:43:54
The main problem with alcohol and trazodone (aside from the increase in depression that alcohol can cause) is that trazodone is sedating and alcohol is sedating and the two together can add up to much worse sedation than either alone. This can also cause confusion or forgetfullness, dehydration and a drop in blood pressure.
The main problem with Wellbutrin in a person with anorexia is that Wellbutrin has a slight risk of seizures and the risk is higher in a person with anorexia because the electrolytes in the blood can be off balance in anorexics, leading to electrical instability and more risk of seizure.
Serzone should not cause more anxiety, although I have had patients to report this, as you do, Racer. Sometimes changing the dose to all at bedtime takes this side effect away. If you were my patient, I would be scouring the countryside for an eating disorders program (depression and anorexia get a vicious circle going), I would sit down with you and make a list of every medication you've ever been on, the dose and the length of time on each one (to the best of our ability) and then re-evaluate every symptom you currently have before deciding what to try next. Frequently, when a patient has been seen by a therapist or doctor for a long time, the "diagnosis" gets in the way of seeing what the problem has evolved into. The initial presentation is rarely constant and changes significantly over time. I'll try to give a few thoughts on where to think about going next if you'll list for me what meds you've been on and the other info (you have listed some of them elsewhere but in several different posts and I don't think I can find them all) and also tell me about your CURRENT sleeping patterns, interest level in things you ordinarily like, whether you have feelings of guilt or remorse that other people tell you is unreasonable, energy level and does it fluctuate depending on the time of day, concentration and memory, appetite up or down, do you feel very slowed down so that other people can notice it, does your mood get better if something good happens or are you indifferent.
poster:Toby
thread:2088
URL: http://www.dr-bob.org/babble/19990101/msgs/2122.html