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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by MelindaJ on December 12, 1999, at 12:29:06
I'm back on Zoloft, still struggling to lose the 30lbs I gained from my last round and experiencing carb. cravings at the worst time of the year! I read a remark made by a Dr. at another web site that his patients' cravings usually disappeared when their dosages were increased to the 200-400 mg range. He also suggested switching to Effexor, Serzone or supplementing with Wellbutrin. Have any of you experienced success with these stategies? Also, has anyone experienced an increase in severe headaches at these dosage levels?
Posted by michele on December 12, 1999, at 12:51:41
In reply to Less SSRI Weight Gain at Higher Dosage Levels?, posted by MelindaJ on December 12, 1999, at 12:29:06
> I'm back on Zoloft, still struggling to lose the 30lbs I gained from my last round and experiencing carb. cravings at the worst time of the year! I read a remark made by a Dr. at another web site that his patients' cravings usually disappeared when their dosages were increased to the 200-400 mg range. He also suggested switching to Effexor, Serzone or supplementing with Wellbutrin. Have any of you experienced success with these stategies? Also, has anyone experienced an increase in severe headaches at these dosage levels?
Michele here,
What a drag re weight gain. It is hard for me to fathom dosages up to 300mg - wow. I had such sever effects with everthing but effexor at levels 50% below the usual dosage. Hope you can find a way around the problem but doesn't the idea of mixing and matching concern you at all?
I lost weight on Prozac (5years ago) but became very bored with the 'flat' emotional life and painful orgasms. Don't think they have come up with any really great chemical solutions yet and meanwhile we are the guinea pigs.
Good luck.
Posted by Noa on December 12, 1999, at 20:30:39
In reply to Re: Less SSRI Weight Gain at Higher Dosage Levels?, posted by michele on December 12, 1999, at 12:51:41
Michelle, "mixing and matching" is a fact of life for many of us. I started out on one ssri, but after a while, the effect pooped out. At higher doses, the negative effects started to outweigh the desired effects, so after trying a couple of other meds, the mix and match strategy was in order. Augmentation helps to boost the desired effects without adding the negative ones. I used to resist the multiple med approach but now see it as a lifesaver for me, until a new approach comes along that is better.
Posted by JB on December 12, 1999, at 23:51:27
In reply to Less SSRI Weight Gain at Higher Dosage Levels?, posted by MelindaJ on December 12, 1999, at 12:29:06
Melinda:
I've been on Celexa which seems to have no weight gain effect for me. My doctor added Lamictal for augmentation and mood stabilization, helping even further with appetite control for me. If you don't want to switch from Zoloft, ask your doctor to consider adding one of the new anti-convulsant/mood stabilizers like lamotrigine or topiramate. Topiramate is supposed to be helpful not only for weight/appetite control issues but also mood enhancement/stabilization.
This is the end of the thread.
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