Question: I have a question for a Psychiatrist. I am 38 and currently taking medication under my regular doctor because my insurance changed and can no longer see my Psychiatrist, however my regular doctor is aware of my history, and knows my former Psychiatrist well, as they have spoken about me. My medication regiment was klonopin 1mg 4x a day, remeron 15mg at night, and wellbutrin 150xl once in the morning. The only issues I have ever had was panic attacks which has lessened more to anxiety over the years with the help of medication and therapy. Also have a nervous stomach which is a concern and can obsess abit at times. I have been on klonopin(not looking to taper down at this point so no need to get into that) and remeron for 7 years and wellbutrin was just added about a year ago. Wellbutrin 150xl was only added because I was very tired and feel that I am having sexual side effects from remeron (inability to achieve/maintain erection). I know im not 18 anymore, but Im 38, not 78. Once wellbutrin 150xl was added that def helped because for the first time in years on occasion there are morning erections(maybe only once or twice a month but prior to wellbutrin and just being on remeron there were none) and also got some energy back-but neither is 100%. Wellbutrin also surprisly hading a calming effect on me aswell. Overall, I will say, I feel good-just wish didn't need 9 hours of sleep and erection was stronger/more frequent. I asked my regular doctor what about just removing the remeron altogether?-why be on 2 antidepressants? Is it necessary? "If" its true that the Remeron is the one causing the unwanted problems then why not remove it and stick with the wellbutrin 150xl and klonpin for now. Last night I began 7.5 mg which I was told to continue that for 1 month then discontinue(if that's what I choose to do)-already this morning there is some anxiety attacks and stomach upset abit today-how long does this go on for because if its very difficult to come off of then I'm not sure about this- I could always not change anything and just take cialis which makes me get solid erections the whole weekend or continue cutting back-not really sure what to do and ultimately the decision is mine but the more feedback the better-maybe with your knowledge and insight your might have a suggestion as to which path you might choose.

im not increasing the klonopin, and i cannot increase the wellbutrin because intailly years ago when it was tried at 300mg it actually caused panic attacks- but later on when i was taking remeron i asked the doctor again about it and she said-lets try only 150 and see if that helps- and it did- so do you think the wellbutrin 150 and klonpin im on is good enough? i been fine for few years now on the intial combo that includes the remron but as I outlined I am thinking perjhaps removing that would be the best? then would still have energy and perhaps better erections? perhaps still calm as well? as lastly, do you think the problems are coming from the remeron? PS thanks for the quick response._This is all the rest of the info I would require-Thanks