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Re: What is the best SSRI to combine with Wellbutr » Phillipa

Posted by yxibow on February 22, 2007, at 1:32:48

In reply to Re: What is the best SSRI to combine with Wellbutrin? » lukeds, posted by Phillipa on February 21, 2007, at 23:12:58

> I've only read effexor and wellbutrin are a good combo. Love Phillipa

Effexor and Wellbutrin sound like a disaster to me, but then I guess I don't respond well to stimulants. Effexor is more unclean and more powerful than Cymbalta and Wellbutrin is a very distant cousin of an amphetamine. But who knows, some people respond to stimulants well.


I wish I knew what TOC was to better help you, I thought I knew all the acronyms. The paxil sounds like a good choice for GAD, its a sedating SSRI so it could be good for both mild depression (dysthymia) and anxiety.


Now I'm confused about the question of which is best to mix with Wellbutrin, because it sounds like you want to change from Paxil ? If you're doing well on it, I would think you should stick it out for more than 12 days. That's the part I'm trying to parse in the question.


A low dose of Wellbutrin is a popular choice though if you're talking about sexual side effects from Paxil that some psychiatrists add to the mix to reduce that troublesome problem because it tends to be pro-sexual (don't get me started -- I got quite aroused when I was taking Wellbutrin though it set my head on fire and made my OCD worse.)


Another choice though that you have, since Paxil I believe has the shortest half life of the SSRIs or at least ranks among them, is to skip a dose or two, when you want to plan a ... moment. Then you just start the Paxil back up again.

-- tidings

Jay

 

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