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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Depression, Taking Medicines, Giddiness During Morning, Feeling Better In Afternoon. Reason?

I was suffering in depression for the past 10years. Now I am taking Veniz XR 37.5 in morning and Sizodon LS & Bupron XL 150 in night. I don’t know when will I get relief from these tablets? Do I have to take medicines life long? While wake up from bed I am getting giddiness and lot of racing thoughts. I couldn’t control my thoughts and I am feeling little bit depressed up to the noon. After noon I am feeling little bit better than the morning. Am I having depression or bipolar disorder or something else?
Thu, 26 Sep 2013
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Psychiatrist 's  Response
Diurnal variation of mood state is a feature that might indicate that your depressive symptoms are worsening

Bupropion 150 mg / day is not a very effective antidepressant particularly in severe depression

Whereas, Veniz-xr does work better in severe depression compared to bupropion

Therefore, you can discuss the possibility of decreasing and stopping bupropion and increasing the dose of veniz-xr to at least 150 mg

You can take a second opinion from another psychiatrist, if you are not satisfied with current psychiatrist
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Depression, Taking Medicines, Giddiness During Morning, Feeling Better In Afternoon. Reason?

Diurnal variation of mood state is a feature that might indicate that your depressive symptoms are worsening Bupropion 150 mg / day is not a very effective antidepressant particularly in severe depression Whereas, Veniz-xr does work better in severe depression compared to bupropion Therefore, you can discuss the possibility of decreasing and stopping bupropion and increasing the dose of veniz-xr to at least 150 mg You can take a second opinion from another psychiatrist, if you are not satisfied with current psychiatrist