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A 18-year-old male asked:

Valproic a 500mg daily ( normal meds) alcohol 10-20 drinks, venlafaxine 375-525mg marijuana, no sleep 48hs, hospilization, no od, recovery time?

2 doctor answers5 doctors weighed in
Dr. Jonathan Nehrer
Child Psychiatry 38 years experience
Short answer: I think you need to find a second opinion quickly. One meds seem too low and the other too high. Furthermore I do not think there can be any recovery till you stop the alcohol and marijuana. Plus no sleep in 48 hrs indicates you still have serious sx.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Alan Ali
Dr. Alan Alianswered
Psychiatry 34 years experience
Substance use: Your substance abuse is definitely interfering with your medications, hence lack of sufficient response even at high doses. My advise is to detox from the substances first & foremost, with the help of your doctor.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Sep 28, 2016

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