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Medecines not working
I have bpad, currently in severe depressive phase. My doctor has prescribed me following medecines:1) morning -fluoxetine 80mg, venlafaxine 150mg, bupropion 150mg, lithium 450mg, methylphenidate 60mg, pramipexol .26mgx2. 2) Night - venlafaxine 150mg and quetiapine 25mg. I feel low energy lack of motivation and irritable. Also self blaming always. Feel like a failure.Doctor also gave me 15 ketamine infusion sessions. Initially it worked but last two sessions I felt like I will die. Please review my medicines and give your opinion.Thanks.
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Hello! I can understand the discomfort you are facing with the medicines and the feeling you mentioned. Have you been taking therapy as well? However, I would recommend you to review the medicines with your psychiatrist once, also we need to understand that it takes 2-3 weeks for our body to adjust with the medications. As a clinical psychologist I can only conduct assessments and provide therapy, whereas a psychiatrist can prescribe medications. I hope this answers your query :)
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Hi. You are already on a lot of medications, that too with full doses. Probably needs psychotherapy as well. Why don’t u try taking therapy sessions from a psychologist?
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Seems your Dr Haas tried his best ,still your symptoms are fluctuating , you can have a word with your Dr for alternative mode of treatment . still if complain persists , it will be  good option to have a second opinion , who would look into your case details from a fresh perspective and advise accordingly.
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Contact your treating Dr and explain your concerns
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If you are taking the medicines as advised regularly but still not feeling better, you might need some more intensive treatment. Kindly consult your doctor for other alternatives.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.