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Re: SSRI poop out in teenager - Need help now! Thomas123

Posted by Abby7 on February 27, 2003, at 7:08:22

In reply to Re: SSRI poop out in teenager - Need help now!, posted by Thomas123 on February 26, 2003, at 21:29:12

> This is just a suggestion but the dosages used seemed fairly low. For example 300 is about the minimum for Welbutrin. Of course, you know how close to adult weight you child is. What side-effects halted the use of Welbutrin? Some side-effects may be worth bearing to end the depression. Seems like there might have been numerous trials but all on inadequate dosages. Then again the dosages used might be right on target if your child is small.
Thanks for the suggestion. Yes, the doses have all been small due to the fact that he has been very sensitive to these kinds of meds & anything above small doses have created intolerable side effects with no benefit. He is a good size kid though, probably about 180 lb. Wellbutrin @ 200mg made him very agitated/angry. A dose of 150 or 175 is ok. Prozac @ 10mg created insomnia, emotional lability, apathy, an overall "drugged" feeling with no ability to concentrate while a dose of 5mg worked well for about 1 year. An increase in a current trial of Zoloft which took him from 25 mg to 37.5mg seems has added a more irritable quality to his depression plus he has more energy & is up longer at night. I have attributed this to the fact that I've read Zoloft has an impact on dopamine so it seems like its increasing dopamine but not serotonin. This RX sensitivity has made me afraid to try trycilics which I have heard are even more problematic with side effects. I would like to find a way to increase serotonin that he can tolerate. I wonder if there is anything that can be done to make SSRI effective once again? Thanks in advance for any suggestions & for everyone that has replied.




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