Anit depression medication

[ag]

HK, recently, I was prescribed Welbutruin for my ADD. All this time I thought it was a stimulant, but looking it up on webMD.com, it says its an anti depressant. Im confused, why would a doctor treat ADD with an anti depressant rather than a stimulant?

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[DarkHippie]

are you depressed?

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[Michael Fury]

Has your doc already tried Concerta or Ritalin? If so, ADD med treatment often takes a little tinkering.




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[ag]

are you depressed?
Not in the least!

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[HordeKing1]

Wellbutrin is used to treat depression and ADD. Many medications are used for many different purposes. For example, anticonvulsents (originally prescribed for seizure disorders) are commonly used now to treat chronic pain.

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[CrazyClare]

wellbutrin rocks. its my favorite pill, its so pretty and purple

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[ChrisTheCop]

wouldnt an anti depressent be a stimulant anyway?

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[TheMojoPin]

Patrick Wellburtin was great as The Tick.

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[DroopyGirl]

I'm also taking medication (Effexor) for my anxiety disorder, that also works as an anti depressant. While I wasn't really that depressed.
But it works, so I don't really care

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[HordeKing1]

That's a good point DROOPY. It's more important to focus on what works, than on what the medication was marketed to treat.

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[BrianTheBailBondsman]

Dont trust those doctors. all they are is mechanics for bodys rather then cars. they make alot of guesses and if that dont work we will try this and so one beleive me i've seen alot of mistakes.

As my siccilian Grand mothers said if it hurts you know your alive worry when you dont feel anything anymore

"Getting my 15 minutes of fame a few seconds at a time"

[HordeKing1]

Like cars, our bodies break down without routine servicing, and specialized servicing when needed.

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[The Chairman]

HK, recently, I was prescribed Welbutruin for my ADD. All this time I thought it was a stimulant, but looking it up on webMD.com, it says its an anti depressant. Im confused, why would a doctor treat ADD with an anti depressant rather than a stimulant?

First of all Horde King gives great advice and all the stuff he said was accurate. But as they say in the ads and commercials, "ask your doctor or health professional." Web MD, the Internet, books, message boards, etc. are good for general information, but for any drug, especially prescription ones, your doctors knows what's best because she or he knows you, your other medical conditions, etc.

I'll try not to get into too much jargon and just add a little bit more to what's been posted. Wellbutrin is the brand name of a drug called Bupropion. It is not a typical antidepressant and fell out of use once the new wave of drugs like Prozac and Zoloft came to market. Unlike previous drugs, Wellbutrin tended to have a stimulating effect on people, which could be desirable or not depending on the individual. In any event, it kind of got lost in the shuffle with the newer drugs on the market.

Then a few interesting things happened later . One was that many smokers who were taking Wellbutrin found it eased their nicotine cravings. So just like people taking Minoxidil, a heart drug, were growing hair where none had grown before and the drug company then got it indicated for certain types of baldness (and called it Rogaine), the folks who brought you Wellbutrin got it indicated for smoking addiction, and called it Zyban. Zyban and Wellbutrin are the same drug, except they are marketed differently. For another example, a prostate drug also had the side effect of growing hair so it was then marketed as Propecia.

Anyway back to your question:

There are many drugs used to treat ADD. Many are true stimulants or stimulant-type drugs (it was found that stimulants paradoxically have the opposite effect on people with ADD than they do on people without - they tend to focus them and calm them down.) These are drugs ranging from methamphetamine to more commonly Ritalin, Adderal, Metadate.

Many drugs are also prescribed "off label" meaning that while they are approved for one use, a clinician prescribes it for another effect. Usually these drugs eventually get approved from the FDA for these uses. Examples are Paxil, first approved for depression, then obsessive compulsive disorder, social anxiety, panic attacks, etc. Another is Prozac. Men taking drugs in this class often have difficulty ejaculating. So Prozac is now actually approved for use as a treatment for men with premature ejaculation! Horde also mentions certain seizure medications. They are not only now used for pain, but very often to treat manic states for people with bipolar disorder.

