Mental Health

Have mental health questions? Ask a psychiatrist online

Ask an Expert,
Get an Answer ASAP!

This answer was rated:

I am on the following medication: 2 x 150mg Venlor XR

Hi I am on the...
Hi I am on the following medication:
2 x 150mg Venlor XR (venlafaxine)
1 X 50mg Solian (at night)
1 X 200mg Epitec (at night)
1 X 100mg Topamax (at night)
1 X 150mg Wellburtin (morning)
My Psychiatrist has recently prescribed me 36mg concerta to help me to concerntrate during a very demanding Masters year however the concerta seems to have no effect at all. Is one of my other medications cancelling it out?
Show More
Show Less
Ask Your Own Mental Health Question
Customer reply replied 1 year ago
very demanding
Answered in 20 hours by:
4/30/2017
Dr. Kaushik
Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 4,771
Experience: MD Psychiatry
Verified

Greetings.

Welcome to the site.

I am a Psychiatrist and i believe i can help you with your query.

May i please ask you what is your diagnosis for which you have been prescribed these medications ?

Regards

Ask Your Own Mental Health Question
Customer reply replied 1 year ago
I have been diagnosed with major depressive disorder. However I have been somewhat treatment resistant in the past. This is the first combination of meds that seems to really be working for me.The Topamax was added due to the fact that I have a tendency to gain weight on my medication.
The Epitec is there as my mood has a tendency to fluctuate, I have never experienced highs only fluctuating lows however- which is why I never got a dignosis of bipolar 2. My moods have been very consistent now for the past year.My only problem now is concentration, which could possibly be a side effect of the Topamax unfortunately.

Why is solian added ? It is a dopaminergic antagonist agent and it seems to be the one which is interfering with the action of concerta, usually combination of an antipsychotic medication like Solian and a brain stimulant like concerta is not used because they tend to nullify each other's action.

So if you can ask doctor to stop or bring you off solian then you may see concerta helping you with your lack of concentration, focus and memory.

I hope this makes sense.

Wish you all the best.

Please kindly leave a POSITIVE RATING if you are satisfied with the answer.

Regards

Ask Your Own Mental Health Question
Customer reply replied 1 year ago
The solian was added for anxiety, however I will consult with my doctor about this because I feel that it is doing more harm than good at this point.Thank you for your assistance.Regards!

Well, solian is not the right choice for anxiety and it seems to be having no use in your drug regime. For anxiety you need to take klonopin or ativan 0.25 mg on PRN basis that is as and when required basis at times of anxiety.

I hope this helps.

May i please request you to kindly leave a POSITIVE RATING if you are satisfied with the answer.

Regards

Dr. Kaushik
Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 4,771
Experience: MD Psychiatry
Verified
Dr. Kaushik and 87 other Mental Health Specialists are ready to help you
Ask your own question now
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with a mental health professionalLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask Dr. Kaushik Your Own Question
Dr. Kaushik
Dr. Kaushik
Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 4,771
4,771 Satisfied Customers
Experience: MD Psychiatry

Dr. Kaushik is online now

A new question is answered every 9 seconds

How JustAnswer works:

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

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 MollPretoria, 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!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, 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.

ElanorTracy, 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.

JulieLockesburg, 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 StefanieTucson, 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 VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Dr. Keane

Dr. Keane

Therapist

1,379 satisfied customers

Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.

TherapistMarryAnn

TherapistMarryAnn

Therapist

4,021 satisfied customers

Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.

Dr. Olsen

Dr. Olsen

Psychologist

2,336 satisfied customers

PsyD Psychologist

Norman M.

Norman M.

Principal psychotherapist in private practice. Newspaper contributor, over 2000 satisfied clients on JA

2,246 satisfied customers

ADHP(NC), DEHP(NC), ECP, UKCP Registered.

Dr. Michael

Dr. Michael

Psychologist

2,177 satisfied customers

Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.

Steven Olsen

Steven Olsen

Therapist

1,728 satisfied customers

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

Anna

Anna

Mental Health Professional

1,656 satisfied customers

Licensed Clinical Social Worker with 29 years in addictions and mental health.

