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Old Jul 28, 2014, 08:16 PM
aquabelle's Avatar
aquabelle aquabelle is offline
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Member Since: Apr 2014
Location: Eastern US
Posts: 59
Sorry in advance for the length!
As the title states, my Pdoc has switched up some of my medications because she doesn't like the weight gain aspect. I don't want to gain weight either. However, after an initial gain of 10 pounds, I have lost 7lbs. So basically, I am maintaining my weight. (Still plan on getting the last 3lbs off and maybe 5lbs more!) This even includes fact that I was eating regularly as I was feeling better.
Anyway, this change has caused me to "crash". I have been switching between crying spells and anxiety. I am at a loss to understand her reasoning for the original switch, and the solution she provided me today. I was beginning to see a possibility of "normal" on the old meds that I came out of the hospital on.
So, look at the meds listed below and if you have feedback for me, I would love to hear it.

Old meds --> New meds --> Todays change
Remeron 45mg --> Remeron 15mg--> Remeron 7.5mg
Tramazapan (as needed for insomnia)--> discontinued
Cymbalta 60 mg--> Cymbalta 30mg-->Cymbalta 30mg
WellbutrinSR 150mg -->WellbutrinSR 150mg x2 --> WelbutrinSR 150mg
Klonopin 0.5 (as needed)-->discontinued--> Klonopin 0.5 x2

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  #2  
Old Jul 28, 2014, 08:55 PM
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Altered Moment Altered Moment is offline
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Location: Michigan
Posts: 5,481
Not huge changes. The Remeron was probably causing the weight gain and the low dose should help very much with sleep. I don't understand the reduction in the Cymbalta if it was working. Has your anxiety been much worse without the klonopin???

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__________________
The "paradox" is only a conflict between reality and your feeling of what reality "ought to be." -- Richard Feynman

Major Depressive Disorder
Anxiety Disorder with some paranoid delusions thrown in for fun.
Recovering Alcoholic and Addict
Possibly on low end of bi polar spectrum...trying to decide.

Male, 50

Fetzima 80mg
Lamictal 100mg
Remeron 30mg for sleep
Klonopin .5mg twice a day, cutting this back
  #3  
Old Jul 28, 2014, 10:15 PM
aquabelle's Avatar
aquabelle aquabelle is offline
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Member Since: Apr 2014
Location: Eastern US
Posts: 59
Quote:
Originally Posted by zinco14532323 View Post
Not huge changes. The Remeron was probably causing the weight gain and the low dose should help very much with sleep. I don't understand the reduction in the Cymbalta if it was working. Has your anxiety been much worse without the klonopin???

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Thanks for your response...
With the Remeron, I was sleeping fine before the change and had weight under control. I think her plan is to switch me over to Trazadone.
I am confused about the Cymbalta change as well. I got the impression she just doesn't like Cymbalta and also blames it for weight gain. The hospital psychiatrist prescribed it after talking with my family since my mom and sister both take it for depression associated with pain. (genetics?)
I took very little Klonopin, maybe 10 pills in 3 months, except when hospitalized where they made me take it daily. My anxiety increased with the increase in Wellbutrin.
I feel like a total mess. I have periods of extreme panic and restlessness alternating with crying and miserable hopelessness. I think this is so hard because I felt that what I was on was working fine. I also think that all three changes at once was too rough on me - guess I am just frustrated with this. I wish I was more knowledgable about these meds and felt able to stand up for myself with these issues.
  #4  
Old Jul 29, 2014, 05:28 AM
Altered Moment's Avatar
Altered Moment Altered Moment is offline
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Member Since: Feb 2014
Location: Michigan
Posts: 5,481
Well you have a say in your treatment. How you are feeling and doing is the best guage for the medication. Pdocs don't really know much about them as far as an individual is going to do on one. It is a crap shoot. Find what works and stick to it.

With Wellbutrin I could only handle it for two weeks and felt like I was crawling out of my skin. It is very activating. Others do very well on it.
__________________
The "paradox" is only a conflict between reality and your feeling of what reality "ought to be." -- Richard Feynman

Major Depressive Disorder
Anxiety Disorder with some paranoid delusions thrown in for fun.
Recovering Alcoholic and Addict
Possibly on low end of bi polar spectrum...trying to decide.

Male, 50

Fetzima 80mg
Lamictal 100mg
Remeron 30mg for sleep
Klonopin .5mg twice a day, cutting this back
Thanks for this!
aquabelle
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