New Pdoc Situation


Had the appointment with the new pdoc this morning.  She is actually a psychiatric nurse practitioner but for all intensive purposes I will call her my pdoc. 

So, got to the office a few mins early, none of the receptionists were there yet, I sat for maybe 5 or 10 minutes at most, and she came out and got me.  Went into her office, she was very personable.  We sat and talked as she looked over my paperwork, history, meds, blah blah.  We talked about my symptoms and she suggested a new way of taking my current medications to maybe alleviate some of the side effects.  I really like her.  She’s definitely WAY better than Dr. D.  It’s still left up to time to find out if she lives up to Dr. C’s reputation with me.  I dunno if I like Dr. C so much because she was my first psychiatrist and she was there when I was in the hospital and was nicer and warmer than Dr. Duval who is her partner. 

So, the new med schedule is changing from:

Wellbutrin SR 200mg twice a day

Seroquel 100mg at bedtime

Lamictal 200mg 2 tablets at bedtime

Will now be:

Wellbutrin SR 200mg twice a day

Seroquel 50mg at breakfast, 50mg in the afternoon, 100mg at bedtime

Lamictal 200mg 2 tablets at  bedtime

Zoloft 50mg at bedtime

So hopefully the Zoloft and Wellbutrin will help the symptoms of each other.  And the Seroquel hasn’t been seeming to help as much with my irritability so she’s adding some during the day, as well as the one at night so I can sleep.  She also told me that if I’m tired when it’s time to take the Seroquel to skip it.

Anyway… done for now.

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2 thoughts on “New Pdoc Situation”

  1. The Wellbutrin is mainly for the depression, but it also has qualities to help with weight loss. I have issues with losing weight as well, and it’s not doing much. (Presently 5’6″ 268lbs) 😦 I eat NOTHING all day usually and then overeat in the evening because I get the hand to mouth thing and I get restless? maybe, with not continuing the hand to mouth cycle. I had spoken with her this morning about not being able to sleep without the seroquel. She had mentioned maybe starting me on trazodone to help me sleep, and changing the seroquel to abilify. But Abilify is super expensive (and the seroquel is a stretch already) plus adding another med. So she just changed the dose of the seroquel and increased it. I have been on only 100mg for the past 10 months but am still really irritable, so we’ll see what happens.

    Thanks for your input!

  2. My doc has me on Seroquel 200 mg at bedtime to keep my anxiety from allowing me to sleep. The welbutrin is for weight control (not working very well 😦 Risperdol 1.5 mg for antipsychotic, Lamictal 300 mg for mood stabilizer. And whenever I have an “issue” typically hearing voices, my meds are adjusted. But I’m also seeing a therapist every week or so, and she helps me process stuff to help prevent the voices from showing up. It works most of the time.

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