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Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 49170
Experience:  Board Certified Physician
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I am bipolar and have had a very challenging year including

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

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

have you been on other antidepressants before?

Customer: replied 1 year ago.
Hi there
75mg per day for 5 days
Yes I have been on anti depressants before but not whilst on Lithium

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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