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Friend trying to find right med combo

Posted by Noa on July 3, 2001, at 20:58:49

A good friend of mine is trying to figure out a good med combo. Here is what she has tried so far:

Wellbutrin---noticed improved energy level at 150/day, got agitated when increased to 300, so reduced to 150 and added celexa.

Celexa---added celexa to wellbutrin, noticed improved cognitive functioning and mood, but lower energy level. Doesn't know if this is due to lowered Wellbutrin or from the Celexa. Is only taking half standard dose. Has muscle twitches, severe jaw clenching (and headaches) since starting Celexa.

Had taken Prozac a few years ago, gained a lot of weight. Discontinued because of this and because she had felt better. Did fine for a few years, until current episode.

Other symptoms: anxiety, insomnia, hormone-related mood changes.

Other meds: synthroid (has autoimmune thyroid disorder), oral contraceptives (for hormonal mood fluctuations), allergy/asthma medications, including steroid inhalers.

Significant family history: Father has bipolar disorder (with manic and explosive anger symptoms as well as depression) and alcoholism. Brother--ADHD, alcoholism, possibly bipolar-spectrum explosive anger disorder.

Any ideas?


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