There are so many new drugs out there for depression, that I feel you really need a professional to sort out what will work the best for you, with the least amount of interaction with your lupus meds.
I know many physicians prescribe anti depressants these days, but I don't think they really are trained to find the right one for their patients - there's alot of trial and error, at least that was my experience.
I now let a psychiatrist prescribe my meds, and have had no further problems with side effects - he took the time to try different doses very slowly until we got it just right. I take 400mg wellbutrin, and 60mg celexa.
The psychiatrist also prescribes meds to help me with prednisone psychosis when my dosage gets way up there. He's now just another medical doctor that I see on occasion, we don't do any therapy.
I would really recommend going through a mental health professional instead of the general practictioner. These drugs are really tricky, and our brains get muddled enough with lupus!
