Posted by CarolAnn on July 4, 2000, at 17:46:04
In reply to Re: to ksvt... » CarolAnn, posted by ksvt on July 4, 2000, at 16:01:13
Hey ksvt,
ask as much as you want, as often as you need to! I'm happy to help, anywhere I can!
Now, re: Wellbutrin - once I had gotten to the highest dose(200mgs. 2x/day), I was on it for 12wks before my pdoc decided to augment. He believes in a 6 to 8 wk trial period, and then I wanted to wait one more month to augment.
re: Serzone - at 12wks of Wellbutrin, I was getting no help at all, it was not even "activating" which is supposed to be a main side-effect. So, we started Serzone, can't remember doses, but after the first increase, I got more depressed and tired then I've ever been(my closest ever to suicide). So, Serzone was stopped immediately. At this time, Adderall(a stimulant-10mgs. 3x/day) was added, because one of my primary depression 'symptoms' is excessive fatigue. This was near xmas, and my inability to "get anything done", was(I explained to my Pdoc) contributing to the suicidal thoughts(as well as increased stress).
re: Celexa - The addition of Adderall was helping my fatigue, but not really augmenting the Wellbutrin. Since I had already tried most of the SSRI's with no improvement, the pdoc felt that it was best to stay on Wellbutrin and use something to try and give it a kick. We started with 20mgs., which I felt made me 'less' depressed, but certainly not 'well'. I had no adverse side-effects, except that orgasm became more difficult, my "drive" has been pretty consistently low(some variation from med. to med.,ie: 'low or lower'), except for about the first two wks on Wellbutrin, it went up(don't know why, maybe placebo effect?). When the Celexa was upped to 40mgs. per day, I noticed that while I still had no "drive", the orgasms came back(even better then they were, actually).
I have tried a lot of meds. and a lot of med. combos, and what I am on has been the best so far. I still feel room for improvement with mood, and especially with energy. But, I am afraid to "rock the boat", so have been putting off talking changes with my Pdoc.
Well, I hope I got all your questions, but if I missed any, or you come up with anymore, feel free to ask! As far as a suggestion, my thought(which could well be wrong) is that, if you can go higher on the Zoloft(are you at 50 or 100mgs?), you may want to try that before giving it up all together. My basis for this advice is only the fact that: Celexa is an SSRI too, and my 'improvement'(sexually speaking), happened after the dose was doubled, oddly enough.
Anyway, I'm sorry I don't have anything more concrete to help you make a decision. It's hard for all of us, when you consider how many different reactions there are to the same or similar medications.
Best of luck to you, and again, ask anything, anytime! CarolAnn
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poster:CarolAnn
thread:38726
URL: http://www.dr-bob.org/babble/20000630/msgs/39371.html