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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For Recurring Depression

I have two questions - for the second time I have gotten depressed after going on statins - could there be an underlying reason? I have been taking Bupropion SR150mg for two weeks - have not been able to tell it has helped - my doctor wants me to increase to a second dose per day. With my previous depression I could not handle that much. Is there a low dosage of something else that could be added. I have to take Lorazepam to make it thru the day. I am a 75 year old woman. Thanks
Mon, 10 Nov 2014
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Psychiatrist,  's  Response
Hi.

I understand your concern .

Bupropion is NDRI and it is not such frequently used in depression as a monotherapy.

SSRI MEANS SELECTIVE SERETONIN RECEPTOR INHIBITOR is the 1st choise in late age depression .

In SSRI sertraline / escitalopram will be useful .

Sertraline is the choice in term of side effect profile . It is cardio and renal safe drug.

Bupropion is used as add on therapy to SSRI in resistant cases.

So consult your psychiatrist and discuss all this alternatives.

Take his adviae before taking any medicine.

Wish you a very good health.

I hope I have answered your question .

Still if you have a query then feel free to ask .

Happy to help you.

Thank you .
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Suggest Medication For Recurring Depression

Hi. I understand your concern . Bupropion is NDRI and it is not such frequently used in depression as a monotherapy. SSRI MEANS SELECTIVE SERETONIN RECEPTOR INHIBITOR is the 1st choise in late age depression . In SSRI sertraline / escitalopram will be useful . Sertraline is the choice in term of side effect profile . It is cardio and renal safe drug. Bupropion is used as add on therapy to SSRI in resistant cases. So consult your psychiatrist and discuss all this alternatives. Take his adviae before taking any medicine. Wish you a very good health. I hope I have answered your question . Still if you have a query then feel free to ask . Happy to help you. Thank you .