Posted by SLS on August 6, 2008, at 18:32:38
In reply to Re: my new pdoc's recommendations, posted by bleauberry on August 6, 2008, at 17:25:50
> The plan to raise zoloft and lower wellbutrin sounds decent. Honestly though I don't think it is wise to mess with something that works. Don't change dose, time of day for a dose, or anything. Other than that, I would maybe consider adding low dose remeron or low dose zyprexa. Both will help with the sleep thing, but zyprexa more likely to help the weight thing. It is also indicated for bipolar. So if the pdoc wants to cover that base, then it makes sense to add a bipolar med that also improves sleep and helps weight gain. That would be zyprexa in a dose range of 2.5mg to 5mg.
>
> Like you I am thin. On 5mg zyprexa I went from 138 to 145-148. Many people gain excessive weight. But for us thin ones, that is not such a concern. I had awesome sleep for years on zyprexa, after enduring prozac insomnia as long as I could and got tired of lunesta and stuff.
>
> I do not like the idea of messing with something that is working. If someone were to study the archives of this site, probably hundreds of cases would be found of people who messed with a good thing and never got it back. Remember, treating these diseases is like shooting at a moving target. Say for example you abandon zoloft+wellbutrin now and try remeron. Assume it goes poorly. Then you want back on zoloft+wellbutrin, only to find they feel different and aren't working like they did. The remeron changed things.Good advice.
If your depression has been melancholic or agitated, you might be predisposed to losing weight to begin with. If this is true, raising the Zoloft to 200mg might be a good place to start. Sometimes, partial responses bring on an exaggeration of the symptoms portrayed by the illness. You might find yourself experiencing an increase in:
dizziness
heart rate
dry mouth
constipation
nervousness
heart palpitations
tremulous hands
sweating
teeth clenchingIf this is true, then raising the dosage of Zoloft might make these things go away, even without having to reduce the Wellbutrin.
How has your sleep changed since beginning drug therapy?
- Scott
poster:SLS
thread:844629
URL: http://www.dr-bob.org/babble/20080805/msgs/844655.html