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my new pdoc's recommendations

Posted by raisinb on August 6, 2008, at 16:43:08

I've been taking zoloft 50 mg and wellbutrin xl 300 mg for about two months to treat major depression. They've really worked for my moods. I feel better than I have in years.

However, I am still losing weight--lost about 7lb from depression, 5 more from wellbutrin alone, then 5 more on the combo--and counting. My dr suggested zoloft would help me gain back what I had lost but all it's done is slow down the loss. It's getting to a crisis point because I was thin to begin with.

I also still have insomnia trouble. 3 mg Lunesta usually does the trick, but I need it every night, and some nights it just doesn't give me more than 5 hours or so.

I haven't seen a pdoc before, but my dr suggested I get one, so I went to see her today. She said that if I wanted to treat my depression, insomnia, weight loss, and anxiety with one pill, we should really take me off of what I'm on and put me on Remeron. She also said that sometimes, when people got "jacked up" from Wellbutrin like I did, and had long-term insomnia problems, what was going on was undiagnosed bipolar disorder. In that case, she said, the plan B would be trying Lamictal.

I really don't think I am bipolar, but maybe she could have a point? I can't remember experiencing any mania. Can you be bipolar and not know it? I thought everyone got jacked up on Wellbutrin. And is it a good idea to get off something that is working right now? What have people's experiences with Remeron been?

For now, we decided to do the conservative thing, reduce the WB and double the Zoloft. I did like her very much. I was just wondering what everyone thought of her opinions.


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