Taking Zoloft And Wellbutrin. Have Suicidal Thoughts, Crying, Anger. Due To Missing Dosage?

Posted on Wed, 21 Aug 2013

Question: I've been taking 100 mg of Zoloft & 300 mg of Wellbutrin mostly on regular basis ( I might miss a day by mistake) for past 3 months. It's helped a little I suppose but for last couple of weeks I've experienced an episode of deep depression (suicidal thoughts & lots of crying) or fits of inner rage that eventually makes me cry. Do you think any of this is medicine related? (Perhaps not working ... does missing a day make it not as effective?)
I also take Lisinopril & Amolpodine for BP daily.
I'm supposed to take iron, furosemide, potassium daily but often don't.
I also take Melatonin & Ambia to fall asleep as needed.

Answered by Dr. Hari Om Chandrakar (1 hour later)

Hello XXXXXXX
As per your history , you are taking a cocktail of drugs for your various problems.
As far as psychiatric drugs are concerned, the drug Zoloft contains sertraline and is a antidepressant and the other drug Wellbutrin contains bupropion, which is also a antidepressant.

The suicidal thoughts and crying you are describing is definitely due to medication of yours !! Both antidepressant you are consuming have side effects of suicidal thoughts, clinical worsening, or unusual changes in behavior, within few months of consumption in some patients.

This has no relation with skipping of medicines for a day in between as there is constant blood levels maintained even after skipping the drug.

You are rather advised to XXXXXXX your consulting psychologist to first identify which of those two drug is causing the symptom and then to do a dose adjustment or prescription of a new antidepressant,with lesser side effects.

Hope I have answered your query. If you have any further questions I will be happy to help.

Regards,
Dr Hari Om Chandrakar
MBBS

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Hari Om Chandrakar (2 hours later)

I've been recently laid off & cannot afford to see my psychologist due to owing them money...could my GP doctor help assess dosage? My current psychologist only schedules appointments when past XXXXXXX is paid in full

Answered by Dr. Hari Om Chandrakar (1 hour later)

A general physician is trained to give some psychiatric medications. But it depends on the experience of the GP, the type of medications and dosage he gives and the laws governing medical practice of your country. You can visit your local physician and see if they can help you with the dose changes.

Let me know if you need clarifications.

Regards

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Prasad