Psychotomy

talking to the doc last week, i expressed that my meds didn’t seem to be doing enough anymore. I stipulated that it might be season, hoping he’d up me to 30 or even 40mg of lexapro. where it worked for me nicely.

skipped mentioning the new job and that i’ve virtually cut out soda. that would have led to “well, there’s a lot of changes, so lets wait until your next appointment” in three months … yeah, that’d be good.

he decided to switch me, asked how long i was on lexapro. i told him 18-24 months, he looked stunned isnce i’ve only been seeing him for maybe 9? so i explained that my doc had had me on it. “you’re on 10mg right?” “no, you have me on 20. she had me at 40″ “40?” “yeah” “oh i didn’t know that. i’ll just put you back on that then” “ok. i came to see you when the pharmacy was giving us grief over the script” “yeah, the normal dose is 20. but some people need more, some people less. your normal dose might be 40″ “yeah” “the pharmacy will call me to verify the prescription too” and he trailed off mumbling to himself.

“OK, i’m going to switch you to EffexorXR” … uh? what happened to my happy 40???

apparently Effexor (which is a serotonin & norepinephrin reuptake inhibitor (SNRI) doesn’t play well with others. Apparently MAOI’s and SNRI’s mixed means you die :o

luckily my lexa and welbutrin are SSRI’s. of course, he’s “weaning” me off the lexapro (did a week at 10 before switching to effexor). then ramping up on effexor.

but apparently i’m supposed to watch the first few weeks (and by i, he meant me. by i, i mean kiir :) for changes of personality, suicidal thoughts and tendencies, and hypo/manic episodes … frankly, i’m wondering if being depressed was really all that bad :p

Posted in: general by attriel /