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Re: Wellbutrin + Celexa = apathy exhaustion

Posted by Don on February 25, 2000, at 15:15:22

In reply to Re: Wellbutrin + Celexa = apathy exhaustion, posted by JohnL on February 22, 2000, at 4:51:32

> >
>
> Don,
> The doses of both meds are very low. The fact that you haven't seen a hint of improvement in 2 weeks, and the fact that side effects at such low doses are so troubling, are clues that this approach is targeting the wrong underlying problem.
>
> I second the opinion of trying drugs from the psychostimulant class. A one week trial of each of three different ones will find a favorite (if this is the correct med class for you) in a very short time. I don't think Celexa at 10mg is much of a factor one way or the other.
>
> Standard psychiatry would call for raising the doses and giving them more time. But in my experience disappointing results in the first two weeks more often than not predicts less than desired results with continued time. Not always, but usually. It's a hint that the underlying chemical imbalance is not being targeted directly. Give it a couple more weeks to be fair. But in your shoes I would be prepared to replace the Wellbutrin with short trials of stimulants, and possibly replace the Celexa with short trials of 2 or 3 other SSRIs to see if a better fit exists. Usually the best fit makes itself obvious within two weeks.

Thanks John,

I see the doc again at the end of March. In the meantime, I contacted the endocrinologist and she suggested cutting the Armour Thyroid pill in half and taking 1/2 with breakfast and 1/2 with dinner. Apperantly the T3 in that product has a relatively short half life and the split dosage provides a more constant delivery of T3. I've also double my daily intake of vitamin B12. These two changes seem to be making a difference.

Now if the urologist, endocrinologist, oncologist and psychiatrist could only find a solution for the absymally low testosterone level. Can't supplement because of the prostate cancer. At this point, I don't know whether the ED is due to the Testosterone levels or the Celexa or both.

Anyway, thanks for the input and I'll discuss it with at my next visit.

Don


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