Wellbutrin is coming back into vogue with a lot of practitioners. It was IMO never a bad drug, just one that wasn't given a chance. It's used more and more now for ADD and especially along with other antidepressants like Celexa to counter and/or augment the effects these drugs may have (sedation, delayed orgasm, etc.) Psychopharmacology is a lot of guesswork, and often involves fine tuning medications to reach the best combination and dosages. Again only your doctor will know what's best for you.

As we say, "without side effect, there are no effects."
Wellbutrin tends to be stimulating, so it is usually given in the morning. It may cause unwanted effects like anxiety, so it may not be the best drug for people who are already very anxious. It is also not a "controlled substance", so although you need a prescription, a DEA prescription is not required (like Ritalin for example). Many patients and doctors try these drugs first, for many reasons.

The best advice I can give you is to ask questions of your doctor and let him or her know what you are feeling.

And remember again that the content of posts like this is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always se

[fiestygal]

wellbutrin rocks. its my favorite pill, its so pretty and purple


DAMN! girl- i never heard of someone so friggin HYPE about a pill before- i didnt know you could have a FAVORITE DEPRESSION MEDICATION!

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[HordeKing1]

So pretty and purple

Only the 150 mg.

The 100's are pretty and blue.

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[The Chairman]

And Molly Ringwald is pretty in pink.

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[HordeKing1]

I submit that Molly Ringwald would be pretty in green or fusha.

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[CrazyClare]

i have been taking pills, alot of them for 9 years now. I have to look at thm all the time, i takes meds 3 times a day so i see them alot and i always thought the wellbutrin was pretty

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[TeRRoR]

welbutrin is used for many of reasons. it supposed to help quit smoking(hasnt helped me yet and its been 2 years), lose weight, it is a sexual stimulant, anti-depressant & it helps you focus a whole lot more.

and pretty and purple? pretty and blue?

WHAT THE FUCK? mine are red, i take 200mg pills

ritilan = that is sooooooo 1994.

if you are hypertensive, go get yourself some xanax or valium.

man, i think i could write a book with all of the stuff i am on right now. it keeps me sane in the head.

the leaprechaun doesnt tell me to burn things anymore

TeRRoR

Tell me all your problems and the way you're gunna solve them and i'll do my best, to prove you wrong

[The Chairman]

ritilan = that is sooooooo 1994.

if you are hypertensive, go get yourself some xanax or valium.

Are we talking trendy or efficacious? Ritalin (did you forget how to spell it since 1994?)is a good drug in many cases. You want new, we'll talk Provigil off-label.

And Xanax is sooooo 1992. It's a terrible drug IMHO, too short a half life and too much rebound anxiety. Valium is old, but better, as is Klonopin.

Ag1247 talk to your MD again or get a second opinion.

Terror, in all due respect, what works (or didn't work for you) doesn't make you qualified to dish out medical advice to others. Talk to me when YOU graduate Johns Hopkins Medical School and do your psychiatric residency at Mass General.

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[Jasmines Song]

I am sorry but I don't believe in these meds...

I recently found out that Prozac was the biggest marketing scheme in history. In only works for 10% of the people who have taken it. 10%!!!!

It did NOTHING for everyone else...it's all about mind over matter.




"Be brave...be beautiful"

[The Chairman]

I recently found out that Prozac was the biggest marketing scheme in history. In only works for 10% of the people who have taken it. 10%!!!!

What were you reading, the
"Journal" that also says that Kevis grows hair in 90% of all men? Bullshit. Sorry, some anti-psychiatric Scientologist got to you or something. Prozac and drugs in its class work better than that, if nothing else for premature ejaculation in men, which it is also indicated. These are miracle drugs and are responsible for decreased lengths of stays in psychiatric hospitals, fewer side effects than older medications, and increased productivity in work, etc. They are NOT, however, "happy pills", nor are they a panacea that cures either organic illness or addresses other symptoms that may be better treated with other drugs, no drugs, in conjuncion with non-drug therapy, or ECT, for example. I am not happy with the way the pharmaceutical companies are marketing these drugs as if they were Pez, but they do work. Keep drinking your St. John's Wort tea or taking tantric yoga classes. But blanket statements of the type in your post (especially when they are inaccurate) do not help the millions of people who experience "better living through chemistry."

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This message was edited by Chairman_Kaga on 12-16-02 @ 6:33 AM

[angrymissy]

Valium is old, but better, as is Klonopin.

