Okay.
Moodapex = serteraline (zoloft in North America). This is an SSRI antidepressant. The usual dose is 50-200 mg, so you are at the low end on that. Common side effects (>10% of people) are: drowsiness, sedation, insomnia, hypomania, headache, dry mouth, tremor, dizziness, upset stomach, and sexual side effects.
Remeron = mirtazapine. This is a noradrenergic and specific serotonergic antidepressant (NaSSA antidepressant). The usual dose is 15-60 mg.
Common side effects are drowsiness, sedation, fatigue, dry mouth, blurred vision, constipation, and weight gain.
Dogmtail = Sulpiride. This is an atypical antipsychotic, often used in major depression. The usual dose for depression is 50-200 mg. A common side effect is lactation.
What do I think of what he prescribed you? I think it's a lot of meds, all at low doses. it's also what you would prescribe someone with serious major depression, but not really what you would prescribe someone with bipolar. Did you tell him you are bipolar?
What I would do is call and say you are experiecing major side effects and book a follow-up with him soon. The next time you see him, bring with you a record of your past psychiatrist history (type it out). I did this when I went to see my new psychiatrist, and it was very helpful. I typed out all my past meds (and what side effects I had with them), my diagnoses, my symptoms, my family psychiatric history, etc. Then we went through it together. That way you won't forget to mention this or that.
In the meantime, if you are feeling too sleepy to study, I would try cutting out the Remeron. Remeron is a great drug for depression, but unfortunately it causes most people significant sedation. Cutting it out (at least for now, until your exams are over) should help.
Good luck!
__________________
age: 23
dx: bipolar I, ADHD-C, tourette's syndrome, OCD, trichotillomania, GAD, Social Phobia, BPD, RLS
current meds: depakote (divalproex sodium) 1000mg, abilify (aripiprazole) 4mg, cymbalta (duloxetine) 60mg, dexedrine (dexamphetamine) 35mg, ativan (lorazepam) 1mg prn, iron supplements
past meds: ritalin, adderall, risperdal, geodon, paxil, celexa, zoloft
other: individual talk therapy, CBT, group therapy, couple's therapy, hypnosis
|