I have been prescribed everything from Valium in the 70's, tricyclics in the 80's, SSRI's SNRI's in the 90's and have been taking venlafaxine for the last 10 years or so. Most worked for a few years and then became ineffective over time. My psychiatrist tried to prescribe me lithium when my children were little, when I first met him. I have never seen him since I always am seen by a young Dr on his team who then goes away and consults him(!) he now suggests adding Aripiprazole 5mg to the Venafaxine but refuses to prescribe bupropion. I think he's just playing it safe and doesn't care at all. Why he'd away and just speak through members of his team. I suspect he thinks he's far too important to bother with actual patients. I've now said that he can't help me and so he should write me off, I can't carry on anymore.
I don't know why he wouldn't prescribe it if he felt it was appropriate. Are you going to a clinic in a teaching hospital? If you are, that is how they work, you see the residents who are overseen by an experienced dr. If you want to go to a private dr for a second opinion, its certainly your right.
There must be some reason that he wont use Bupropion. Do you have a seizure disorder? They are contraindicated in people who have seizures. Bupropion hydrochloride extended-release tablets (SR) are contraindicated in patients with a current or prior diagnosis of bulimia or anorexia nervosa because of a higher incidence of seizures noted in patients treated for bulimia with the immediate-release formulation of bupropion. Bupropion hydrochloride extended-release tablets (SR) are contraindicated in patients undergoing abrupt discontinuation of alcohol or sedatives (including benzodiazepines). The concurrent administration of bupropion hydrochloride extended-release tablets (SR) and a monoamine oxidase (MAO) inhibitor is contraindicated. At least 14 days should elapse between discontinuation of an MAO inhibitor and initiation of treatment with bupropion hydrochloride extended-release tablets (SR). Bupropion hydrochloride extended-release tablets (SR) are contraindicated in patients who have shown an allergic response to bupropion or the other ingredients that make up bupropion hydrochloride extended-release tablets (SR). If you feel your Dr is not helping, you can always see another Dr.
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