Depression

25 posts

Best Medications Revisited

In December 2006 I participated in a survey of psychiatrists by a pharmaceutical company.  They asked me if I could have only five medications to prescribe which ones would I choose?  Since I have a cash only practice I have to go with the most effective medications long term. Most […]

How can I prevent recurrence of depression and what do I do if the depression does come back?

Depression runs in my family and I’ve been on the same medicine for a while with no episodes of depression.  About two weeks ago I woke up feeling not myself and contributed it to getting my period on top of coming down with a respiratory infection.  Still not feeling well […]

When my mother died my doctor prescribed Meridia and I like it very much but recently it has not worked. Is there anything similar to Meridia?

Meridia (sibutramine) is FDA approved for weight loss.  It combines the effects of antidepressants like Effexor (at doses of 225mg or higher) or Cymbalta with dopamine effects like stimulants.  One possible side effect is increased blood pressure. Years ago I tried Meridia for several patients and most of them didn’t like it […]

Treatment Resistant Depression

The following question addresses specific aspects of this patients case. However, the underlying principle is an important aspect of effective medication management. What are treatment options when a single medication, even at high doses, is not adequate? Question: Hello, I am mostly looking for a second opinion, and this website […]

Best Medications for Premenstrual Dysphoric Disorder (PMDD)

Premenstrual Dysphoric Disorder responds to medications that enhance serotonin levels. It can be inferred that the cause relates to dropping serotonin levels as estrogen levels fall (since estrogen increases serotonin). Lowering serotonin levels only causes mood symptoms in women who have a genetic predisposition or previous history of depression. Unlike […]

How To Take Wellbutrin (Bupropion)

WELLBUTRIN SR and XL (Bupropion) Wellbutrin SR comes in two strengths: 100mg blue tablets and 150mg purple tablets. Wellbutrin XL comes in 150mg and 300mg tablets. Wellbutrin enhances the brain’s natural stimulants, dopamine and norepinephrine. These help increase mental energy and motivation/interest. Wellbutrin also helps to control addictions, increase sexual […]