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Any advice on meds? (long)

Posted by ryno on June 10, 2008, at 18:59:10

I've been reading the forums here for a month or so, and really like reading peoples experiences.
So here's my story:

I've had depression problems for 8+ years. I never sought help, for the first 4 years I allways assumed my problems were due to my substance abuse issues. When I was finally clean for a few years the depression was still there, worse even.

I finally got a real job about 3 months ago. Suddenly my depression got worse. It started to interfere with my job, so I finally picked a pcp from my insurance and made an appointment.

The doc prescribed me lexapro 10mg. On the 7th day on it, I realized I was happy, for no apparent reason. It was great, the constant chatter in my head quieted, I was able to focus better.

Over the next week it gradually worked less and less. by day 14 I was a wreck. Had a hellish day at work, I'd go to the bathroom and just stay there because I couldn't face anyone like that. On my break I went home and took the remaining 28 lexapro(I started with 42, doc gave me 3 14 day sample packs). Surprisingly I was able to finish the day even though I was real messed up. 2 days later I tried again with disinfectant and then 30 advil pm. I don't remember some parts of that day, but I finished work. I'd imagine people thought I was drunk or something, I couldn't even put together a proper sentence.

I called my doctor and they wanted me to go to the emergency room. I work in the hospital, so I really didn't want all my coworkers to see me in the mental health unit. I convinced the doctor to let me go to a local crisis center. They put me into a partial hospitalization program, which I started yesterday.

Everyone I told my story to became convinced that it must be bipolar. I assume they figure this due to my great reaction to the lexapro so early.
When I met with the MD there, he decided it wasn't bipolar. He diagnosed me with depression and adhd. He prescribed me 100mg wellbutrin sr, once a day.

So, to my questions:
1. Isn't wellbutrin sr meant to be taken 2x a day?
2. Why did he give me such a low dose?
3. Wouldn't a TCA be less likely to cause the bad reaction I had to the SSRI?
4. If the diagnosis is ADHD, why not treat me for that too?
5. How do you bring these concerns to the doctor without him thinking I'm some kind of drug seeking pill freak?

Thanks for reading
--Ryan


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poster:ryno thread:834046
URL: http://www.dr-bob.org/babble/20080606/msgs/834046.html