for Depression, Migraines, Bipolar Disorder, Epilepsy, Schizophrenia, & Assorted Other Brain Cooties

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The {Whatever Your Co-Pay Is} Dollar Questions

Too many of us are overwhelmed by our lives in general, and not just our medical conditions. We often get nothing more than 15-minute appointments with overworked doctors or nurse-practitioners, so we need all the help we can get. We need to talk to our prescribers about the best medication1 to treat our conditions, and not the most profitable and/or cheapest ones2. OK, in reality “best” usually translates to “least bad,” but you get the idea. We need answers to questions that we probably don’t get a chance to ask, such as: 3

Q Which antidepressant won’t give me a libido-ectomy?

Wellbutrin (bupropion) is not only the least likely cause that sort of problem, it can even help if your libido isn’t all that you think it’s supposed to be in the first place. But you don’t want to take it if anxiety is part of the problem. SSRIs in general, and Paxil in particular, are what you want to avoid if you’ve had problems in that area, but are the best meds to treat the depression & anxiety combination. SNRIs like Pristiq and Cymbalta can be just as bad for men, and almost as bad for women when it comes to killing libido, but really great when it comes to making depression go away. And for some women they can also help with their sexual response.

Q Aren’t there a bunch of meds that make you eat everything in sight?

Yes. Zyprexa (olanzapine), Seroquel (quetiapine), and Remeron (mirtazapine) are the worst. With Remeron you’ll want to eat anything that looks, smells, or sounds like the name for a doughnut.

Q There are some that make you forget what … what was … ?

You’re already taking Topamax (topiramate), aren’t you?

Q Yeah, that’s the one. Hey! How did you know I was taking Topamax?

Because sometimes I forget why I cake Topamax.

Q What will make The Crazy stop right the hell now so I don’t hurt myself or anyone else?

Zyprexa (olanzapine), maybe Depakote (divalproex sodium). Maybe both if you’re so manic you think you’re Jesus and have already written a 200-page book outlining your plan for the New Millennium.

Q Don’t those make you fat?

Does that matter if you kill yourself next week? Once you calm the hell down you and your doctor can figure out the best long-term solution.

Q Is there an AED that will make the brain cancer seizures go away, and maybe, you know, if it’s not too hard, make the brain cancer go away too?

Keppra (levetiracetam)

Q Really? I was just kidding about the brain cancer.

Really. Keppra can help chemo kill cancer. These meds are a lot better for you than most people think.

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1 Or legitimate non-drug therapies such as the vagal nerve stimulator (VNS) or transcranial magnetic stimulation (TMS).

2 Although sometimes the latest and most profitable drug is the one you need, and it can be a fight with the insurance company to pay for it. And sometimes something old a cheap will work best for you, and not the new and shiny med your doctor suggests because the pharm rep just left a cabinet full of samples.

3 Note how I've emphasized the word ADULT. Crazymeds deals with adults. Other than listing a medication's pediatric approvals, warnings about not prescribing a med to kids, and reminding some people how lucky they are to not have children with specific forms of neurological or psychiatric disorders, we don't deal with children. We especially do not deal with kids on the Crazy Talk forum. Parents: you'll need to go elsewhere. I don't have the emotional stamina to help you.

Finding the Treatment Options that Suck Less by Jerod Poore is copyright © 2010 Jerod Poore

Last modified on Saturday, 03 September, 2016 at 02:40:56 by JerodPoorePage Author: Jerod PooreDate created: 15 September 2010

All drug names are the trademarks of someone else. Look on the appropriate PI sheets or ask Google who the owners are. The way pharmaceutical companies buy each other and swap products like Monopoly™ real estate, the ownership of any trademarks may have changed without my noticing.

Page design and explanatory material by Jerod Poore, copyright © 2003 - 2016. All rights reserved. See the full copyright notice for full copyright details.
Don’t automatically believe everything you read on teh Intergoogles. No warranty is expressed or implied in this information. Consult one or more doctors and/or pharmacists before taking, or changing how you take any neurological and/or psychiatric medication. Your mileage may vary. What happened to us won’t necessarily happen to you. For more details see the Crazymeds big-ass disclaimer.

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