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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Metoprolol 50 Mg The Right Medicine For Depression?

Hello--I am writing you on behalf of my 70 year old dad. He is severely depressed and has been like this for about 4 months (following a cancer diagnosis of my mom). His PC increased his Prozac to 60mg and added wellbutrin XR 300mg. but he is not improved at all. It is a debilitating depression. It is hard to find psychiatrists in the area of florida where he lives. His PC suggested dropping Prozac to 30 and trying 10mg Lexapro. We aren t sure what to do about the wellbutrin. Does that require a tapering off? And he also added metropol 50mg recently and wonder if that can cause side effects and if we should taper that off.
Tue, 12 May 2015
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Psychiatrist,  's  Response
Hello,
Thanks for puttin g your query on HCM.
I can understand what you are going through.If I had similar patient viisting my clinic,looking at his age, I would have given him Mirtazapine 7.5 mg and then gradually raised to 15 mg as required. It is considered antidepressant of choice for elderly because of better side effect profile than other antidepressants.Wellbutrin is mischievious to sometimes worsen depression and bring suicidal thoughts so if the patient doesnt improve,it should be stopped.Metoprolol might have been added to meet hypertensive issues and it should be continued.
Hope I have solved your query.If you have further query please feel free to ask.
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Is Metoprolol 50 Mg The Right Medicine For Depression?

Hello, Thanks for puttin g your query on HCM. I can understand what you are going through.If I had similar patient viisting my clinic,looking at his age, I would have given him Mirtazapine 7.5 mg and then gradually raised to 15 mg as required. It is considered antidepressant of choice for elderly because of better side effect profile than other antidepressants.Wellbutrin is mischievious to sometimes worsen depression and bring suicidal thoughts so if the patient doesnt improve,it should be stopped.Metoprolol might have been added to meet hypertensive issues and it should be continued. Hope I have solved your query.If you have further query please feel free to ask.