Antidepressants

tricyclic antidepressants (due to its anti-muscarinic effect)

Yes! There are no known reactions b/t these two drugs. Only thing u may feel moderately dizzy at the worst!

No it is a depressant.

Did you stop this medication with your doctor's suggestion or on your own? I would recommend that you see a psychiatrist/physician before deciding what to do. It is possible that your body took 2 months to totally get rid of the effects of Lexapro and you are feeling the symptoms again that initiated the start of the med. If it were me or someone I know, I would strongly suggest starting back on a medication or to talk to a counselor/psychologist.

I don't think anyone should make a medical decision based on what they read on the net without thoroughly discussing it with their doctor, but I will share my experience. I have taken wellbutrin every morning and depakote every evening for about five years. before i found this combination with my doctor, I could not hold a job or even stay in school. Now I have a master's degree and I am in law school. I give a lot of credit to having discovered the right combination of psychotropics FOR ME.

I would say, Better you get the suggestion from your Doctor. Because none other than Doctor would know well about the medications. If the Doctor says okay, buy your Non-controlled medication at http://www.MEDonWeb.net

YOU SHOULD NEVER increase or decrease ANY medication (especially the one you are on) without your doctors permission and supervision. If the doctor told you to up the dose slowly then there is no reason you should get the jitters because your system is already use to this medication. In fact, you could have the jitters because the dose may not be high enough for you. Up this dose ONLY with your doctor's permission!

NO.

Yes

Are you a smoker? Wellbutrin is Zyban (the smoking cessation pill) and they both are referred to in their generic forms as bupropion and budeprion, respectively. If you're trying to quit smoking and also dealing with depression, citalopram is a good SSRI to address it; Wellbutrin however may have been prescribed as a smoking cessation aid. I began taking Effexor about 10 years ago and have just recently finished the 1 YEAR weaning process (SSRI's and SNRI's are kind of hard to come off of but when you're ready, you're ready -- it took almost a year to wean off the Effexor in a way that was semi-comfortable, although the electric shock sensations, a symptom of reduced levels of serotonin, were very annoying). Adding 2 of these drugs means you'll have to one day wean off both of them - at different times, however. Anyway, about 4 years ago I was prescribed Wellbutrin as a smoking cessation aid and we (my doctor and I) discussed the Effexor/Wellbutrin combo. Wellbutrin is going to result in an increase in the level of serotonin and affects dopamine too (increasing it), which is the neurotransmitter that affects the sense of well being, euphoria and energy, etc. (In the case of methamphetamine, dopamine is actually reversed back out of the cells and left to stir around in your synapse, and that's when people get a rush and get addicted, etc.) In fact, Wellbutrin turns into amphetamine when it is metabolized. The effects are mild, however, but many say Wellbutrin has an energizing effect. Now take another similar antidepressant such as citalopram (or Paxil, Zoloft, Effexor, etc.) - keeping in mind that all of these drugs affect either one or both of the neurotransmitters serotonin and norepinephrine. Go to Google and type in SEROTONIN SYNDROME. It occurs when people basically overdose on serotonin, and it can be deadly. You should familiarize yourself with the symptoms so if you start to have any problems (and most people do not), at least you're prepared and educated. Also evaluate your family medical history and look at heart conditions, high blood pressure, diabetes, basically anything that might put you at risk because both drugs tend to increase blood pressure and heart rate, etc. So it's common sense - you don't want to wear out your body. Your doctor should order some testing to make sure you don't have any of these conditions. Of course you'll want to think about the eventual withdrawal from the meds. Taking another SSRI/SSNRI would compound that issue because it'll be another hurtle to jump over when the time comes (and weaning should be done at separate times and I'd say a year+ apart, based on my own experience; these drugs work SLOWLY - it took the Effexor probably a good 6 months to affect me and the Wellbutrin took almost a full year. If you have the means, I'd take twice as long to wean off as it took to work up to your personal max dosage (for myself the max was 300mg Effexor and 300mg for Wellb.)

Mixing drugs is never recommended, but because your just trying to get high anyways go for it. Whats the worst that could happen? 1acting dumb and annoying 2 Seizures 3 Death

While antidepressants do not cure illness they can help to combat the symptoms. Antidepressants can help to correct a chemical imbalance in your brain/body so that you might function more normally.

Paroxetine hydrochloride-- Paxil; a SSRI that is used to treat mental depression, OCD, and various other disorders.

No...

of course there is!

You can, and in fact some treatment protocols call for both of these medications together.

However, it should be noted that antidepressants are odd drugs, and reports of a deepening of the depression exist. If, when taking these two meds in combination, you feel worse, or even suicidal, let your doc know this combination isn't working for you.

Most of the time, however, the combination is quite effective.

I did and I had a seizure.

I have been an athlete all of my life and eating a disease fighting diet is something I am passionate about. I even own a health food business. I have been taking Cymbalta for 4 years and in the last 6 months been tappering down from 60 mg to 30mg. My Cholesterol last year and for the last several years has hovered around 140 with triglycerides at about 95. Just got my last lipid panel back - total cholesterol 217 and triglycerides a whopping 268. I will meet tomorrow with my meds doc and discuss stopping Cymbalta all together - now.

Well I've tried it and it has increased my irritability and made me feel uneasy and aggressive.

3-4 days@ 150 mg Effexor and 30mg Cymbalta

3-4 days @75 mg Effexor and 30 mg Cymbalta

3-4 days @37.5 mg Effexor and 60 mg Cymbalta

I am changing from 300mg of effexor to cymbalta

the doc is first dropping the effexor xr 75mg to 225 for a week, and then down 150 for a week, clymbalta increasing to 60mg, and from the 150mg, down 37.5mg until weaned off effexor with increasing cymbalta.

that is how my doctor wants to do it, however over Christmas holidays we are not touching anything, and at any time if i feel wrong i am to go directly to the hospital. talk to your doc. good luck

Generally it will take your body a few weeks to adjust to a new drug. If conditions worsen, contact your doctor and ask to try something else.

Seeming Zoloft's side effects will vary from each person, zoloft may actually increase your heart rate when you first start taking it, although zoloft is for depression, anxiety may decrease when depression does, although if you are having anxiety attacks anti-anxiety medication such as Valium would be more appropriate, also if you want to slow your heart rate breathe in through your nose and out through your mouth is a common trick or doing meditation and looking at what is causing the anxiety and alleviating that problem as well as using medication should help anxiety because zoloft is not specifically for anxiety although may still help.

NO