Posted by Dr. Bob on July 19, 2003, at 23:27:22
In reply to Re: Adjustment disorder w/ mixed anxiety and depressio » Lainy, posted by Dinah on July 19, 2003, at 20:45:56
[Posted by mair on July 19, 2003, at 21:00:57
In reply to http://www.dr-bob.org/babble/psycho/20030711/msgs/243568.html]
> Lainy
>
> Someone here is going to redirect your post to the meds board. I don't know how to do that so I'm happy to answer here.
>
> I don't have your precise dx, but I do have alot of experience with Wellbutrin. The SSRIs never worked for me - I've tried prozac and zoloft and actually a ton of other stuff too. I never started taking WB until I had tried several other alternatives over a 2 year period. It took me a long time to realize that WB was making a difference. In fact i quit it after a couple of months and then forced myself to start up again. After being on it for awhile, I also lost about 25 pounds. I can't blame my heavier weight on anti-depressants since I was heavy when I started taking them, but I definitely think WB had something to do with the loss.
>
> Unfortunately, while WB has always been a good drug for me and clearly made a big difference when I started it, it has never really totally done the trick, and i've tried several other meds as augmentation drugs. About a year ago, I started using amitriptlyline in conjunction with WB. I think it's worked better than most of the other stuff I've tried, but I also think it's been responsible for about a 20 1b weight gain. Most of the time I've been ok with it because I don't have the nerve to quit something that has helped, but I do have to say, periodically I can get very depressed about the state of my body.
>
> So I guess I would say that while WB helped me lose weight, after awhile it stopped working that way or just wasn't enough to counterbalance the amitriptyline weight gain or maybe the hormonal changes too.
>
> Overall, it's pretty dreadful that we're forced to make such crummy choices. I always told my pdoc that I didn't want to take drugs that would result in weight gain because I had this huge fear that I'd gain a ton of weight only to discover that the drug causing it wasn't working anyway. This time it just sort of crept up on me.
>
> Mair
>
> PS WB can be activating so some people with anxiety have trouble with it. Anxiety is a huge component of my depression but I don't think WB makes it any worse. I've used other drugs to counter the anxiety on an as needed basis. I also took klonopin for years, but not in the amounts you write about. I really just took it to help me get to sleep. Amitriptyline is a bit sedating too so since I started taking it, I've stopped using klonopin
poster:Dr. Bob
thread:243571
URL: http://www.dr-bob.org/babble/20030718/msgs/243605.html