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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by Lamdage22 on December 4, 2015, at 2:19:19
So Viibryd doesnt seem too effective. Luvox can raise blood levels of Seroquel and Zyprexa.
Any advice?
I am trying to avoid sexual side effects.
Posted by Christ_empowered on December 4, 2015, at 7:44:09
In reply to Luvox vs. Viibryd, posted by Lamdage22 on December 4, 2015, at 2:19:19
I keep saying it...Wellbutrin. You can add another AD to wellbutrin if you need to...but yeah...please think about Wellbutrin. From what little I've read about WB in schizo-disorders, its not a big deal as long as you're stable on tranquilizers.
Posted by Lamdage22 on December 4, 2015, at 7:47:05
In reply to Re: Luvox vs. Viibryd, posted by Christ_empowered on December 4, 2015, at 7:44:09
Hey christempowered. The pharmacy is ordering it. Pickup at 3:30 pm. My psychiatrist likes it better than Viibryd or Luvox!
Posted by Lamdage22 on December 4, 2015, at 7:48:37
In reply to Re: Luvox vs. Viibryd, posted by Lamdage22 on December 4, 2015, at 7:47:05
i am pretty scared but i dont want to look like an idiot infront of my psychiatrist peeing my pants.
Posted by SLS on December 4, 2015, at 10:13:19
In reply to Re: Luvox vs. Viibryd, posted by Lamdage22 on December 4, 2015, at 7:48:37
> i am pretty scared but i dont want to look like an idiot infront of my psychiatrist peeing my pants.
A little fear is a good thing if it causes you to have a healthy respect for these powerful drugs.
Here is a report that reinforces C_E's portrayal of the use of Wellbutrin in situations where psychosis is a concern:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2738405/
"Abstract
Bupropion is an antidepressant, which has recently been promoted for the treatment of bipolar depression, because of its lower potency to induced switch. However, due to its dopamine enhancing effect, it has been reported to induce psychosis and perceptual changes. Most of the literature, which is available in relation to development of psychosis while receiving bupropion, has been with the use of immediate release formulation. Some of the case report which have reported development of psychosis with sustained release Bupropion, it has been reported in the background history of over dosage or substance abuse. We present case in which use of bupropion led to development of frank psychosis, which responded to use of antipsychotic medication. However, when antipsychotics were stopped, psychosis again recurred and as a result diagnosis of patient was changed."
- Scott
Posted by Lamdage22 on December 4, 2015, at 10:20:05
In reply to Re: Luvox vs. Viibryd, posted by SLS on December 4, 2015, at 10:13:19
Thanks, Scott.
I have extended release tablets. And i dont plan to go much higher than the 150mg i am on now (tomorrow).
Posted by Lamdage22 on December 4, 2015, at 10:26:14
In reply to Re: Luvox vs. Viibryd, posted by Lamdage22 on December 4, 2015, at 10:20:05
Hmm, it doesnt sound so good.!?
Posted by SLS on December 4, 2015, at 10:54:14
In reply to Re: Luvox vs. Viibryd, posted by Lamdage22 on December 4, 2015, at 10:26:14
> Hmm, it doesnt sound so good.!?
Wellbutrin might work magic for you for all we know. The lesson learned from the article is that antipsychotics can treat and prevent psychosis from developing with Wellbutrin.
In my situation, I would keep the Effexor and add the Wellbutrin, and look to increase the dosages of both if necessary to something like Wellbutrin 300 mg/day and Effexor 300 mg/day. For you, I would start by adding the Wellbutrin first and not adjusting the dosage of Effexor. If you feel better, BUT anorgasmia remains a problem, you can then attempt to discontinue the Effexor. It is quite possible that Wellbutrin will prevent the sexual side effects of Effexor, and allow you to increase the Effexor. If, at 300 mg/day, Wellbutrin does not help, you can then begin increasing the dosage of Effexor while continuing to take the Wellbutrin.
You still have a lot of options.
- Scott
Posted by Lamdage22 on December 4, 2015, at 11:33:39
In reply to Re: Luvox vs. Viibryd » Lamdage22, posted by SLS on December 4, 2015, at 10:54:14
i already am somewhat psychotic. Seemingly along with the bad mood.
This is the end of the thread.
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