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Doctor insights on: Quitting Trileptal

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Side effect of stopping Abilify (aripiprazole) cold turkey?

Side effect of stopping Abilify (aripiprazole) cold turkey?

Depends upon illness: If it is being used to treat depression, you could go right back into it the very next day. If it is for psychosis, you might eventually rek\lapse, same with bipolar disorder. These medications should generally be tapered and never stopped without a discussion with your treatment provider. ...Read more

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Quit lithium (eskalith) cold?

Quit lithium (eskalith) cold?

Let your Dr. Guide U: Depending on how long you've been on it, your dr. May recommend different discontinuation regimen. Also, you'd wanna talk to your dr. About your reasons to get off of it. Be open with your dr. Good luck! ...Read more

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Bipolar(controlled -lamictal, carbamazepine), anxiety-semi-under control (lorazepam, temazepam, cymbalta) and ADD problematic- considering Vyvanse (lisdexamfetamine) ?

Bipolar(controlled -lamictal, carbamazepine), anxiety-semi-under control (lorazepam, temazepam, cymbalta)  and ADD problematic- considering Vyvanse (lisdexamfetamine) ?

So much medication: It might be necessary to take some drugs but I question the risks already and adding the new one is especially bad w/ cymbalta (duloxetine). It can cause severe anxiety! Also serotonin syndrome. Almost all of your meds combine to cause a host of symptoms like dizziness, confusion and general impairment. Please consider a good psych eval and adding good psychotherapy to lower need for Rx and help them work! ...Read more

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Zyban (bupropion) question. Has anyone prescribed zyban (bupropion) to quit smoking?

Zyban (bupropion) question. Has anyone prescribed zyban (bupropion) to quit smoking?

Yes: Sure, it is (was) a very common medication. If you are in il, call me. Most of the times, however, I use wellbutrin (bupropion) - less side effects, additional benefits and the same likelihood to quit. By the way, it is better to be used as a part of a "cocktail" and with a couch-like person. ...Read more

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Have tried pristiq, (desvenlafaxine) wellbutrin, paxil, celexa, effexor, lexapro, etc. With lithium, haliperidol &abilify. A couple improve mood. Still anxious!thoughts?

Have tried pristiq, (desvenlafaxine) wellbutrin, paxil, celexa, effexor, lexapro, etc. With lithium, haliperidol &abilify. A couple improve mood. Still anxious!thoughts?

Many meds: You've tried many meds already, although there are some you haven't mentioned that often help anxiety: buspirone, beta-blockers, other mood stabilizers besides lithium, etc. But after a person has tried so many medications and still has symptoms, i'd suggest non-medication approaches: psychotherapy, mindfulness, relaxation training, exercise/yoga, etc. ...Read more

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Can I quit lithium (eskalith) cold turkey?

Can I quit lithium (eskalith) cold turkey?

You shouldnt: If you have been stabilized by lithium or even if you have only had patrtial resolution of symptoms, you should wean off of lithium and other mood stabilizers as there can be a rapid and severe mood change into depression or mania. ...Read more

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What are the short- long-term effects of taking klonopin, doxepin, wellbutrion, seroquel, (quetiapine) armour thyroid, pravastatin, xanex, alcohol, marijuana?

What are the short- long-term effects of taking klonopin, doxepin, wellbutrion, seroquel, (quetiapine) armour thyroid, pravastatin, xanex, alcohol, marijuana?

Confusion: Mental status changes can take place. Be sure to generate a list of all meds and herbals and street drugs to distribute to all of your physicians to make sure that no medication dosing takes place without all informed. ...Read more

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Depression. She is taking abilify, (aripiprazole) ziac, effexor, lamictal, congentin (sp?

Depression. She is taking abilify, (aripiprazole) ziac, effexor, lamictal, congentin (sp?

Abilify (aripiprazole): Not uncommon combination for mood disorders, hope u r doing well on that, however, not sure what your question is? ...Read more

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What are the side effects from quitting pristiq (desvenlafaxine) cold turkey?

What are the side effects from quitting pristiq (desvenlafaxine) cold turkey?

