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depression_now·depression_now!bySkyHeart

Is this medication combo normal, or is my doctor going overboard?

cross-posted from: https://lemmy.zip/post/68291780

My doctor recently put me on a pretty complex medication routine, and honestly, seeing it written all out on paper looks a bit overwhelming. Here is what I'm taking:

  • Lexapro – 20 mg

  • Inderal – 40 mg

  • Wellbutrin – 300 mg

  • Symbyax – 3/25 mg Looking at this list, it feels like a heavy mix—an SSRI, a beta-blocker, an NDRI, plus an antipsychotic combo. I’m really curious about a few things:

  1. How common is a setup like this? Is it pretty standard for doctors to stack these different classes together when treating tougher cases, or is this a bit unconventional?

  2. Wellbutrin + Symbyax combo: Does it make sense to pair Wellbutrin with Symbyax to help balance out things like brain fog, low energy, or blunted emotions?

  3. Long-term experience: If you or someone you know has been on a multi-med regimen like this, how did it go once your body fully adapted?

(Not looking for medical advice, just trying to see if anyone else has been on a similar cocktail and how it worked out for you!)

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3 replies

Not a medical doctor here, but... four medications isn't an insane amount. Depression is a character trait in my family and being on 3-5 different medications isn't out of the ordinary. The question is, is this an experimental treatment (checking what works) or a treatment that is meant to be sustained. Many doctors give antipsychotics just in case or to help with sleep. I myself take antipsychotics for that exact reason. I literally can't sleep without them.

As far as I know, it's completely normal to do a med-combo, not sure how common yours in particular is, but balancing meds is a thing that I've encountered (with a few different doctors).

What I'd personally be worried about in your situation is your liver and stomach (not paranoid, just some healthy concern). Taking a lot of meds can impact that. But like I said, I'm not a doctor, just a semi-professional patient and a medical practitioner (my field has to do with muscles and joints, not the brain, so I guess I could've left that part out. Guess I wanted to justify my diploma). Cheers. Hope my rambling helped in some way.

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Shopping around for a new psychiatrist via Telehealth would be a far better course of action than asking strangers on the internet to evaluate your prescription combination, friend.

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Is this medication combo normal, or is my doctor going overboard? | Spyke