Q. Hi I was wondering if you could help me answer my questions I have BPD and OCD and PTSD and ODD and Major Depression and Social Anxiety and I have panic attacks on a regular basis and I am also a cutter and I was wondering where I could get help I really need it my meds are not doing anything I tell you what I an on okay.
Prozac 40mg
Wellbutrin SR 100mg
RiVa 50mg (I take that so when I cut I feel it but it does not work it makes everything else hurt).

  A. . I would increase the Prozac to 80 mg as a single daily dosage. If this fails, try Effexor XR or Zoloft (get serum level to 180 ng/ml 6-9 hours after AM dose of Zoloft). You have a mood problem that is fixable. Talk to your doctor and get your dosage of Prozac up a bit. 80 mg is a necessary dose for cutting.