Changing Medications (Depression)

Was this for post partum or PMS related issues? If not, I would suggest that you visit a psychiatrist. They are truly the best at prescribing these medications and know what side effects you can expect. Weight gain is much more of an issue for antidepressants than weight loss, so you have a great many choices if that is not an issue for you. Why you would be prescribed one with that side effect is beyond me, more reason to see someone who specializes in these medications.

M.

I would really ask for a referral to a psychiatrist. OB/GYNs are great for delivering babies and taking care of reproductive systems. But they don't have the depth of experience in dealing with depression, especially since this could involve experimenting with meds.

You wouldn't hesitate to go to a dermatologist for serious skin issues, or an orthopedic specialist for a broken bone. It's no different going to a psychologist for mental health; it doesn't mean your crazy or anything. And a psychologist is a medical doctor, they just have spent their residency and following years in mental health. Plus, he can connect you with a councilor which, I know from experience, can have as much (or sometimes more) to do with making your way back to health than the meds alone.

It depends on the doctor whether or not he'll want to see you before changing medication.

I agree with Martha that it might be better to see a specialist for anti-depressant medication. I see a nurse practitioner whose entire practice is focused on medication issues. You can ask the doctor for a referral if you don't know of anyone. He has always wanted to see me before changing medications.

If you have insurance that will pay for a psychiatrist that is the best option.

It is also possible that your ob/gyn has taken the time to learn more than the basics about medications. If that's the case, he can be helpful.

You didn't say which medication you're on. Do not stop taking it cold turkey. It's especially more dangerous for some than for others than for others. The doctor will tell you how to wean yourself off of one and get started with a new one.

I would see a psychiatrist (or at least your PCP), not an OBGYN, for 'mental meds.' The brain is tricky to diagnose, there are many factors, and there is some trial and error with meds (unless they do some brain scans to 'look' at what is out of balance). I think it is rare for the 'right' meds to be perscribed the first time. Do not stop taking them until you talk to your doctor - or preferably a psychiatrist. (Call local United Way 211 service to find one that takes your insurance.)

Absolutely agree with Julia N.

I'm sure your obgyn is a wonderful and competent doctor but you really ought to see a psychiatrist. If you had a choice would you want your ob or a psychiatrist deliver your baby? Sure both have medical degrees and are completely capable of doing this but the ob is the better choice. As a result, you should ask for a referral for a psychiatrist as they are better versed in mental-health issues.

Maybe do some research tomorrow and try to find a psychiatrist in your area or you could wait until Friday to speak with your doctor. At any rate, thumbs up to you for being so in touch with your mind and your body to recognize these changes and feeling empowered to do something about it.

It depends, some dr's want to see you when they change meds. Just make a note and leave it where you will see it and not loose it. I hope the new med works for you.

usually you get your appetite back after a couple of months.

Most of the time when they change medication they will gradually ween you down from the one, until you are completely off it and start you on a new one.

This is a common side effect of Welbutrin. How is it working otherwise? If it's working well, talk to him about adjusting the time you take it during the day, or ask him for advice about food that will stimulate your appetite.

It can be so tricky to find an antidepressant that works, I'm thinking your doc might try to work on the weight/eating issue instead. So many side effects can be truly unbearable, I'd hestitate to switch if it's working and that's it. As many have said though, a good specialist would be good to consult. Perhaps he/she would add another med at a lower dose to help w/the weight appetite issue. Hang in there, and eat some avocado and nuts while you're waiting. ;-)