Posted by pelorojo on November 8, 2002, at 20:40:19
In reply to NEED ADVICE: Celexa Augmentation or Switch ADs?, posted by Roman on November 8, 2002, at 14:01:13
Hi Roman,
I've been taking Celexa and Wellbutrin for about the past year. I leveled off @ 50 mg Celexa, 400 mg Wellbutrin. I've since dropped to 40 mg Celexa, 300 mg Wellbutrin. (And just a week ago switched to Lexapro).
When I first went on the Celexa, I took it at night and didn't notice the daytime sleepiness. At about 9 months in, however, I got the daytime fatigue from the Celexa and some sexual side effects (which had gone away) returned. I dropped to 40 mg and that helped some. Then I switched to Lexapro. There's a lot of debate on here about Lex but I have noticed less daytime sleepiness.
Wellbutrin + Celexa worked for me for a long time (about 6 months). I've been tapering off of both, real slowly, as my symptoms have improved. I'm torn between suggesting it's worth a try to exhaust all options with the Celexa and being concerned that you haven't felt much improvement yet after this much time. It's not uncommon to go higher than 60 mg on the Celexa, you might try that in addition to the Wellbutrin augmentation.
Part of the issue is to figure out how long you can deal with the partial response. IMO, increasing dosage and augmenting are less drastic actions than switching. If you're coping with your symptoms well enough to give sufficient time to try these augmentation strategies, then it may be worth it. If your symptoms are overwhelming, then more drastic action such as switching AD's may be warranted.
That's just my $0.02. Best of luck.
poster:pelorojo
thread:126974
URL: http://www.dr-bob.org/babble/20021108/msgs/127004.html