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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Overcome My Depression?

I have major depression since the suicide death of my daughter Oct 2011. I am currently on wellbutrin and have just been prescribed Prozac.I am fighting suicide and alcohol abuse. I have been sober for 29 months. What would your recommendation be. They had me on pristiq, Zoloft, abilify and venlafaxine. They made me gain weight so we stopped them.
Mon, 17 Feb 2014
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Psychiatrist,  's  Response
Greetings !

Well prozac is a decent anti depressant but it is unlikely to work for you since you have already exhausted many anti depressants belonging to it's class such as zoloft, etc therefore by now your body must have developed tolerance / resistance against prozac and therefore use of this drug may not solve your underlying symptoms.

So i reckon that you ask your doctor to choose a different class drug such as remeron ( generic -- mirtazapine ) at dose of 15-45 mg / day to be taken at night while on the other hand raise the dose of wellbutrin to 450 mg / day to potentate it's action. These two drugs shall have a good cohesive action against your severe reactive depression.

I hope this makes sense.

Wish you all the best.

Regards
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How To Overcome My Depression?

Greetings ! Well prozac is a decent anti depressant but it is unlikely to work for you since you have already exhausted many anti depressants belonging to it s class such as zoloft, etc therefore by now your body must have developed tolerance / resistance against prozac and therefore use of this drug may not solve your underlying symptoms. So i reckon that you ask your doctor to choose a different class drug such as remeron ( generic -- mirtazapine ) at dose of 15-45 mg / day to be taken at night while on the other hand raise the dose of wellbutrin to 450 mg / day to potentate it s action. These two drugs shall have a good cohesive action against your severe reactive depression. I hope this makes sense. Wish you all the best. Regards