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Re: Bupropion plus what? » SLS

Posted by ralphrogers on May 28, 2011, at 12:49:59

In reply to Re: Bupropion plus what? » ralphrogers, posted by SLS on May 28, 2011, at 5:34:09

Hi Scott,

Bupropion took me from a deep limbo state and brought me to a place where I could recognize myself again. I don't think that there are residual symptoms, but occasionally the anxiety it causes brings back some depressive feelings.

I'm concerned about something. Even though I use a microdose of bup (1/8 of a 150 mg SR pill), my face gets reddish (like vasodilation, not skin surface) and skin really dries out after some 30 mins I take it. Last night I had a tiny red spot in my chest skin that was itching. Sometimes I feel my scalp kind of tingling shortly after I take the drug. I'm really hoping this is no allergic/rash reaction. I wonder if it's dangerous to keep taking it if no major allergic reactions develop.

Depending on how this issue progresses I'll discuss some add on or a new drug with Dr.

Your comments about using additional tools for treatment are interesting. I do think drug selection could be much easier and quicker if additional details (maybe even holistic approach) of a patient condition were considered. I often think that maybe lots of people settle down with a poor drug combination or no drug at all because they can't bear enduring a long drug trial.

Thanks a lot and stay well

Ralph

> Buspar is an interesting choice. It might fit the bill very nicely.
>
> Are you happy with the antidepressant effect bupropion is providing you, or is there some residual depression? If depression is still a problem, Pristiq could help with both the anxiety and depression. If not, and you wish to stay away from benzodiazepines, some people prefer small dosages of Seroquel. It is impossible to guarantee anything except that the procedure to find an effective treatment involves trial-and-error. My guess is that determining the right antidepressant for an individual will be a more precise process involving assaying gene activity, possibly through using micrarrays, or perhaps using various substances as biological probes and PET scans.
>
> You'll get there. Just keep at it.
>
>
> - Scott


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