< Previous | Next >

Related Mental Health Questions
I have bipolar disorder for 20 years, and i take 500mg
I have bipolar disorder for 20 years, and i take 500mg Depakote morning and night, Zoloft 50mg in the morning, and SEROQUEL 200mg at night, because i sleep more than 16 hours a day and my doctor chang… read more
Dr. Kaushik
Dr. Kaushik
Psychiatrist
4,771 satisfied customers
I have been diagnosed with ocd and anxiety and was put on
Good morning. I have been diagnosed with ocd and anxiety and was put on paxil which didn't work only made symptoms worse and then was put on Prozac which really made things worse so then we settled wi… read more
Ashleigh
Ashleigh
Neurodevelopmental Psychologist
Master of Education in Educational Psychology
20 satisfied customers
I'm 52 years old and married to a mixed bipolar man, I was
Hi, my name is ***** ***** I'm 52 years old and married to a mixed bipolar man, I was diagnosed with ADHD about 25 years ago and I also have other mental health and physical problems and have been on … read more
Dr. RK
Dr. RK
Physician
Doctoral Degree
2,542 satisfied customers
I have suffered from depression and anxiety (situation) for
I have suffered from depression and anxiety (situation) for a long time. I want to get pregnant so stopped my anxiety med still on welbutrin. My psyc does not believe In Xanax. How can I get a small d… read more
Ashleigh
Ashleigh
Neurodevelopmental Psychologist
Master of Education in Educational Psychology
20 satisfied customers
What is the difference between ultra rapid bipolar and
What is the difference between ultra rapid bipolar and borderline personality disorder? … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
1,053 satisfied customers
Help copping with Bipolar / GAD girl friend. Too much to
Help copping with Bipolar / GAD girl friend. Too much to explain by text as well hard for me to express things by text as well, would like to talk by phone.Some time ago talked to LeahMSWuofm… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
1,053 satisfied customers
I have a history of Bipolar disorder mainly depressed. And
i have a history of Bipolar disorder mainly depressed. And avoidant and borderline personalty traits. My mood has been sent into a tail spin recently.. Just tired of these "pinballing" thoughts that w… read more
Dr. Kaushik
Dr. Kaushik
Psychiatrist
4,771 satisfied customers
I was diagnosed with anxiety disorder and insomnia Is it
I was diagnosed with anxiety disorder and insomnia Is it severe enough to get me state mental hospital??… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
4,144 satisfied customers
Is -e supplement really a good supplement for anxiety or
Second opinion] Is SAM-e supplement really a good supplement for anxiety or depression? Doe it have any harmful side effects? It seems to help people that have mild anxiety and slight depression sympt… read more
Dr Rossi
Dr Rossi
Doctoral Degree
1,564 satisfied customers
I have a question about anxiety. How does enough anxiety
I have a question about anxiety. How does enough anxiety cause emotional apathy? How can I get rid of emotional apathy and increase sensitivity instead of decrease? … read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
4,021 satisfied customers
I have a history of major depressive disorder. I take
I have a history of major depressive disorder. I take medications and have been well for over 5 years. Having dealt with my depression I believe I am fully aware of my signs and symptoms leading to an… read more
Patience
Patience
Mental Health Therapist
Master\u0027s Degree
116 satisfied customers
My husbands mother had bipolar. In the past few years he has
my husbands mother had bipolar. In the past few years he has been irritable, mentally abusive, always working, stopped paying bills, and seeing escorts. However, he still manages to keep his job. coul… read more
Dr. Kaushik
Dr. Kaushik
Psychiatrist
4,771 satisfied customers
I need help dealing with my anxiety and depression. It
I need help dealing with my anxiety and depression … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
1,053 satisfied customers
What are the symptoms of bipolar disorder. I was diagnosed
I was diagnosed but gp but my symptoms fit anxiety depression … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
1,053 satisfied customers
Is it possible to be bipolar and schizophrenic at the same
Is it possible to be bipolar and schizophrenic at the same time? Google say no by definition, whereas I hear some doctors say yes. Is there a clear answer?… read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
4,021 satisfied customers
I have Major Depressive Disorder that I manage well with
Hello,I have Major Depressive Disorder that I manage well with Trintellix. My older sister also has the same diagnosis. She was diagnosed at 65 with MCI. She is now in full blown Alzheimer's 7 years l… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
1,053 satisfied customers
I have been treated for bipolar, but the treatments have not
I have been treated for bipolar, but the treatments have not helped me. I feel like I'm in a fog, concentration is nonexistent now. I have been studying for a while now, spending hours reading and res… read more
llw26
llw26
Private Practice
Doctoral Degree
11 satisfied customers
I'm a Bipolar 36 year-old male with severe anxiety and
I'm a Bipolar 36 year-old male with severe anxiety and depression. What is the best anxiety medicine I should be taken? I've taken Clonazepam for 8 years and it no longer helps. Would another drug lik… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,799 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x