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Re: Wellbutrin XL and Anxiety

Posted by mattw84 on April 10, 2005, at 15:47:48

In reply to Re: Wellbutrin XL and Anxiety, posted by Neil Kramer on April 10, 2005, at 11:56:42

I would tend to disagree -- Effexor has some effect on norepinephrine (AKA noradrenaline) which would likely only increase the agitation caused by bupropion.

Though I am strongly apprehensive to make a recommendation in this case, namely as it is impossible to dx symptoms via an impersonal medium... Regardless, if you insist on taking Wellbutrin XL and want to just control the negative side effects, here is a short list of possible solutions incumbent on the side-effect:

Anxiety w/panic attacks: Add clonazepam .25mg twice daily
Tremor/Hypertension: Add Atenolol 25mg twice daily
Agitation: Discontinue use of Wellbutrin - Antipsychotics which would be used to control agitation would further decrease one's seizure threshold...

In general those taking wellbutrin should avoid any stimulants such as caffeine or prescription stimulants. (Amphetamines, etc...) These will only increase the unwanted anxiety.

Regards,

Matt


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