hollywoodfreaks Posted January 11, 2007 Share Posted January 11, 2007 I saw my new pdoc today for the first time, and he seems to have a rather aggressive approach to treatment. He suggested that since my mood cycles down into depression fairly frequently (although it cycles back up again in a few days), my depression is not being controlled well enough with Lexapro. I also just started 300mg of Wellbutrin, but he didn't seem to want to wait that one out because I've taken that before. Instead, he wants me to start Cymbalta and taper off the Lexapro at the same time (a rather fast taper, too, I might add--Cymbalta 30 mg for the first week, keeping the rest the same, then 60mg Cymbalta and 10mg Lexapro the second, then no Lexapro the third. Does that seem like a reasonable schedule?). So my new combo would be Cymbalta and Wellbutrin. He said if this didn't work, or I continued to cycle, that we should consider starting Lamitcal. I'm like damn, way to cut to the chase, dude! Anyway, I just am not sure that this is justified, because I'm only depressed some of the time (maybe even a minority of the time--I'm not sure). I thought it was a little weird that he didn't want to wait and see what the Wellbutrin did first. I have never done a wholesale med switch before either. I wanted to check and see how risky this med plan seems in terms of withdrawal effects, chance of too much serotonin, whatever. Link to comment Share on other sites More sharing options...
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