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Dr. David
Dr. David, Board Certified MD
Category: Medical
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Experience:  Board Certified Physician
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I am bipolar and have had a very challenging year including

Resolved Question:

I am bipolar and have had a very challenging year including being diagnosed with prostate cancer. I had radical surgery in June and have recently had the all clear. My numerous knocks have brought about a depression which has lasted 4 months now. I take lithium and Quetiapine. I feel I need anti depressants. My doctor prescribed Venlafaxine but it made me anxious and caused a throbbing in my head
Can you help
Regards
***** *****
Submitted: 3 months ago.
Category: Medical
Expert:  Dr. David replied 3 months ago.

This is Dr. David. I am reviewing your question now and will be with you momentarily.

Expert:  Dr. David replied 3 months ago.

what dose of venlafaxine did you use and for how long?

have you been on other antidepressants before?

Customer: replied 3 months ago.
Hi there
75mg per day for 5 days
Yes I have been on anti depressants before but not whilst on Lithium
Expert:  Dr. David replied 3 months ago.

there are risks for adding venlafaxine with lithium or quetiapine

both combinations can increase risks for serotonin syndrome

wellbutrin may be a better bet for you.

or trazodone.

your situation is not easy to treat depression with your history of bipolar

talk to your psychiatrist about these options.

let me know if you have other questions.

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Dr. David, Board Certified MD
Category: Medical
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Experience: Board Certified Physician
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