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Re: Wellbutrin SR and cea

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I think its pretty absurd to be on psyshiatric medications for a

treatable skin condition. The answer to the problem lies in fixing

the fixable skin. Did you try accutane 10 mg qod?

> Anyone had any experience with wellbutrin SR? Any Side effects?

How did it effect your rosacea? My Dr. wants to put me on it for the

anxiety and deppression caused by this skin condition and I am a

little bit leary...I had never heard of it before. Please let me know

your thoughts and if you think it is OK to take.

> Thanks for the help!

>

> ------------------------------------------------

>

>

>

>

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----- Original Message -----

> I think its pretty absurd to be on psyshiatric medications for a

> treatable skin condition. The answer to the problem lies in fixing

> the fixable skin. Did you try accutane 10 mg qod?

Well, I would disagree with you here. Anxiety and depression will affect the

quality of sleep, and will also result in a much higher stress level. Both

stress and lack of sleep will be reflected in the condition of your skin, so

one might counter-argue (nice word, eh?) that one hand you are on meds

(Accutane) while on the other hand you keep feeding the problem by the

anxiety and depression. I cannot speak on behalf of anyone else except

myself, and I can say that depression robbed me of many hours of sleep. I

would typically wake up around 3 am, toss for an hour, then, completely

awake I would read for another hour until I felt sleepy again. I would then

fall asleep only to get up at the regular time feeling like a zombie. It was

hard to go through the day, I was always feeling tired and sleepy.

Again, I don't know what are 's symptoms, but in general it makes

sense to me.

Alena

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> Anyone had any experience with wellbutrin SR? Any Side effects?

How did it effect your rosacea? My Dr. wants to put me on it for the

anxiety and deppression caused by this skin condition and I am a

little bit leary...I had never heard of it before. Please let me know

your thoughts and if you think it is OK to take.

> Thanks for the help!

LynnLee222, Wellbutrin (bupropion) is a well-known anti-depressant

that has its own pharmacokinetics and mechanisms, distinct from

SSRIs, MAOIs, or tri-cyclic antidepressants. Many people have heard

of Zyban, a low dose version of buproprion used as an aid in stopping

smoking. The SR stands for sustained release, which means it only

needs to be taken once a day.

No one can tell you if it's OK, that's something you need to discuss

candidly with your doctor. I don't see an obvious problem prescribing

Wellbutrin for a patient with rosacea.

Hope that helps.

Marjorie

Marjorie Lazoff, MD

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> Anyone had any experience with wellbutrin SR? Any Side effects?

How did it effect your rosacea? My Dr. wants to put me on it for the

anxiety and deppression caused by this skin condition and I am a

little bit leary...I had never heard of it before. Please let me know

your thoughts and if you think it is OK to take.

> Thanks for the help!

LynnLee222, Wellbutrin (bupropion) is a well-known anti-depressant

that has its own pharmacokinetics and mechanisms, distinct from

SSRIs, MAOIs, or tri-cyclic antidepressants. Many people have heard

of Zyban, a low dose version of buproprion used as an aid in stopping

smoking. The SR stands for sustained release, which means it only

needs to be taken once a day.

No one can tell you if it's OK, that's something you need to discuss

candidly with your doctor. I don't see an obvious problem prescribing

Wellbutrin for a patient with rosacea.

Hope that helps.

Marjorie

Marjorie Lazoff, MD

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No cracked rib, Alena. How about a burst pustule?

A depressed person can be overly sensitive to or obsess over their

rosacea, but treating -- even curing! -- the rosacea will not treat

the depression. As you correctly stated, depression is a

neurochemical imbalance (which chemicals and mechanisms are involved

differ, which is why different medications help different people).

Everyone gets frustrated and upset with physical imperfections -- a

new pimple, gaining a few pounds, a bad hair day. That's not

depression. Also not depression is a realistic sadness over a

demonstrable physical limitation. But after a self-limited " mourning "

the loss of health is accepted in its proper light, and life goes on.

One possible guideline to distinguish a pathologic psychological

response to anything, including chronic skin conditions: does it

interfere with your work/school, with your social life, with the

overall enjoyment of your life? It may interfere with a rare day at

work, or a rare date, or cause a miserable day -- that happens to

everyone with real physical impairments. But the coping mechanism

used by a non-depressed person with rosacea is to do all within

reason to properly manage their skin, but not to let their skin

management or appearance unduly interfere with their life, or risk

their health over some pimples or some redness.

A depressed person is not capable of understanding that approach, it

feels like giving up, or too complicated or involving too much

energy, or too embarrassing or humiliating, etc.

Marjorie

Marjorie Lazoff, MD

> > I think its pretty absurd to be on psyshiatric medications for a

> > treatable skin condition. The answer to the problem lies in

fixing

> > the fixable skin. Did you try accutane 10 mg qod?

>

> There was one more thing that I wanted to mention. You are saying

> " psychiatric medication " and it sounds to me as if it was something

to be

> ashamed of. (I do not know if that's what you meant - email

communication

> can be misleading, so I apologize if it is only my impression).

Depression,

> however, is a disease just like any other and is actually caused by

a

> chemical imbalance in the brain. (I believe the neuropath is damaged

> somewhere so that serotonin does not travel where it should but I

can see

> Marjorie cracking a rib at this explanation so let's just stay with

the

> chemical imbalance!). :-) So it is a condition that should needs to

be

> treated, just like rosacea, or a broken leg. Just my two cents.

>

> Alena

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No cracked rib, Alena. How about a burst pustule?

