How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Ed Wilfong Your Own Question

Dr. Ed Wilfong
Dr. Ed Wilfong, Psychologist
Category: Mental Health
Satisfied Customers: 1528
Experience:  Twenty-five years treating all ages; Specialities: psychopharmacology & diagnosis, MMPI-2, testing.
25396616
Type Your Mental Health Question Here...
Dr. Ed Wilfong is online now
A new question is answered every 9 seconds

Can Cipralex (20mg taken for one year) have like an opposite

Resolved Question:

Can Cipralex (20mg taken for one year) have like an "opposite effect"? ie. my anxiey and oc issues are resolved, in fact, I seem to not care or be anxious by anything - quite the opposite. I am tired have put on 25 pounds and am very "flat"

Other medicatons ie Prozac and Effexor have not worked lately (generic brands anyway).

I also take 300 mg Wellbutrin.

Should I stop cipralex, increase, decrease dose or perhaps add dexedrine or something?

Thank you for your time and consideraton.
Submitted: 4 years ago.
Category: Mental Health
Expert:  Dr. Ed Wilfong replied 4 years ago.
Celexa (Cipralex) doesn't exactly have an opposite effect, but can make you feel somewhat emotionally constricted. It cuts the major bad feelings of anxiety and depression, but many people feel like their range of emotions. It is called an apathetic recovery. Fatigue and weight gain are happen on Celexa, but not as often as some other medications. Wellbutrin is the first choice for treating this.
I need a little more information to make any recommendation.

  • How long have you been on Wellbutrin? Has it made any difference?
  • What is maximum dosage of Prozac you were on and for how long? What did it do, why quit?? Same for effexor.
  • Are you in US or another country (it makes a difference in what doctors will prescribe).
  • What are your priorities in improving the treatment (what can you live with, what is highest priority
Let me know, I am around for another hour or so, and will be back later, so please be patient if you miss me initially.
Customer: replied 4 years ago.
Hi, thank you for your response,

The max. dosage I was on for Prozac was 40-60 and 300 for Effexor - it seems to me the generic meds don't work for me, thus when in Canada, when the patents are up, our medicares system only covers generic, then they seem to stop working. Quite frankly, they all seem to stop working after a year or so which sometimes corresponds to the patent time. Effexor was the best but I had quite uncomfortable side-effects; sweating, blood pressure problems, but it helped the best for depression, fatigue, energy.

I have been on Wellbutrin, 300mg., for a year too (as a counterbalance to sexual side-effects of the Cipralex). I am in Canada - I believe it may be Lexapro in US?

I only been on Wellbutrin, 300mg. alone once, and it seemed to worsen my anxiety.

My biggest issues are anxiety, fatigue, lack of energy, stress management. I have also put on 25 pounds this year, since being on the Cipralex.

I only seem to get majorly depressed,occasionaly, as a result I believe of the anxiety and obsessive compulsive/ruminations the anxiety can bring on. When I do become depressed it is very bad - I have been virtually bedridden a few times for approx. 6 months in the last 10 years. I was also off work those times on disabiliity. I definately know I cannot handle stress. I have moved, changed careers lifestyle etc. to manage that, which has helped to some degree. As has therapy.

Thank you.
Expert:  Dr. Ed Wilfong replied 4 years ago.
Yes, my mistake, it is Lexapro in US. We have same off patent policy here in US. Although there a couple drugs that we used to use where generics have different response, but I have not heard that on any of the drugs you are taking. You mentioned before that Anxiety and Depression were pretty much resolved on Lexapro. Well butrin alone is definite not helpful for anxiety.

As your history would indicate, a combination of medication and psychotherapy will give you best result. Medication would help with stress tolerence. Sometimes, as I mentioned there is an emotional constriction with treatment. Although this happens, sometimes it seems medication related, other just people are so used to living with anxiety and depression, it just feels odd not to have them.

Since the Wellbutrin doesn't seem to be doing much for energy and weight, you might ask doctor about Modafinil may work. It doesn't interact with the lexapro (wellburin has helpful interaction) and is a good try for weight and energy. It is pretty much a stimulant, but not as dangerous as Dexamphetamine (which might be next step, if you doctor doesn't think you are nuts for asking. Here it as restricted as narcotics.

The burning out after a year on each medication (Prozac) is not unusual, especially if underlying personal issues are not worked out. I don't think that has happened yet with lexapro so I would look at Modafinil instead of stopping lexapro.
Dr. Ed Wilfong, Psychologist
Category: Mental Health
Satisfied Customers: 1528
Experience: Twenty-five years treating all ages; Specialities: psychopharmacology & diagnosis, MMPI-2, testing.
Dr. Ed Wilfong and other Mental Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education