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Re: More Wellbutrin Blues » rxcuriousity

Posted by allisonm on February 11, 2002, at 16:57:19

In reply to More Wellbutrin Blues, posted by rxcuriousity on February 10, 2002, at 23:12:00

I would suggest hanging on with the current dose for a week or two more. It took 2 to 3 weeks for the agitation to wear off for me. If after that it still is bad, I would try dropping the dose. It may be working, just at too high a level...

Just a thought.

Allison

> Wellbutrin as a monotherapy definitely increased my anxiety. I had tried it by itself about one year ago with terrible results. (BTW: i suffer from unipolar depression and generalized anxiety) My anxiety and depression both worsened. About four months ago I began taking Effexor XR (titrated up to a dose of 225mg over 2 months) and felt awesome during the first two months (the time during which I was increasing the dose). During the third month I still felt pretty good (not as good as the first two moths) but began to tire very easily (and I did gain about 8 pounds even though I, too, workout everyday).
>
> My doctor recomended adding Wellbutrin SR to both get me back to feeling awesome again and give me a bit of energy. I've been taking 100mg for about three weeks now and do have a bit more energy, but my mood has suffered. I'm just not as positive, I'm less motivated, and I get a bit agitated and anxious at times. We talked about going up to 200mg to see if what I report as effects of the Wellbutrin intensify with a dose increase. I'm not sure what to do.
>
> My pdoc and I are considering four alternatives to using the Wellbutrin in addition to the Effexor XR (which I know is not a popular drug on here): Provigil, Mirapex, Thyroid drugs, or Lithium (listed in order of my preference).
>
> I would appreciate any suggestions (i.e. should i try going up on the Wellbutrin SR first, drop the Wellbutrin SR and try something new as an adjuvant, drop both and start over, etc.).


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