defect
Member
Today I have an appointment with a psychiatrist to discuss my medications. I'm currently taking 300mg of Wellbutrin XL and 60mg of Dexedrine Spansule per day, as part of my treatment for major depressive disorder, anxiety, and attention deficit. I have been at this dose for a few years now. I know that both meds are not as effective as they once were, and I've tried weening down off of the dexedrine several times now, with no success.
While the dexedrine does help somewhat, I tend to manipulate the doses, (take all 4 15mg pills at once instead of 4 times a day) or sometimes even take more than prescribed if I actually need to remain awake all day. I have tried weening off of it because it's clearly not the correct medication for me. My doctor knows that I do this. He wants the psychiatrist to decide. I'm unsure about the effects of the wellbutrin, I do know I'm not managing my depression and anxiety AT ALL and feel scared to explore the reality of how I'm feeling emotionally, because I know that this is possibly the most hopeless I've ever felt in my life and I no longer trust myself so I have been avoiding my feelings as much as possible lately and I know that can't last much longer.
My concern is that the last two times I've seen this psychiatrist (I have seen him a total of two times over two years), he wants to reduce the dexedrine to 10mg per day and add on some prozac. I tried prozac about 15 years ago (wow) and my summary of that experience was the repeating thought I had in my head which was, "I have no thoughts, I have no thoughts, I have no thoughts..." This has been his recommendation both times I have seen him. I would like to be able to suggest a change off the dexedrine to something more suitable, and ideally, if I could actually manage to have a complete thought from beginning to end, then maybe the need to add meds for depression wouldn't be necessary, but I don't know. I do know that decreasing the dexedrine is the equivalent to turning the dim light off and locking the doors, I just don't know what information I could take with me to this appointment to maybe have a shot at some real change in my "treatment" or lack there-of.
Even writing this feels all over the place and I don't know if I wrote everything I wanted to, or even what I'm trying to ask anymore.
Do any of you have any suggestions on a replacement for dexedrine?
While the dexedrine does help somewhat, I tend to manipulate the doses, (take all 4 15mg pills at once instead of 4 times a day) or sometimes even take more than prescribed if I actually need to remain awake all day. I have tried weening off of it because it's clearly not the correct medication for me. My doctor knows that I do this. He wants the psychiatrist to decide. I'm unsure about the effects of the wellbutrin, I do know I'm not managing my depression and anxiety AT ALL and feel scared to explore the reality of how I'm feeling emotionally, because I know that this is possibly the most hopeless I've ever felt in my life and I no longer trust myself so I have been avoiding my feelings as much as possible lately and I know that can't last much longer.
My concern is that the last two times I've seen this psychiatrist (I have seen him a total of two times over two years), he wants to reduce the dexedrine to 10mg per day and add on some prozac. I tried prozac about 15 years ago (wow) and my summary of that experience was the repeating thought I had in my head which was, "I have no thoughts, I have no thoughts, I have no thoughts..." This has been his recommendation both times I have seen him. I would like to be able to suggest a change off the dexedrine to something more suitable, and ideally, if I could actually manage to have a complete thought from beginning to end, then maybe the need to add meds for depression wouldn't be necessary, but I don't know. I do know that decreasing the dexedrine is the equivalent to turning the dim light off and locking the doors, I just don't know what information I could take with me to this appointment to maybe have a shot at some real change in my "treatment" or lack there-of.
Even writing this feels all over the place and I don't know if I wrote everything I wanted to, or even what I'm trying to ask anymore.
Do any of you have any suggestions on a replacement for dexedrine?
