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TOPIC TITLE: medication
Created On 12/28/09 10:55 PM
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can you help me?
Junior Supporter

Posts: 11
Joined: Apr 2009

12/28/09 10:55 PM
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Doctor, I need your advice as to what to do regarding medication for anxiety and depression. I am currently on 20mg prozac and 2mg abilify. All they do is make me tired, sleepy and decrease my concentration. In the past my doctor has put me on zoloft, lexapro, klonozapen and cymbalta. They all reacted the same way. They made me tired and sleepy and decreased my concentration. I am at a point where my job is in jeopardy and nothing seems to work. My psychiatrist says that we have to try different things till we find the right medication. This is strange because 6 years ago I was on zoloft and the zoloft worked great for me. But not any more. Nothing seems to work anymore. Doctor,based on your experience, do you know of a medication that may work for me. I will gladly mention that name of the medication to my psychiatrist to consider it. I need something that will decrease anxiety and depression and increase self-esteem. But at the same time I will still need to function during the day and not fall to sleep.
 
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Dr. Price MD
Psychiatrist

Posts: 1946
Joined: Jan 2006

12/29/09 9:19 AM
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First question: the Zoloft you took 6 years ago that worked well was the brand Zoloft since the generic was not available then. When your current psychiatrist re-tried the Zoloft, was it the generic this time which did not work? If so, you may suggest to your doctor a re-trial of the brand Zoloft which may work well as it did 6 years ago. There are other options to consider but this would be a worthwhile first choice. Let me know how you make out.

Rabbi Price, M.D.
www.RabbiMD.com
 
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can you help me?
Junior Supporter

Posts: 11
Joined: Apr 2009

12/31/09 2:50 PM
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Thanks for the advice. I had my doctor call in the name brand zoloft and I will be taking it starting today. The only issue I have is that it is extremely expensive. $148 for 45 tablets as my insurance says this is a non-preferred drug. Are there ways to get the name brand for cheaper? Also my pharmacist told me that greenstone makes zoloft identical to the name brand (pfizer). Have you ever heard of that and do you think it will have the same effect?
 
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Dr. Price MD
Psychiatrist

Posts: 1946
Joined: Jan 2006

12/31/09 4:30 PM
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You may not have to pay at all for the brand Zoloft. Have your doctor call 1 800 707-8990 which is the Pfizer Connection to Care Program. The program provides a three months supply of Zoloft directly to your doctor. Your doctor may also be able to petition your insurance company to cover the brand given your personal medication history. Check with the pharmacy as to the phone number your doctor should call. Let me know how you make out. If the brand Zoloft does not help, there are still many other options.

Rabbi Price, M.D.
www.RabbiMD.com
 
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can you help me?
Junior Supporter

Posts: 11
Joined: Apr 2009

7/2/13 8:25 PM
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Hi Dr. Price. I need your expertise. I have depression, social anxiety and generalized anxiety. I currently take 300mg of wellbutrin Sr. I have been on it almost a month now and it works well for depression. However it does nothing for treating anxiety. Would you recommend I try a combo with wellbutrin. If so, would you know of a safe and effective anxiety medication that will go well with wellbutrin? Or perhaps would you recommend I try something different than wellbutrin.
 
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Dr. Price MD
Psychiatrist

Posts: 1946
Joined: Jan 2006

7/2/13 10:40 PM
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Wellbutrin is generally good for depression but not so much for anxiety. It can be combined with SSRI's (Lexapro, Celexa, Zoloft, Paxil, Prozac, Luvox) or SSNI's (Effexor, Pristiq, Cymbalta) for anxiety. Let me know how you make out.

Rabbi Price, M.D.
www.RabbiMD.com
 
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