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Re: Wellbutrin answers (and more ?s)

Posted by torchgrl on February 17, 2000, at 0:17:45

In reply to Re: Wellbutrin answers (and more ?s), posted by Renee N on February 16, 2000, at 23:16:10

> > 1. Is there a risk of seizures with Wellbutrin at a lower dosage if it is taken in combination with other drugs (effexor and/or ritalin)?
> > 2. If Wellbutrin was discontinued because of allergic reaction (hives) is it safe to try it again at lower dosage?
> > Thanks
>
> 1. I take Wellbutrin SR 75mg once a day, Effexor XR 150 mg once a day and 75 mg once a day, and ADDerall(similar to ritalin)10 mg three times a day. I haven't been warned by my pdoc, pharmacist, or primary care physician of any greater possibilty of seizure. I do experience myoclonic jerks almost every night before falling asleep. Usually my legs or arms jerk, but one time my whole body jerked strongly. I wonder if these are related to seizures in any way?
>
> 2. What dosage of Wellbutrin were you on when you got hives? Was it the regular or SR(time released) version? I understand that there is less chance of allergic reaction with the regular formula. Some people are allergic to the substances added to make it release more slowly.

I had the same myoclonus when I was on Wellbutrin, but still notice it to a certain degree now (I don't know what that's about!). I don't think it's directly related to seizures, in that it shouldn't lead to them, although may be induced by the same mechanism. I happen to know my EEGs are normal (from the study that I just participated in), so I'm trying not to worry. But the annoyance of the myoclonus is definitely keeping me away from trying Wellbutrin again.

I would think that combining Wellbutrin with any other medication would only increase the risk of seizures if the other medication lowered the seizure threshold, or also posed a seizure risk. There seems to be enough awareness of this aspect of Wellbutrin that I would think that your doctor would avoid a dangerous combination, or at least warn you of the possibilities, but I suppose that's a bit of wishful thinking.


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