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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Safe To Take Remeron And Ellbutrin For Depression And Anxiety?

I am 42 and am 6 weeks pregnant. I was on Citalopram HBR 40 MG but stopped when my therapist put me on Remeron 15mg and Wellbutrin 300mg for depression and anxiety. I stopped celexa one day and started the wellbutrin the next. I was told to stop the wellbutrin and remeron the day I found out I was pregnant which was last week. I am so tired but when I go to bed in the evenings I seem to panic and get up and pace. I finally fall asleep on the couch in an upright position. Even then it is only for a few hours. I desperately need help with known what to do to sleep and to go back on my meds. My husband said if he would have known this we would have never tried for another one. We have a 3.5 little girl. I have to stay busy during the day so that I am not crying all day and I panic when there is nothing to do.
Fri, 25 Jul 2014
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Psychiatrist,  's  Response
HI, thanks for the query. As such no drug is entirely safe in pregnancy & both mirtazapine (rameron) & bupropion (welbutrin) are no exception. Both fall under FDA category C i.e. to be used only if benefit outweights the risk. Hence you should consult your Psychiatrist & your Ob/Gynac doctor before continuing these medications. Secondly, considering your symptom profile; welbutrin is not a good choice as welbutrin itself causes flare up of anxiety & panic attacks. Single drug use Mirtazapine between dose 15-45mg per day (all dose taken at night) is an excellent anxiolytic & will take care of all your symptoms. As you are preganant & wont be safe to use SOS anxiolytic like clonazepam, etizolam; hecne also consult a Psychologist to learn relaxation exercise, cognitive behaviour therapy (CBT) where you will learn exposure & response prevention (ERP), autogenic relaxation training etc. Supplement all of this with yoga & pranayam & you will soon get well. Good Luck
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Is It Safe To Take Remeron And Ellbutrin For Depression And Anxiety?

HI, thanks for the query. As such no drug is entirely safe in pregnancy & both mirtazapine (rameron) & bupropion (welbutrin) are no exception. Both fall under FDA category C i.e. to be used only if benefit outweights the risk. Hence you should consult your Psychiatrist & your Ob/Gynac doctor before continuing these medications. Secondly, considering your symptom profile; welbutrin is not a good choice as welbutrin itself causes flare up of anxiety & panic attacks. Single drug use Mirtazapine between dose 15-45mg per day (all dose taken at night) is an excellent anxiolytic & will take care of all your symptoms. As you are preganant & wont be safe to use SOS anxiolytic like clonazepam, etizolam; hecne also consult a Psychologist to learn relaxation exercise, cognitive behaviour therapy (CBT) where you will learn exposure & response prevention (ERP), autogenic relaxation training etc. Supplement all of this with yoga & pranayam & you will soon get well. Good Luck