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Re: drug interaction

Posted by LouisianaSportsman on April 7, 2014, at 1:53:11

In reply to drug interaction, posted by sufferer drug reacti on April 6, 2014, at 23:58:28

> a doctor prescribed me escitalopram (20 mg) fluvoxemine(50mg) quetiapine xr(150 mg) for 4 months ....i was not aware what it was going to cause me later...after 4 months i notice i was not able to remember anything and became compeletely anhedonic....this combination is worst ...now i am not able to regain my emotion

You need to discuss this with your doctor, or an alternative medical professional.

These medications can cause anhedonia. This combo is almost designed for it, it seems.

I believe the prescription of two SSRIs (which can blunt emotions) is overkill.

You are on a very low dosage of Luvox, however. Do you plan on tapering off the Lexapro and switching to Luvox? This is what I would suggest.

Also, Seroquel can cause these symptoms of forgetfulness, regardless of your low dosage. In fact, I feel like your dosage does nothing but negativity since it isn't even touching the receptors necessary. I would switch to an alternative antipsychotic. Latuda (lurasidone) is an antipsychotic that has been proven to be cognitively friendly.

I would also augment something to help with your anhedonia. I would begin taking Wellbutin XL 150mg. It is an activating antidepressant commonly augmented to SSRIs. It may help you.

While you're at it, I think methylphenidate may be something to consider to be prescribed with your bupropion script. Focalin is definitely a great option. I think having two 5mg. IR tabs would definitely help get you going. I'd take one in the morning to kick start your day and then one later on.

I would try something like this:

Fluvoxamine extended-release 100mg. QHS
Latuda 40mg. QHS
Wellbutrin 150mg. QAM
Focalin 5mg. x 2


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poster:LouisianaSportsman thread:1063772
URL: http://www.dr-bob.org/babble/20140328/msgs/1063782.html