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HIV/Depression & Neurological Issues
Mar 16, 2014

My problem is the same as many you've answered before regarding HIV & Depression/Anxiety. I'd like to ask your opinion if you think that perhaps there may be a neurological problem going on & how would I go about asking their ID doctor to look into that? I am on both HIV medication, and psych medication (Celexa) but now want to add Wellbutrin. I'm really starting to get tired of all these meds... side effects, feeling like a guinea pig. Thanks.

Response from Dr. Fawcett

Thanks for writing. Someone living with HIV/AIDS is at greater risk for both depression and anxiety. Other neurological concerns can occur, as well, although with antiretroviral medication the worst of these have become quite rare and those that do occur can be very subtle.

Your viral load, CD4 counts, history, psychological symptoms, and a number of other factors are involved in getting an accurate diagnosis. You don't mention what symptoms you are having. If it is anxiety, then Wellbutrin could be an effective drug. The best way to address this is to simply bring up your concerns with your provider. Only through a face-to-face discussion can an appropriate course of treatment (or further testing) be determined.

Take care,

David



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