Just joined....I have been battling Major Depressive Disorder for approximately two years....

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New Member

Date Joined Apr 2007
Total Posts : 1
   Posted 4/16/2007 11:17 PM (GMT -6)   
Hello everyone.  Just thought I would introduce myself and tell everyone I am new.  I am a mother of two and married to my highschool sweetheart.  My depression started out as Compound Situational Stress Disorder but went downhill from there.  I have been on a number of antidepressants.  Paxil and one called Remron I think.  Now I am on Wellbutrin in the morning and Effexor at supper time.  I am told that I am taking over the prescribed amount recommended by a pharmacist and that I should have signed a paper at the drugstore advising me of this but I haven't discussed this with my doctor or the pharmacist - anyone ever heard of this???

Veteran Member

Date Joined Oct 2005
Total Posts : 4031
   Posted 4/17/2007 5:09 AM (GMT -6)   
Hi justbeingme, welcome to healing well forum, we are most happy to have you join us here.  No, I have not ever heard of this at all...your psychiatrist is within his rights as a physician to prescribe over the recommend dosing by the FDA if he feels it is necessary.  That is between your physician, you and your insurance company, not the pharmacy to decide what is right for you to take.  Nor, have I ever heard of a pharmacy making a patient signing anything to this effect. 
I would talk with your doctor about this and if they continue to give you problems at the pharmacy perhaps look into changing.  I dont know where you are getting your meds filled but I have seen many articles in the paper where Wallgreens have given patients problems when it comes to getting psychotropic medications filled.  I guit getting my meds filled at Wallgreens several years ago due to this and went to a smaller pharmacy.
Are you doing okay taking taking your Effexor in the evenings?  What dosage are you on may I ask?  I take Effexor Xr at 225 mg in the morning and another 37.5 mg in the early afternoon.  This dosage is also above recommended prescribing dosage as well but it is working very well for me.  I couldnt imagine taking it in the evenings since it tends to give me quite a boost of enery...I would be be awake all night I imagine...lol!
Anyhow, I am sure you will hear from many of our other members on this.  I do hope you keep posting here as this site is very informative and everyone is so supportive.  Take care

Co~Mod: Depression
Moderator: Heart & Cardiovascular Disease

Veteran Member

Date Joined Jan 2007
Total Posts : 870
   Posted 4/17/2007 1:18 PM (GMT -6)   
:-)  Welcome to the site.  God bless you.

New Member

Date Joined Mar 2007
Total Posts : 5
   Posted 4/17/2007 6:29 PM (GMT -6)   
Hello and welcome!
I wanted to say that I really like your screen name JustBeingMe and that I too have been on amounts of psychotropic medication that I know exeeded the recommened dosage, and have never had a problem. I would agree with Els that you might try switching pharmacies. The staff persons really shouldn't be harassing you like that.
I also wanted to ask if you have been doing therapy alongside the medications. I'm am a little biased I admit, ... but I tend to beileve that meds alone are not nearly as helpful as with weekly or biweekly therapy sessions. If you wanted to try looking into counceling as an option, which I would recommened... there is a new website up called http://goodtherapy.org, which has a free index of therapists organized by location.
I am bipolar myself and I would swear up and down to anyone, that the therapy that helped me more than any of the medications ever could. Once you stop taking the meds...things go back to the way they were before... not so with therapy. Therapy done right, equipts the you with coping skills and a new persepctive you use for life. Meds give you a head start, a stable environment in which to help yourself heal. In other words, I beileve that meds help you along the way to healing yourself...and I would be suspicious of anyone tells you that medication alone is a cure all.
Well, sorry about the rant... and again, welcome to the site!
- gjk

Regular Member

Date Joined Jan 2007
Total Posts : 184
   Posted 4/18/2007 4:48 PM (GMT -6)   
Some states have prescribing laws that require the patient to consent in writing when prescribed doses in excess of the FDA limit. It's not a big deal and keep in mind that psychiatrists often do prescribe over the FDA dosage limit when treating depression and other disorders.

I myself was prescribed 250mg of Zoloft last year when I had a mini-relapse and was very nervous about it. My psychiatrist explained to me the FDA limits are simply what the drug company was willing to provide by way of clinical dose studies in order to secure approval for the drug. It doesn't mean people don't take higher doses and receive a benefit.

I had no problems with the higher dose and eventually weaned back down to a maintenance dose.

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