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Re: best med for losing weight, controlling overea

Posted by med_empowered on November 20, 2005, at 1:46:19

In reply to best med for losing weight, controlling overeating, posted by iforgotmypassword on November 19, 2005, at 19:43:37

hey! Topomax really does have a tendency to make people stupid. In addition, it isnt the best mood stabilizer, and it doesnt always help people lose weight. Zoloft and Wellbutrin both tend to cause a little weight loss; zoloft is about 2lbs, Wellbutrin about 5. If you need something kinda stimulating but dont want to try a Tricyclic again, Wellbutrin, maybe with an SSRI, could be good...sometimes that combo counteracts the side effects of both meds somewhat, and the response rate is a little higher. Obviously, a stimulant will help you lose weight, but stimulant augmentation for depression is kind of old-school, and mostly done if you're very, very treatment resistant. Provigil can be added; it might be helpful, and it tends to have a mild "slimming" effect without any ill effects on the heart, which is nice.

If you tend to be angry, you could go either way with an antidepressant..you could get happier, or angrier. Or you could be more or less unaffected. Adding a mood-stabilizer can help prevent some antidepressant problems and might make the antidepressant(s) work better, but it comes with its own problems, which vary by medication. If you have good insurance, I'd recommend Trileptal (no blood work, weight neutral, etc.) or Lamictal (there is the rash thing, but other than that..nothing too bad) to add to your AD. Depakote and Lithium work well for some people, but those are pretty hardcore; they require blood work, and have fun side effects like hand tremors and hair loss. Klonopin can be good for some forms of depression/bipolar, too, but it is a benzo, so there's the potential for disinhibition or some sort of rage reaction. However, that's not too common, and its more common with xanax.

Good luck!


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