Withdrawal symptoms: While it's most likely not life threatening or dangerous, I never recommend to my patients to quit any medicine all at once. I have them gently taper down if for some reason they need to stop. With Pristiq, (desvenlafaxine) which is similar to Effexor, they may experience agitation, electric like shocks, and irritability for several days. Please talk to your doctor. ...Read more

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28yo fem w/ depression, anxiety. Zoloft for ~10 yrs, 50mg then 75. Added welbutrin. Zoloft quit helping, tried lexapro (escitalopram). Big weight gain. Rec new drug?

28yo fem w/ depression, anxiety. Zoloft for ~10 yrs, 50mg then 75. Added welbutrin. Zoloft quit helping, tried lexapro (escitalopram). Big weight gain. Rec new drug?

Antidepressants best: Another antidepressant, possibly snri like Effexor (venlafaxine) may be more helpful at this time. Add ons such as gaba- calm and natural anxiety aids can help. They do cause weight gain usually. Therapy is always an important treatment modality for depression and anxiety, don't think it is not helpful! ...Read more

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23f, bipolar ii, added lithium 1200mg to lamictal 300mg last year. Miserable, apathetic, depressed, considerable weight gain. Is topamax (topiramate) an option?

23f, bipolar ii, added lithium 1200mg to lamictal 300mg last year. Miserable, apathetic, depressed, considerable weight gain. Is topamax (topiramate) an option?

Bipolar: You describe a very troubling situation. You are not doing well. You may want to ask your doctor if you should have a second opinion concerning your treatment or to change the treatment in order to get better. ...Read more

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Im on Zoloft Buspar ativan lipidil ez Risperdal do lyrica (pregabalin) make any introduction with lyrica (pregabalin)?

Im on Zoloft Buspar ativan lipidil ez Risperdal do lyrica (pregabalin) make any introduction with lyrica (pregabalin)?

If you are asking: about possible drug interactions- yes, Lyrica (pregabalin) may have moderate interactions will zoloft, buspar, risperidal and ativan. There are no reported drug interactions with lipidil EZ. That does not mean that the drugs shouldn't be used together but I do hope that your medications are being managed by a psychiatrist with this complexity. ...Read more

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Do any of these drug combinations work? Prozac abilify, (aripiprazole) Prozac zyprexa, wellbutrin zyprexa, for schizophrenia.

Do any of these drug combinations work? Prozac abilify, (aripiprazole) Prozac zyprexa, wellbutrin zyprexa, for schizophrenia.

Yes: Antidepressants, mood stabilizers, and antipsychotic medications are often combined to treat schizophrenia. The decision is best made by the treating psychiatrist and the patient. ...Read more

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Does quitting remeron (mirtazapine) cause weight loss?

Does quitting remeron (mirtazapine) cause weight loss?

Remeron (mirtazapine): Some, but definitely u won't gain more weight. ...Read more

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Will wellbutrin (bupropion) Lexapro lithium or nefazodone cause weight gain?

Will  wellbutrin (bupropion) Lexapro lithium or nefazodone cause weight gain?

Sometimes: The side effect profile for most mental health drugs indicate appetite and weight change. This is almost always a possibility. If you are prescribed these medications, discuss this concern with your doctor. ...Read more

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Taking 225mg Effexor&Clonazepam 4 Major Dep Dis&anxiety¶noid thoughts. Had Olanzapine&Respiridone before but is Abilify (aripiprazole) ok2take with Effexor?

Taking 225mg Effexor&Clonazepam 4 Major Dep Dis&anxiety&paranoid thoughts. Had Olanzapine&Respiridone before but is Abilify (aripiprazole) ok2take with Effexor?

Abilify (aripiprazole): It appears that you are also experiencing paranoid thoughts, and have been treated for depression. At the same time, if your doctor prescribes the Abilify (aripiprazole), (aripiprazole) with or without the Clonazepam, there is no contraindication. The Abilify (aripiprazole) might also augment the Effexor as an antidepressant, which is another advantage for this recommendation. ...Read more