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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Take The Increased Dosage Of Pristique For Depression And Tonic Clonic Seizures?

I had been on 300mg of Pristique since July 2010 and changed to 400mg in March 2013 after a downturn in my depression. I was seemingly doing well on this until 5th December 2013 when I had my first and I hope last Tonic Clonic seizure. My General Practioner immediately decreased my dose of Pristique to 300mg and my Neurologist has put me on 1000 mg per day (I also have relapsing remitting MS) . My Psychiatrist is on holiday until mid February and I am quickly doubting his competence for prescribing such a high dose when he knows I have MS and the recommended dose is 50mg daily although higher doses have been prescribed. My GP has never been happy about such a high dose. I am concerned about taking this still high dose. Since I started taking Epilim I have been having distressing dreams and waken up depressed and miserable. I sincerely hope you can give me some advice with such sketchy knowledge of me. Yours sincerely, Rosie
Fri, 7 Mar 2014
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  User's Response
HI
Thank for asking to HCM
I really appreciate your concern, your clinical symptoms are matters, the dose of medicine always depend upon the clinical condition of patients if the condition is severe then the dose has to be increased in certain systemic diseases, it could be psyco nueroleptic disorder and in such case the drug dose increases with the sign and symptoms, hope this could clear your doubts, take care and good day.
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Should I Take The Increased Dosage Of Pristique For Depression And Tonic Clonic Seizures?

HI Thank for asking to HCM I really appreciate your concern, your clinical symptoms are matters, the dose of medicine always depend upon the clinical condition of patients if the condition is severe then the dose has to be increased in certain systemic diseases, it could be psyco nueroleptic disorder and in such case the drug dose increases with the sign and symptoms, hope this could clear your doubts, take care and good day.