Cancer, Health, Medication, Mental Health

Psychiatry Wednesday

I met with Dr. W today.  A ton of stuff is going on with my cancer treatment and its intersection with my psychiatric treatment.  I had two options.  One was going off the Wellbutrin and going on Tamoxifen.  The other was using Lupron to shut down  my ovaries and using the drug for post-menopausal women.

I was going to start with the Lupron combo because I was having so much trouble coming off the Wellbutrin.  But…  Yes, there’s always a but with me.  Lupron doesn’t play nice with Haldol and Celexa.  I found out after looking up side effects of Lupron.  I came across the drug interactions.  There were big red stoplights next to the two drugs.  Some kind of cardiac problem that I simply don’t understand.  I guess that puts me between a rock and a hard place.

So after some discussion with Dr. W, we decided to go with the Lupron option.  The Wellbutrin was working so well for me.  I’m going to go down on the Celexa along with up on the Wellbutrin and Zoloft.  Together we decided to go up another two milligrams on the Haldol over the next few days.  That seems like a funny decision, but with other things changing (Zoloft up, Celexa down, Wellbutrin up) it’s best not to change too many things at once.  But up on the Haldol because the voices are still a big problem and are quite distressing.

I see Dr. W again in a week and half.  We’ll make some more adjustments then.  I’m not looking forward to this transition, but it’s necessary.

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