I have MDD, GAD, OCD and ASD. I have tried Zoloft, Lexapro, Prozac, Paxil, clomipramine, Remeron, Cymbalta, Pristiq, Seroquel, Abilify, Zyprexa, Risperdal, lithium, Depakine, Klonopin, Ativan, Xanax, Lexotan, Inderal and Lyrica. Please see my current prescription below:
After trying so many medications, my OCD, anxiety and depression still make me dysfunctional. I can't resume my university studies or leave my home alone. I see my psychiatrist, clinical psychologist, counselor and social worker regularly. My psychiatrist said she would not recommend ECT. I tried rTMS and dTMS but they don't work. Esketamine and MAOIs are not available. What can be done to bring my OCD, anxiety and depression under control?
林樹強
醫生回覆
Maybe you should learn to live with the illness. You can talk to the doctor to consider simplifying your long list of medications to minimize side effects if any (e.g. tailing off those added no benefit one by one). Stay on minimal necessary medication first and then try further refining the regimen carefully. Meanwhile you should learn to cope with the symptoms and strive to maximize your functioning e.g. traveling alone. Then set reasonable targets one by one. Rather than putting all your hope on finding a magic drug or any new treatment which can quickly fix all the problems.
Dr Liem
會員#27500 L. Lam
斷食Wellbutrin
病患者女 - 62歲
我在政府診所，睇開精神科食緊 Wellbutruin SR 150mg 多年， 情緒控制得ok，但自去年診所轉咗醫生，他只提供副廠出產的Bupropion給我, 食得我整個人好辛苦，多次覆診他都不聽，我該怎辦? 林醫生，請您幫幫我，謝謝。
林樹強
醫生回覆
若政府轉了用副廠的話，診所醫生也沒有辦法開到原廠藥。妳可以試吓叫醫生寫信開葯方prescription，妳去藥房買返原廠Wellbutrin SR 150mg。
林樹強醫生(男)