73 / Female Leg Weakness and confusion

So I was working on this case for drop foot, and lower body weakness. I wanted to follow up on this case to discuss possible medication removal resulting in improved and consistent firing compared to when she was on the medication. Sudden improvements in mental state, confidence in movement, and improved strength.

There is a medication called Auvelity. Its a combination of Dextromethorphan and Wellbutrin (bupropion).

Dextromethorphan is normally used as a cough suppressant in OTC cough syrups from what i understand by reducing the overfiring of nerve impulses that cause cough. In higher doses though it can cause loss of some motor function, make it harder to coordinate movement, and can impair some receptors associated with memory. It can be classified in higher doses as a dissociative drug like ketamine. It is used recreationally by some people.

2-3 weeks off of this medication she feels alive and coordination is phenomenal but I saw changes week 1 when they told me. They are just getting back to me with the name of the drug since it was not brought up before.

I am just learning that some antidepressants have been adding dextromethorphan to prolong the effects of other antidepressants. I feel this is a stretch of use beyond what i saw it used for many years as a pharmacy tech.