I am not sure how the testing works. It has something to do with how I metabolize the medicine. From what the tests show I metabolize Celexa and Lexapro pretty quickly and should be on a higher dose however I am likely to have side effects. Effexor came up as high in side effects so not recommended. My psychiatrist said Pristiq is listed as a medicine that I should do well on without side effects but she also said Wellbutrin was second on the list so I could try that as well. She acknowledged that Pristiq was expensive so was suggesting Wellbutrin to save money but ultimately I said I would try Pristiq because for me it's about trying the medicine that will give me the most benefit with the least amount of side effects regardless of cost.

I have an appointment with her on Monday so I plan to try the medicine over the weekend and see how I feel. When I see her I am going to ask more about the testing and see if I can have a copy of the results (even if they are in doctor speak).

She suggested taking Lexapro at 5mg with Pristiq for a few days to help ease the switch over. Does that sound reasonable? I've never taken two ADs together so I'm not sure if that is a good idea or not.