A depressed person can be overly sensitive to or obsess over their

rosacea, but treating -- even curing! -- the rosacea will not treat

the depression. As you correctly stated, depression is a

neurochemical imbalance (which chemicals and mechanisms are involved

differ, which is why different medications help different people).

Everyone gets frustrated and upset with physical imperfections -- a

new pimple, gaining a few pounds, a bad hair day. That's not

depression. Also not depression is a realistic sadness over a

demonstrable physical limitation. But after a self-limited " mourning "

the loss of health is accepted in its proper light, and life goes on.

One possible guideline to distinguish a pathologic psychological

response to anything, including chronic skin conditions: does it

interfere with your work/school, with your social life, with the

overall enjoyment of your life? It may interfere with a rare day at

work, or a rare date, or cause a miserable day -- that happens to

everyone with real physical impairments. But the coping mechanism

used by a non-depressed person with rosacea is to do all within

reason to properly manage their skin, but not to let their skin

management or appearance unduly interfere with their life, or risk

their health over some pimples or some redness.

A depressed person is not capable of understanding that approach, it

feels like giving up, or too complicated or involving too much

energy, or too embarrassing or humiliating, etc.

Marjorie

Marjorie Lazoff, MD

> > I think its pretty absurd to be on psyshiatric medications for a

> > treatable skin condition. The answer to the problem lies in

fixing

> > the fixable skin. Did you try accutane 10 mg qod?

>

> There was one more thing that I wanted to mention. You are saying

> " psychiatric medication " and it sounds to me as if it was something

to be

> ashamed of. (I do not know if that's what you meant - email

communication

> can be misleading, so I apologize if it is only my impression).

Depression,

> however, is a disease just like any other and is actually caused by

a

> chemical imbalance in the brain. (I believe the neuropath is damaged

> somewhere so that serotonin does not travel where it should but I

can see

> Marjorie cracking a rib at this explanation so let's just stay with

the

> chemical imbalance!). :-) So it is a condition that should needs to

be

> treated, just like rosacea, or a broken leg. Just my two cents.

>

> Alena

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No cracked rib, Alena. How about a burst pustule?

A depressed person can be overly sensitive to or obsess over their

rosacea, but treating -- even curing! -- the rosacea will not treat

the depression. As you correctly stated, depression is a

neurochemical imbalance (which chemicals and mechanisms are involved

differ, which is why different medications help different people).

Everyone gets frustrated and upset with physical imperfections -- a

new pimple, gaining a few pounds, a bad hair day. That's not

depression. Also not depression is a realistic sadness over a

demonstrable physical limitation. But after a self-limited " mourning "

the loss of health is accepted in its proper light, and life goes on.

One possible guideline to distinguish a pathologic psychological

response to anything, including chronic skin conditions: does it

interfere with your work/school, with your social life, with the

overall enjoyment of your life? It may interfere with a rare day at

work, or a rare date, or cause a miserable day -- that happens to

everyone with real physical impairments. But the coping mechanism

used by a non-depressed person with rosacea is to do all within

reason to properly manage their skin, but not to let their skin

management or appearance unduly interfere with their life, or risk

their health over some pimples or some redness.

A depressed person is not capable of understanding that approach, it

feels like giving up, or too complicated or involving too much

energy, or too embarrassing or humiliating, etc.

Marjorie

Marjorie Lazoff, MD

> > I think its pretty absurd to be on psyshiatric medications for a

> > treatable skin condition. The answer to the problem lies in

fixing

> > the fixable skin. Did you try accutane 10 mg qod?

>

> There was one more thing that I wanted to mention. You are saying

> " psychiatric medication " and it sounds to me as if it was something

to be

> ashamed of. (I do not know if that's what you meant - email

communication

> can be misleading, so I apologize if it is only my impression).

Depression,

> however, is a disease just like any other and is actually caused by

a

> chemical imbalance in the brain. (I believe the neuropath is damaged

> somewhere so that serotonin does not travel where it should but I

can see

> Marjorie cracking a rib at this explanation so let's just stay with

the

> chemical imbalance!). :-) So it is a condition that should needs to

be

> treated, just like rosacea, or a broken leg. Just my two cents.

>

> Alena

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Good point. Though I would still advocate a trial of the 5mg/d

accutane for 2 months + minocin 100 mg bid to see if the depression

abates due to the rapid skin improvement.

> ----- Original Message -----

> From: " doubleoh7_mi6 "

>

> > I think its pretty absurd to be on psyshiatric medications for a

> > treatable skin condition. The answer to the problem lies in

fixing

> > the fixable skin. Did you try accutane 10 mg qod?

>

> Well, I would disagree with you here. Anxiety and depression will

affect the

> quality of sleep, and will also result in a much higher stress

level. Both

> stress and lack of sleep will be reflected in the condition of your

skin, so

> one might counter-argue (nice word, eh?) that one hand you are on

meds

> (Accutane) while on the other hand you keep feeding the problem by

the

> anxiety and depression. I cannot speak on behalf of anyone else

except

> myself, and I can say that depression robbed me of many hours of

sleep. I

> would typically wake up around 3 am, toss for an hour, then,

completely

> awake I would read for another hour until I felt sleepy again. I

would then

> fall asleep only to get up at the regular time feeling like a

zombie. It was

> hard to go through the day, I was always feeling tired and sleepy.

> Again, I don't know what are 's symptoms, but in general it

makes

> sense to me.

>

> Alena

>

>

>

>

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