
Mar 18, 2017, 08:02 PM
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Member Since: Apr 2013
Location: USA
Posts: 1,897
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Quote:
Originally Posted by psychehedone
My psychiatrist/therapist agrees with this. She prescribes stimulants as a last resort for attention problems (she doesn't handle patients with narcolepsy), and in small doses compared to "most" psychiatrists (in her opinion). She is also against the use of stimulants for weight loss, since it can get addictive, lead to abuse, etc. The appetite suppression effect goes away after a while, in her opinion, so patients are at risk of using more and more.
What kind of weight loss are you talking about? Is this weight gained because of using neuroleptics? Or do you have weight problems in general (e.g. genetics, poor lifestyle decisions, disability)? For the former, my psychiatrist would change the neuroleptic or reduce its dosage while adding a small dose of another drug to compensate. For the latter, she'd be horrified and would suggest lifestyle changes, exercise, seeing a dietician, etc.
I don't take Adderall. My psychiatrist and I talk about different medications for fun. We often run out of topics to discuss during our hourlong sessions as I'm pretty stable.
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I gained 60 pounds over a year from Seroquel and Zyprexa. When I was in the hospital and they put me back on Zyprexa they also gave me Metformin to reduce weight gain. I was only on the Zyprexa a week and then they stopped the Metformin as well. I asked my pdoc about putting me back on that but he said he didn't know enough about it to prescribe it.
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