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What Causes Depression, Agitation And Jittery Post Withdrawal From Antibiotics For ADHD?

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Posted on Mon, 11 Jul 2016
Twitter Mon, 11 Jul 2016 Answered on
Twitter Mon, 1 Aug 2016 Last reviewed on
Question : Hello,

I recently gave birth to a baby two months ago. Prior to getting pregnant I was on Wellbutrin, Adderall XR, and Risperdal, (DX with Bipolar Disorder and ADHD) which I stopped taking immediately as soon as I found out I was pregnant. I made it until the 36th week of pregnancy without meds, but felt at that point I had to start taking something because I was really depressed and was worried it affect my ability to care for the baby. My psychiatrist put me on 100 mg of Wellbutrin, which I tolerated pretty well. However, after giving birth, my mental health went down hill fairly rapidly and I am suffering from ppd. On a side note, I am in therapy. My current medications now are Wellbutrin 150 mg, Risperdal 1 mg, Adderall XR 30 mg, and Ativan 0.5 3xs per day ( I usually only take it at night to help me sleep according to her schedule). However, I am still really struggling, and have crying spells that last hours daily or at least cry at one point everyday. I'm also feeling very agitated, jittery, and restless. I have no motivation to do anything, but force myself to get things done. At times, I'm finding myself feeling very withdrawn and just want to be alone, and I NEVER want to have any company. I also have become very restrictive with my food, and overly preoccupied with my weight. Since giving birth two months ago, I'm already 15 lbs less than my PRE PREGNANCY weight. I wanted to loose weight, but now it seems like it is becoming obsessive. What's more is that I used to have an eating disorder when I was 19-20 years old, so I know these symptoms all to well. This is the first time since I was 20, that I'm seeing any of those symptoms again (I'm 31 now). I feel like once the doctor upped my Wellbutrin from 100 mg to 150 mg, all these symptoms started to get worse. I cry a lot just cause I can't stand how I feel, it just doesn't feel normal to me. Could the Wellbutrin me the cause of some of these symptoms and maybe it is not interacting well with the Adderall ? I saw my psych on Saturday, and he feels that the excessive crying is "grief" for my pre baby life when things were easy and didn't have to care for a baby 24/7. It is a huge adjustment, but I do feel something else is going on. Any insight you can provide me with would be greatly appreciated, I just want to be healthy for my baby.
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (3 hours later)
Brief Answer:
Increasing dose of risperdal could be answer for now

Detailed Answer:
Hello,
Thanks for using Health care magic.

I read your query with keen interest and understand your concerns.

From the available description there is no doubt about diagnosis but I feel there is need to up the dose of used mood stabiliser medication which is risperdal here.

I do not think increasing dose of wellbutrin could be a reason for mentioned symptoms as most symptoms are target for wellbutrin treatment rather than complicationsof wellbutrintreatment.

In addition I disagree with your psychiatrist as excessive crying is part of post partum depression rather than result of caring burden.

I hope this helps you.
If you have more questions feel free to write back to me.
Thanks and regards.


Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (2 hours later)
Thank you so much for you professional opinion. I really don't want to increase the risperdal due to fear of weight gain. I was on Effexor for years and feel I did a lot better on it than Wellbutrin. Do you think that would be worth the switch ?
Yes, I'm very concerned of the crying, it's everyday and sometimes for hours on end. I'll be walking through the grocery store crying or in the middle of a pedicure have tears down my face.
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (4 hours later)
Brief Answer:
SSRI can be better option that effexor particularly Prozac

Detailed Answer:
Hello,
Thanks for reverting back to me.

I understand your concern of weight gain and I think there is no harm while looking for alternative options.

Since you have the history of good response with effexor it can be used again as past history significantly indicates potential of particular medication.

Having said this I feel Prozac could be better option considering bipolar disorder (less risk of switch to mania) and eating disorder (helpful in eating disorder for some extent). If you have already used prozac in past and had negative response that effexor can be considered the first option.

I hope this assists you further.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3347 Questions

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What Causes Depression, Agitation And Jittery Post Withdrawal From Antibiotics For ADHD?

Brief Answer: Increasing dose of risperdal could be answer for now Detailed Answer: Hello, Thanks for using Health care magic. I read your query with keen interest and understand your concerns. From the available description there is no doubt about diagnosis but I feel there is need to up the dose of used mood stabiliser medication which is risperdal here. I do not think increasing dose of wellbutrin could be a reason for mentioned symptoms as most symptoms are target for wellbutrin treatment rather than complicationsof wellbutrintreatment. In addition I disagree with your psychiatrist as excessive crying is part of post partum depression rather than result of caring burden. I hope this helps you. If you have more questions feel free to write back to me. Thanks and regards.