my sister is taking the above with another med, but I'm not sure what else. She also takes 3 excedrinpm at night. We are very worried about her. She is 48, disabled and on oxygen because of emphysema. Her lungs are operating at 30% capacity.
Cymbalta is an SNRI type drug. Wellbutrin is an atypical antidepressant, often used to augment other antidepressants such as Cymbalta. Xanax is a benzo, and may make the depressant effects of Cymbalta a bit worse, but Wellbutrin has a stimulating effect, and very well may be used to offset that altogether, but really, only she and her doctor would know the details on that. Nicotine patches, well, yah, nicotine patches... much like smoking.. but, just not... good for her!
Excedrin PM is a mixture of basically Benadryl and Tylenol, so... it would be something that could potentially accentuate the effects of Xanax, but... Xanax has such a short half life, that unless she's taking Xanax ER, or taking a pile of Xanax at bed time, there's nothing really to worry about there. Even if she was taking Xanax ER, there would be an interaction, but nothing to really worry about. The only harm that I'd worry about is the Tylenol, taking that on a chronic basis can hurt the liver, and besides, buying just the Benadryl is cheaper anyways.
I honestly am not a doctor, and do not pretend to be one, just happens that I've had to take every one of the meds that you mentioned above at one point or another except the Xanax "bars" - and if I'm not mistaken, it's just a long, thin bar of Xanax that you break off a bit as needed. I was on Xanax ER for a very short time until I realized that it was a very big mistake for my situation, and I should have stayed on my original Klonopin, which I made the switch back within four days of taking the Xanax ER. Different people need different things.
It sounds like your sister at this moment needs your support more than anything else, and I wouldn't worry about the meds, as long as she's getting them from one doctor, or one medical group. Nothing that she takes has realistic potential for abuse except for the Xanax, however, it has been created and prescribed to many many people due to the fact that they need it. The benefits out way the risks. If your sister is not getting everything from one medical group, then, I'd give her doc a call. But, I sincerely doubt that that's the case. She needs your understanding, and for you to understand that these types of drugs are ok if prescribed by a doctor, just like diabetic medication, something that is never ever questioned.
I understand that your concern is out of love and caring, and right now, she needs love and caring, but not interrogation about the medications that her doctor gives her. Could you imagine how depressed you might feel if you only had 30% lung capacity, and the anxiety that you might have over everything, from medical bills, to your health? Now imagine, that the only medication that gets rid of your anxiety is the Xanax, but it depresses the 30% that you have left. Well, that sucks. Maybe a stimulant like Wellbutrin would be helpful... I sincerely hope that you understand my point.
I will keep your sister in my prayers.
I wouldn't take Wellbutrin with any of those, but I will say that I don't think you need the smoking patch considering xanax is known to help people quit on their own. I was a chimney from 1999 to 2003. I got on Xanax in 2003 and by three weeks, I was done smoking. Smoking also decreases the effects of benzodiazepines so maybe I just got scared. I would take it for three weeks and see if you are smoking less, then again, we are all different.
- Cymbalta Drug Information
- Wellbutrin Drug Information
- Xanax Drug Information
- Nicotine Drug Information
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