I'm an ativan woman myself. But to my fiance, who has severe severe panic attacks Klonopin was like a wonder drug. It's long acting instead of giving you a really quick punch like xanax, and it was the only thing that worked for him.

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[ag]

welbutrin is used for many of reasons. it supposed to help quit smoking(hasnt helped me yet and its been 2 years), lose weight, it is a sexual stimulant, anti-depressant & it helps you focus a whole lot more.
The smoking part about Wellbutrin is true, I used to be a heavy smoker at work, but its cut my cravings significantly. I can easily go 9 hours with out a cigarette. Now whats this about it being a sexual stimulant? Must be your body cause it dont do a thing for me. Ive got to say though, Ive been on Ritalin, and Adderall, this is the BEST one so far, finally in my life I can concentrate. Never in my life have I been like this.

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[HordeKing1]

TeRRoR - Red pills are the non slow-release formula of wellbutrin. Only your doctor can tell you why he prescribed this instead of the slow-released, which provides a more constant level throughout the day.



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[HordeKing1]

JASMINE'S SONG wrote:

I recently found out that Prozac was the biggest marketing scheme in history. In only works for 10% of the people who have taken it. 10%!!!!

Prozac has helped hundreds of thousands, perhaps millions, of people and the other newer classes of drugs have helped many more people. All this without the side effects that plauged some of the earlier meds. (Even these early meds worked, but people didn't take the meds for as long as they were told to b/c of the side effects.)

Many people, including yourself it seems, are not fans of any psychoactive drugs.

While drugs are not the answer to every problem, and they shouldn't be prescribed in every situation, millions need them and have had their lives tremendously enriched b/c of them. Often these psychopharmacuticals allow people to resume a normal life.

Remember, I'm not an MD and don't prescribe drugs. However, I'm not shy about refering clients to an MD for medication when appropriate. Medication is a valuable and viable treatment option - one of many things in the treatment arsenal.

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[ShelleBink]

Like cars, our bodies break down without routine servicing, and specialized servicing when needed.

*insert obligatory sexual joke about wanting to give someone a "ride" a "lube job" etc*

as for meds, i took zoloft for a few months and slowing worked myself off them ((and was under supervision of my doctor while doing so)) and it helped a lot. now the only pills i take are vitamins

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[The Chairman]

I'm an ativan woman myself. But to my fiance, who has severe severe panic attacks Klonopin was like a wonder drug. It's long acting instead of giving you a really quick punch like xanax, and it was the only thing that worked for him.


Ativan's great, (ah, the lovely 2mg. "pentagram" was a favorite), but also short acting like Xanax=more chance for rebound anxiety. It's metabolized a different way than most other benzodiezepines and is more often used in older people b/c there are generally fewer adverse side effects.

Personally I don't like Klonopin (originally used as a seizure medication actually), long half life is great, it's less addicting in general, but it made me way too tired.

Bottom line is, in general it's what works for you. But short acting benzodiezepines are falling out of vogue b/c of the greater addiction potential, rebound anxiety, etc.

Valium is an interesting drug in that it it metabolized quickly (hits you quickly) and has a long half life (stays in your system longer.) Staying in your system longer creates less potential for rebound, but also it accumulates (in fat) and therefore builds up and can make you both more sedated and over long term addicted.

SSRI's are still the best drug. Regrettably, they don't give you a buzz :-(, and have sexual side effects, and have discontinuation syndrome potential.

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[AngelAmy]

i took effexor xr last year but took myself off it before i can see if it actually worked....i was just put on Wellbutrin SR and i plan on sticking to it. i just think i would like to get to the route of my depression more.

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[HordeKing1]

Muldrow, Williams, Mulrow, Williams, Trivedi, et al. (1999) conducted a meta analysis on more than 80 longitudinal studies and concluded that newer antidepressant drugs are at least as effective in treating adults with Major Depressive Disorder than older antidepressant drugs and much more effective than placebos. The primary benefit of the newer antidepressants is that there are fewer dropout rates from adverse side effects, meaning that people are more likely to take the medication for the full length of time prescribed. Interestingly, even patients who have recovered from major depression benefit from continued antidepressant treatment for at least six months as it decreases the relapse rate by 70%. <P>

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