Posted by Cindylou on August 12, 2001, at 18:52:54
In reply to Re: Buspirone (BUSPAR) cause fatigue? » Cindylou, posted by Mitch on August 12, 2001, at 14:51:17
Mitch -- thank you again. You are being so much help to me!
I actaully started the Prozac with the Wellbutrin, since SSRIs always tend to make me tired -- in the past when I was on Prozac, I was very fatigued. (same with Zoloft, Effexor, etc.) But this time around, I am not noticing as much fatigue with the Prozac, for some reason. I had a baby a year and a half ago; maybe my entire system has changed!
I'm definitely considering lowering or cutting out the Wellbutrin -- I already cut back from 100 mg (SR) 2x daily, to 75 mg (non-SR) 2x daily.
Yes, the agitation is definitely worse during the day while I am taking the Wellbutrin; then around 5 p.m. I hit a wall and get completely exhausted.
I'm also considering lowering the Prozac again -- I seem to get worse as I go higher in my dose (I'm currently at 10 mg). But my pdoc seems to think that 20 mg is the "therapeutic dose" and that anything under that really isn't effective. Did your doc say differently?
I'm glad to hear that you were also on such a small dose of Prozac -- I thought I was the only one who had to go that low! I actually cut a 10 mg. tablet into quarters to get the 2.5. It was a pain.
Sorry for all this rambling -- I greatly appreciate your input here. I am meeting with my pdoc on Wednesday, and would like to see her with some suggestions.
And you are right -- I shouldn't be thinking of adding a THIRD med right now! Then I'd really be confused :)
Thanks again,
cindy> > Thanks for the info, Mitch. Yes, I am VERY med sensitive -- had to start at 2.5 mg. Prozac because of my reactions.
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> I could only tolerate 5mg/day max. and only during my seasonal depressions otherwise 2.5mg/day was what I took most of the year.
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> >
> > Do you think Buspar would help me -- currently, on my Wellbutrin + Prozac combo, I am either very agitated or very exhausted -- OR agitated and exhausted at the same time (if you can imagine that.) I wonder if Buspar + Prozac would make a difference? (eliminating the Wellbutrin).
> >
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> The agitation I would suspect is the Wellbutrin. It sounds like these periods of agitation happen during the course of the day? Wellbutrin has a very short half-life compared to Prozac's very long half-life. The blood levels could be varying a lot causing that. Was the WB added because you were very tired?
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> > I am going to start a new thread about adding Adrafinil to that mix as well. Do you know much about Adrafinil?
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> I wouldn't mess with adding yet another med if the ones you currently are taking may be causing the problem. You will have to try everything one step at a time and try to be patient (I know it is hard!).
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> My suggestion (first thing) is see if you can take a lower dose of Wellbutrin more frequently during the day to see if that levels it out. I know the smallest SR formulation is 100mg, but maybe you are on 150mg SR twice a day. So try 100mg SR 3x daily and see what happens. If you are taking a lower dose of WB, then you would have end up chopping pills and there is a lot of controversy about doing that-but if you are taking Prozac 2.5mg/day then you are either on the "liquid" or making your own liquid! (which is what I did).
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> Mitch
poster:Cindylou
thread:74583
URL: http://www.dr-bob.org/babble/20010809/msgs/74822.html