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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Does Depression Aggravate Despite Using Lithium And Wellbutrin?

My 26 yr old son was depressed at the beginning of th year and was prescribed prozac. This precipitated manic episode from mar-jun, during which he was taken off prozac, put on lithium (450) mg, then fell into a severe depression. He was then put on wellbutrin (past 4 weeks) but depression seems to be worsening. altho he has a psychiatrist and a therapist, he is low-functioning and desperate. I am bipolar II myself and have been trying to help him through this but he seems stuck. My question is what else can we do to help him? We are both afraid. Carrie YYYY@YYYY
Thu, 30 Nov 2017
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Psychiatrist,  's  Response
Hello
Bipolar depression is a difficult to treat condition. If he is still in depression, I would advice a dose increment of lithium. The max dose of lithium is 1200mg. It should be increased. Discuss this with your doctor.
Thanks.
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Why Does Depression Aggravate Despite Using Lithium And Wellbutrin?

Hello Bipolar depression is a difficult to treat condition. If he is still in depression, I would advice a dose increment of lithium. The max dose of lithium is 1200mg. It should be increased. Discuss this with your doctor. Thanks.