Posted by: Charmaine | 2019/06/21


depression, anxiety, biploar

i was on serdep, tegretol and cloment for quiet some time but decided to stop due to weight gain, my Gp just put me toplep 50 ranflocs 20 will it hell me with bipolar depression and anxiety?

Expert's Reply


Depression expert
- 2019/06/22

Hello Charmaine,
Let's see. Serdep is Sertraline, an antdepressant.  Cloment is a trade-name for the drug Clozapine, sometimes used in depression that isn't responding well to ordinary medication,  Tegretol  ( Carbamazepine ) is an anticonvulsant used in epilepsy and bipolar disorder.  And it sounds as though the combination was working for you, apart from the annoying weight gain. 
Toplep is a tradename for Topiramate, used to treat epilepsy or bipolar disorder, and which sometimes helps to reduce weight, though this isn't an official indication for its use.  Ranflocs is a trade name for Fluoxetine, an effective antidepressant.  Both should be able to help you with anxiety and depression.
With a complex situation such as you describe, I prefer the assessment and suggestion of drugs to be made by a specialist psychiatrist, rather than solely by a GP.  You may want to try this combination and see how it suits you, and if you remain concerned, discuss it further with your GP.

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