Dr. V has the reputation of prescribing lots of meds to his patients, which in and of itself shouldn't garner him the blanket condemnation I have of him, but in his case I'm making an exception. In the beginning he treated me for dysthymia and prescribed Wellbutrin initially at a low dose (75 mg qd) but over the course of 18 months gradually increased the dose to 450 mg per day, because of waning efficacy. It was at this point that he added in Parnate (an amphetamine analog), but when I went to the pharmacy to have this prescription filled, the pharmacist refused, because it is extremely dangerous to co-administer these two meds. He phoned Dr. V seeking confirmation, and this led to a heated argument over the phone, one that lasted a good half of an hour. In the end the pharmacist filled the prescription, but made a note in my file that he was doing so under protest. Well, the pharmacist was right. After being on Parnate for 3 days, I went into a severe psychotic manic episode, one whose repercussions were far reaching and long lasting, culminating in a loss of security clearance at work and horrific marital strife at home. I saw Dr. V several times (weekly visits) during this mania. He commented to me that I was manic, but did nothing to treat it nor suggest that we discontinue the Parnate. As it turns out, it wasn't simple depression that was what was ailing me; it was bipolar depression, and I'm pretty sure that Dr. V knew that. It says right in the drug monograph for Parnate that it is NOT to be used to treat bipolar depression. In the end, I discontinued the Parnate on my own. It has cost me $11,000 to win back my clearance. My marriage of 16 years was destroyed, and my children are still half terrified of me, and to this day I don't know why I didn't end up in prison, or kill someone or worse. Dr. V, in my humble opinion, is a maniac and should have his license to practice medicine revoked. I have it on good authority (from my therapist, a PhD clinical psychologist, via patients that she inherited from Dr. V) that in the past he has damned near killed some patients. I know these are horrible things to say, and I'm sorry to be the one to do it, but they had to be said. Everything I have said here is a matter of record. read more