Antidepressants & dexamphetamine - How can these medications affect each other?

Submitted by jane2710 Thu 04/07/2011

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Submitted by jane2710 on Thu, 04/07/2011 - 2:34am.

I haven taken antidepressants (escitalopram) for over two years & started dexamphetamine for ADHD Nov 2010. Since then I have had the worst moods swings and am getting more anxious than when i started the a/d's.

Should i up the dose of a/d's as they are no longer working good enough for me? My psychiatrist told me that the d/mine can cause me to be more anxious when negatively stimulated. So i wonder if more a/d's will balance that out?

I have also considered whether I may be bipolor, or if the dexamphetamine dose if correct. I feel like i can concentrate better since on them, but sometimes it doesnt make enough difference.

I have just started a new accounts job, and worry that I will not be good enough, and I ask questions before I even think about it, and make sure I know what im saying, which makes me look stupid to others.

I want to try to get the meds under control so i am able to do my best work

Hi Jane, I will try to

Submitted by Dr. Lane on Mon, 04/11/2011 - 12:20am.

Hi Jane,

I will try to respond to both your medication questions here.

First, you haven't described anything that, to me, suggests you have bipolar disorder. I doubt that is an issue, although without formally evaluating you I can't say for sure. But nothing you describe really fits that unless your mood swings include manic or hypomanic episodes - most people who say they have mood swings are not referring to that at all.

You mentioned that you've been seeing a psychiatrist and a psychologist. I strongly recommend you discuss all these concerns with them. It is important for you to talk to your psychiatrist about whether or not the dosage you are taking should be adjusted. I cannot give you advice regarding that. It is always best to discuss any questions about medication, as well as any symptoms or side effects you are experiencing with the person who is prescribing them.

If you don't feel you can talk to your psychiatrist, then perhaps you should consider finding someone with whom you do feel more comfortable.

Also, don't make changes to your medication without talking to your doctor first. Medications can be tricky, and any changes should be made only under the supervision of your doctor.

I hope this helps and I wish you the best!

—

Dr. Lane

For Treatment Options Call (877) 331-9311

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