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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Chronic Depression Be Treated?

I ve have been on depression medicine for years and every medicine I ve tried has made me put on weight , the only one that didn t was wellbrutrin, but now i have built a tolerance for it, so my dr tried another med and i put on 7 ib in a month is there any med that won t make me put on weight, or could i take a diet pill with depression med to cut back weight gain, can t afford to keep buying bigger clothes, who give a depressed person a pill that makes them feel worst with all the weight gain, feel so sad and fat
Wed, 21 Feb 2018
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Psychiatrist,  's  Response
hi sir
I have gone through your question and understand your concerns regarding your health issues.

in my opinion, presently your suffering from recurrent depressive disorder and which need to be treated immediately.

regarding treatment options, main drug of choice is antidepressants. but, mostly all got weight gain as main side effect with few exceptions like bupropion and to some extent vilazadone. as you already tried bupropion (welbutyrin), I would recommend you to try vilazadone starting with 20mg and slowly escalating dose to 40mg.

I also recommend to add cognitive behavioural therapy as an add on treatment.

if both bupropion and vilazadone are not successful, and if cognitive behavioural therapy fails....then...I advise you to strat antidepressant along with tablet Metformin to stop gaining weight.
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How Can Chronic Depression Be Treated?

hi sir I have gone through your question and understand your concerns regarding your health issues. in my opinion, presently your suffering from recurrent depressive disorder and which need to be treated immediately. regarding treatment options, main drug of choice is antidepressants. but, mostly all got weight gain as main side effect with few exceptions like bupropion and to some extent vilazadone. as you already tried bupropion (welbutyrin), I would recommend you to try vilazadone starting with 20mg and slowly escalating dose to 40mg. I also recommend to add cognitive behavioural therapy as an add on treatment. if both bupropion and vilazadone are not successful, and if cognitive behavioural therapy fails....then...I advise you to strat antidepressant along with tablet Metformin to stop gaining weight.