Posted by Tomatheus on September 17, 2006, at 0:19:29
In reply to Wellbutrin, posted by adamCanada on September 16, 2006, at 23:13:47
Adam,
Thanks for your message. I'm sorry for sort of hijacking your thread, so to speak.
It's possible that you might be able to get a synergistic effect from combining Paxil and Wellbutrin that could be noticeably more effective than taking either drug alone. However, it's my impression based on having read a limited number of posts on this board that Wellbutrin generally tends to be less stimulating than Dexedrine. So, I think it is somewhat unlikely that you'll find a Paxil-Wellbutrin combo to be more effective than your current Paxil-Dexedrine combo. Of course, there are individual-to-individual variations in medication responses, which means that it's quite possible that my guess might be wrong.
It's difficult for someone in my position to predict which antidepressant, stimulant, or combination thereof would be of the greatest therapeutic value to you. On one hand, I wonder if it might be best to discontinue Paxil given the fact that you generally don't respond favorably to SRIs, and try something like a stimulant (as monotherapy), an MAOI, or a tricyclic. On the other hand, it might not be such a good idea to stop taking the only medication that's provided you with any benefits so far. Unfortunately, psychiatry involves a lot of trial and error, and so it's difficult even for psychiatrists (despite their expertise) to accurately predict which med(s) a patient might respond to.
It probably wouldn't be a bad idea to give an Omega 3 fatty acid supplement a try. Linkadge mentioned that Omega 3s have demonstrated some efficacy in treating Accutane-induced depression, and I definitely think that it would make sense to try taking something that has been shown to be effective in treating your specific subtype of depression. I'm not sure how long it would take for you to notice the therapeutic benefits of Omega 3s, but if the theory that Accutane alters the brain's fatty-acid profile is indeed correct, I think it would be sensible to give the supplement at least a month to work.
Tomatheus
> i am thinking of giving this a shot. i recall taking it before for a short time and it didnt help but with paxil together maybe it will.
>
> or maybe i should try an NARI... ill see after i do some research.
>
> and i will pick up some omega 3 fatty acids. maybe it will take a while for them to work. months maybe? i'll take them for a while and hope they do soemthing
poster:Tomatheus
thread:686094
URL: http://www.dr-bob.org/babble/20060909/msgs/686705.html