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Mental Health (Expert Forum)
Mixing Medications
Answered by
Roger Gould, M.D. - Mental Health, Wellness
Questions posted in the Mental Health forum are being answered by Dr. Roger L. Gould, author of the Mastering Stress and Depression program and affiliated with the UCLA. Department of Psychiatry. Topics covered include anger, attention deficit disorder (ADD) , bipolar disorder , dementia , electroconvulsive therapy (ECT) , learning disabilities, memory, obsessive compulsive disorder (OCD) , panic , personality disorders, phobias , post-traumatic stress disorder (PTSD) , schizophrenia , stress , transitions, and work problems.
Mixing Medications
by kmacdon, Dec 04, 2001 12:00AM
I am a 28 yr old male, just recently diagnosed with ADD. I started with Ritalin, then added Celexa for Depression/Anxiety. Results have been good, now adding Wellbutrin. Is this too much at once?
I occasionally overdose on Ritalin(120-200mg in a day) instead of 60mg if I am up late, lots of work, etc...- Will this cause the ritalin to stop working for me at regular doses?
Finally- how much of a problem is drinking while on these medications?
I occasionally overdose on Ritalin(120-200mg in a day) instead of 60mg if I am up late, lots of work, etc...- Will this cause the ritalin to stop working for me at regular doses?
Finally- how much of a problem is drinking while on these medications?
Doctor's Answer
by Roger Gould, M.D., Dec 05, 2001 12:00AM
, Dec 05, 2001 12:00AM
You have to be careful about drinking with these medications, especially when have used high doses of ritalin. I would not rush into wellbutrin unless you are absolutely sure you need it. Its best to limit medications as much as possible. Occasional high doses should not interfere with prolonged effect, but it is still dangerous to have that much of a stimulant.
Member Comments (1)
by monnie, Jan 01, 2002 12:00AM
To: kmacdon
i used ritalin for a few months, and there were times that i would take more than was prescribed to work late, complete projects, etc., but then i reminded myself that this drug 's purpose is to improve concentration, enable me to slow down enough to think straight, etc. It's purpose is not so i can stay up really late and be a superwoman by overextending my hours of wakefulness. I would suffer from lack of sleep (something that doesn't always make itself immediately problematic), and realized that i was thinking of it more as an answer to the problems that i was perhaps creating for myself by not managing my time better,rather than a doctor perscribed medication for a medical problem. This is just my experience, i don't mean to be pointing any fingers. I do know that after taking more than was perscribed for a few days, that going back to the regular dose, it definitely was'nt as effective in treating the condition it was perscribed for. I guess what i'm saying is that if doctor's perscribed meds to help people get more done in a day, pharmacies would all be open 24 hours a day, with lines out the door. Please be careful with those high doses, they can effect you differently at different times, and it gets easier to take them more often as time goes on. Stay healthy!
