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Re: Adding Wellbutrin to my mix.What to expect? Advice » SLS

Posted by Jasmineneroli on September 23, 2004, at 18:37:22

In reply to Re: Adding Wellbutrin to my mix.What to expect? Advice, posted by SLS on September 22, 2004, at 18:35:07

> Hi Jas.
>
> How did you respond to Effexor?

***Ha! Well I took Effexor for 2 weeks only (titrated up to 300mg)...I stopped it cold, after reading the hundreds of horror stories of discontinuation. I was also working with an adolescent boy who was going through horrible withdrawal from Effexor at the same time!!! I was experiencing dizziness and light-headedness, & slight headache at the time. I just got scared to continue, in case it did not work-out. Having come off a 2 month trial on Remeron, with AWFUL side effects...see below :).

> Regarding the use of Wellbutrin for remedying the sexual side effects of antidepressants, I have no experience with it personally. It has become a very popular prescribing practice, but it doesn't seem to be a panacea. I would think it more effective to combat a loss of libido and enhance arousal than to treat anorgasmia, but I can't attest to that. It might be worth starting a new thread dealing with sexual side effects. Remeron has been reported to be helpful. Both Remeron and Wellbutrin often serve as augmentors to help other antidepressants work better.

*** My trial of Remeron was my worst ever drug experience!! I perservered for 2 months, going from 15mg-30mg-45mg over a 14 day period. I was sedated to the point of intoxication up to 30mg, all the time. I had slurred speech, extreme dizziness, drowsiness, couldn't walk straight, couldn't drive. It did not abate. I was always hungry and couldn't stop eating once I started. At 45mg, I was STILL sedated, but wasn't staggering around. My speech suffered somewhat, I did drive, only when I felt the effects lighten up for a few hours, ppl would stare at me when I spoke to them (so I know I was coming off as weird, in some way!!). I had no energy, poor cognitive skills....aaagh. Needless to say I couldn't work. It didn't change at all for a further 6 weeks. I really gave it a very good try :). I had awesome restful sleeps though!!
As to lifting anxiety/depression, I couldn't even tell, I was so "out of it". I also had bad physical symptoms, edema in ankles, knees and hands, headaches, tingling in limbs. My doctor wrote "is 'stoned' on Remeron" on his referral notes!!! This is when I changed from a GP to a Pdoc. The Pdoc put me on Effexor, and my scaredy-cat response was due to my experience with Remeron, because I anticipated having to stop it, and was afraid of the withdrawal, laying me up for another 2 months of not working.

>However, Wellbutrin can sometimes produce anxiety and irritability in vulnerable individuals. Either drug might offer an ideal combination of treating sexual side effects and enhancing the antidepressant action of Celexa. Hopefully, you'll get some detailed feedback from people who have used these medications.
>
> - Scott

****Yes, my problem is more anorgasmia than low libido currently, but I know that libido will be affected after a time of anorgasmia. So I'll start a thread on that. Thanks Scott.
Take care,
Jas


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