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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by Christ_empowered on January 10, 2015, at 9:43:39
Biggie gotta lose some weight, lol. Its been a rough couple years until recently, and the weight piled on. I do think the Abilify (30mgs/day) contributed. My other daily meds (1200/Trileptal and 100/Lamictal) seem to have little, if any, effect on my weight.
OK. So, I was reading about Contrave. I don't get it. Kinda scares me. I knew that Wellbutrin was sometimes used to elevate mood and maybe drop a little bit of weight, but...naltrexone? Can't that cause depression?
Which would leave just Wellbutrin, which is probably the direction my (skilled) doc would want to go, anyway. I was concerned that Abilify+Wellbutrin might = TD, twitches, or some other sort of bad problems. Or it might be the best thing ever, considering that my attention span sometimes goes to hell.
I do have a little bit of a problem with agitation. Looking back, I should have stayed on the 20mgs/day Prozac, but I didn't like the start up feeling. Celexa was good to me for about 6 months, and then I felt too tranquilized.
So...yeah...Wellbutrin? Is the XR or whatever really an all day deal? I have low dose (100mgs caps) neurontin and low dose (2mgs tabs) risperidone for as-needed use.
What say you?
Posted by rjlockhart37 on January 10, 2015, at 11:52:39
In reply to contrave? wellbutrin?, posted by Christ_empowered on January 10, 2015, at 9:43:39
natrexorone with wellbutrin is a bit odd.....wonder what their trying to combine next but all i know about naltrexerone is ... it's a opiod blocker and prevents feelings of reward to certain medicines, so what i think it's mixed with wellbutrin to elimate hunger and reward when you eat, that causes more eating for reward and comfort.....
adderall by itself can be a good weight loss med, good ole amphetamine but .... i don't know gibve it a try, wellbutrin is known for activation and lift with mild stimulation, but it also is known well for causing bad anxiety in some people, some people it works like a cup of coffee in the morning and throhg outt the day....others it really can cause anxiety, no idea why but i think it's on the NE receptors is elevated.....
there's Qysmia for weigh loss which maybe another option but it's new and may be expensive
http://en.wikipedia.org/wiki/Phentermine/topiramate
Posted by PeterMartin on January 10, 2015, at 18:26:59
In reply to Re: contrave? wellbutrin?, posted by rjlockhart37 on January 10, 2015, at 11:52:39
I finally got a trial script for Belviq. Will be expensive but if it works I'd be willing to pay. I just came off Marplan (MAOI) so it's finally become an option. Of all the new fda approved meds for obesity it has the best reviews and seems to have a novel mode of action (5-ht2c agonist).
http://www.drugs.com/comments/lorcaserin/belviq.htmlOnly day 2 but I'll try to follow up after the trial w. some thoughts. Also taking Lamictal.
Posted by PeterMartin on January 16, 2015, at 9:52:44
In reply to Re: contrave? wellbutrin?, posted by PeterMartin on January 10, 2015, at 18:26:59
Belviq is dropping to $75 a month today if your insurance doesn't cover it. That's a huge drop and great news.
Down 2lbs in my first week but I fluctuate a lot and am also completely off Marplan for the first time in 4yrs. Only taking a half dose of Belviq at the moment (splitting w my g SK once a day vs twice). Hoping to go to full dose once she gets a new script from her doc.
Posted by PeterMartin on January 21, 2015, at 10:57:03
In reply to Re: contrave? wellbutrin?, posted by PeterMartin on January 16, 2015, at 9:52:44
Just an update I'm almost done with my two week free trial and am down from 226 to 222. That's only taking half the dose (1 pill in the AM vs 1am / 1pm). Definitely cut my appetite but in a really clean way. I eat but just eat much less and don't feel hungry.
They have a new voucher on their site where if your insurance doesn't cover it (mine doesn't) the max you pay is $75 a month. Going to fill my month script tonight using that.
Really happy with the results so far....
This is the end of the thread.
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