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  #1  
Old Oct 07, 2017, 07:29 PM
boogiesmash boogiesmash is offline
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Location: NJ
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Anyone on this? My pdoc prescribed it. Said it would wain off cravings which is killing my diet.
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Lactimal 175 mg
Pristiq 100 mg
Gabapentin 1800 mg
Klonopin 1mg.


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  #2  
Old Oct 08, 2017, 08:26 AM
still_crazy still_crazy is offline
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Location: United States of America
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hi. i don't know much about it. I think that its high dose wellbutrin plus some naltrexone. in studies, people who stayed on treatment along with standard treatment for obesity lost more weight than those on placebo. unlike many (most?) prescriptions approved for obesity, contrave is not a controlled substance.

the only downside is that you're throwing a high dose, stimulating antidepressant plus however much of an opiate antagonist into your pre-existing cocktail. i have no idea if that will be a good thing, a bad thing, or if its basically a non-issue.

wellbutrin has become fairly standard for depression, especially for people w/ low energy, apathy, fatigue, concentration difficulties, etc. for whatever reason, it seems to be more popular w/ people labeled w/ various forms of bipolar.

i do hope it helps. my only advice would be to go to some online drug-drug interactions checkers and see what (if anything...) pops up. that's one thing I do -not- like about "poly-pharmacy," especially in psychiatry. Many psychiatrists seem eager to prescribe more and more drugs--especially new, on patent drugs--but they don't seem to do any research into potential interactions, possible long term ill effects, etc.

again, i hope it helps. have you ever been prescribed stimulants? they're not for everyone, but my wild guess is that many stimulants might help, too, and many of those are available in generic form, plus...just in my very, very limited experience, its easier to adjust the simulant dosage, taper, discontinue completely, etc., than it is to add, adjust, stop many other classes of psych drugs.

good luck!
  #3  
Old Oct 08, 2017, 09:46 PM
boogiesmash boogiesmash is offline
Magnate
 
Member Since: Feb 2015
Location: NJ
Posts: 2,466
Quote:
Originally Posted by still_crazy View Post
hi. i don't know much about it. I think that its high dose wellbutrin plus some naltrexone. in studies, people who stayed on treatment along with standard treatment for obesity lost more weight than those on placebo. unlike many (most?) prescriptions approved for obesity, contrave is not a controlled substance.

the only downside is that you're throwing a high dose, stimulating antidepressant plus however much of an opiate antagonist into your pre-existing cocktail. i have no idea if that will be a good thing, a bad thing, or if its basically a non-issue.

wellbutrin has become fairly standard for depression, especially for people w/ low energy, apathy, fatigue, concentration difficulties, etc. for whatever reason, it seems to be more popular w/ people labeled w/ various forms of bipolar.

i do hope it helps. my only advice would be to go to some online drug-drug interactions checkers and see what (if anything...) pops up. that's one thing I do -not- like about "poly-pharmacy," especially in psychiatry. Many psychiatrists seem eager to prescribe more and more drugs--especially new, on patent drugs--but they don't seem to do any research into potential interactions, possible long term ill effects, etc.

again, i hope it helps. have you ever been prescribed stimulants? they're not for everyone, but my wild guess is that many stimulants might help, too, and many of those are available in generic form, plus...just in my very, very limited experience, its easier to adjust the simulant dosage, taper, discontinue completely, etc., than it is to add, adjust, stop many other classes of psych drugs.

good luck!
Thanks for your reply. I’ve been on and off Wellbutrin for years. My pdoc likes this cause it reduces cravings.
__________________
Lactimal 175 mg
Pristiq 100 mg
Gabapentin 1800 mg
Klonopin 1mg.


Major depression
Social anxiety disorder
  #4  
Old Oct 16, 2017, 06:49 PM
boogiesmash boogiesmash is offline
Magnate
 
Member Since: Feb 2015
Location: NJ
Posts: 2,466
Well after some delay with insurance finally got it.
__________________
Lactimal 175 mg
Pristiq 100 mg
Gabapentin 1800 mg
Klonopin 1mg.


Major depression
Social anxiety disorder
Thanks for this!
still_crazy
  #5  
Old Oct 17, 2017, 02:25 PM
Wonderfalls Wonderfalls is offline
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Member Since: Jul 2016
Location: Midwest
Posts: 726
I wouldn't put my hopes on Contrave. For me Wellbutrin reduced my appetite for a relatively short period of time only. And the way that naltrexone works is as an opioid antagonist, meaning it is supposed to reduce your cravings by essentially nullifying the high you get from taking them. It seems to me that the way that could work is that you train yourself to remember it's pointless to take opioids because you won't get enjoyment from them. I don't see how applicable that is to food. You're going to be eating whether you want to or not. And food is still going to taste good even if you don't crave it.
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