Posted by medlib on July 5, 2001, at 17:25:48
In reply to Re: Friend trying to find right med combo, posted by Noa on July 5, 2001, at 8:47:43
Hi Noa--
If your friend finds 300 mg. Wellbutrin agitating, I wouldn't recommend adding a stimulant. I'm surprised to learn that she's taking Celexa; I thought that it has a worse weight-gain profile than Prozac. A number of people have found a Well.-Prozac combo synergistic. Together, they should be neutral re weight gain, especially at lower levels of Prozac (10-20mg/day. I'd try Well. 225mg + Prozac 20mg. before giving up on the Well. Tho rarely sufficient by itself, W.'s a good augmenter.
2 other points: Your friend's allergy/asthma meds quite likely are sedating--most antihistamines are--but she should check to make sure that she is taking the least sedating alternatives available. And, if she tries Remeron, it's less sedating and less likely to cause weight gain at higher doses (30-45 mg.); this is one med you *don't* want to ramp up.
Your idea for more extensive thyroid testing sounds helpful, too. Since, as you know, internists and pdocs frequently have quite different notions of what constitutes euthyrold levels, these probably are best scheduled through a pdoc, if she has one.
Your friend's lucky to have you on her side!---medlib
poster:medlib
thread:68891
URL: http://www.dr-bob.org/babble/20010701/msgs/69084.html