Posted by lil' jimi on September 21, 2003, at 2:47:53
In reply to I'm back, maybe on low dose of Lex, need advice!, posted by theo on September 20, 2003, at 10:12:04
hi Theo,
don't i recall your earlier visits here ? ... or is that just the lexapro talking ... ?
> I read many things about many SSRI's and I know SE's vary from person to person. I'm now taking 150mg of Wellbutrin XL which is working great for drive and motivation for me but in talking to my pdoc, he suggested adding a low dose of an SSRI, 5mg Lexapro OR 12.5mg of Paxil CR to take that little edge of anxiety/constant worrying off. I need to know which combo has had best overall success, Wellbutrin-Lexapro combo OR Wellbutrin-Paxil combo. I'm leaning towards adding the 5mg of Lexapro first but when I tried Lex before by itself about four months ago I started at 10mg and it was six weeks of nausea, tiredness and stiff neck and I discontinued it, but with just 5mg added to the 150mg Wellbutrin XL, maybe these SE's wouldn't be so bothersome, NEED ADVICE AND INPUT PLEASE!! The only hesitation I have about adding the Paxil versus Lex would be the fear of having to go through withdrawal whenever I decided to stop using it. Add 5mg of Lex OR 12.5mg Paxil CR? I've tried benzo's and they make me feel great for a few days and then depressed, so benzo's are not an option for me to treat anxiety. >
.... aye, there's the rub ... besides the difference in the effects (and, of course, the side-effects) of paxil and lexaprro on you ... we must factor in the significant impact of your Wellbutrin ... ... no clear answers here tonight ... or this morning anyway ...
... and as we always (?) say around here:
... "You picks your poison
and you takes your chances !!" ...( i don't think anyone's said that here before .)
if you have just read my post to Micah, you know my prejudice against paxil ... plus there's a lot of users of the Well-Lex combo from what i've read here ...
not too much help, huh ? ... ... sorry ...
could be that the Wellbutrin would counteract the paxil SEs that i fear so much ... wellbutrin has been used for those SEs in other SSRIs ... and you have had a negative lex experience ... which might taint your expectations of lex ...
still not much help, though ...
here's what i would do (Your Mileage May Vary!) ...
i'd pick one ... for whatever reason ... but whichever one i'd picked, i'd commit myeslf to giving it a really good long try out, just to see what it's going to be like on the other side of the adaptation SEs ... ... maybe 8 weeks ...
and with the wellbutrin, it shouldn't be so bad ...(maybe i should have taken longer if this is all i got so far here?)
...anyway that's my input .. good luck and ...take care,
~ jim
poster:lil' jimi
thread:109458
URL: http://www.dr-bob.org/babble/20030917/msgs/262108.html