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Oelwein, IA
A 34-year-old female asked:

I take 150 of bupropion 2x daily and 20mg of lexapro (escitalopram). prescription by primary. my anxiety has improved, but i'm really forgetful. feedback?

2 doctor answers6 doctors weighed in
Dr. Donald Jacobson
A Verified Doctoranswered
42 years experience
Yes. Be checked for : Other causes of forgetfulness. These could include B12 and folate deficiencies, low free t3 (liothyronine) or low t4, lyme's disease, anemia, and a whole host of other possibilities. If nothing else is found, your dr may wish to lower down one or the other antidepressants. If you supplement with b12, use the form called methylcobamine, and if you supplement folate, use l- methyl folate instead of folic acid.
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Dr. Eric Weisman
Neurology 38 years experience
Also ask your doctor what the actual serum B12 level is....you want to keep it above 350. Don't go by the lab's cut of of 180-220. If you have balance issues from low B12 I recommend shooting for 450 at least for 9 months. This seams to be something I hear from other cognitive neurologists at meetings and this tends to be the case as well in my clinical practice.
Apr 19, 2014
Dr. Donald Jacobson
A Verified Doctor commented
A US doctor answered Learn more
Provided original answer
I agree. Thanks for the input, Dr. Weisman.
Apr 19, 2014
Dr. Judith Tellerman
Clinical Psychology 44 years experience
MEDICATION: Best to discuss medication with your Psychiatrist. If uncomfortable with your Dr. consult another for a second opinion. Have a physical exam by a Dr. to determine if you have a physical illness. Consult with a Clinical Psychologist for psychotherapy with ZOOM sessions. Fears and anxiety could be heightened due to the Covid-19 pandemic. Stay safe & hopeful to elevate your immune system.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Dec 27, 2020


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