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Re: what is making me so irritable and impulsive » ncrainbow

Posted by llurpsienoodle on May 8, 2008, at 8:22:23

In reply to what is making me so irritable and impulsive, posted by ncrainbow on May 7, 2008, at 23:28:55

> Okay....the short version been off 40 mg Celexa for a month
> Been on 150 and then up tp 300 Wellbutrin during that month
> taking 2mg klonopin at night.

I'm gonna jump in here and tell you about myself so that we can compare notes. I've also been Rx'd 150mg wellbutrin SR about a month ago. I take lamictal 300mg, sonata 10mg prn, zyprexa 10mg prn, abilify 10mg, zoloft 100mg

>
> the funny thing is that this whole thig started with a brand new diagnosis of cyclothymia (versus previous anxiety diagnosis) at age 40.
>

I've been Dx'd as bipolar II

> So, now my days go like this
> 1. I wake up a very grumpy, am very crabby to my spouse and children, with an extremely short fuse. All very rare for me.

yep. sounds about right

> 2. Take 300 mg of wellbutrin with breakfast and then 1.5 hours later, I am happy and Super Duper productive...seems to majorly improve both my ADD and daytime fatigue.

mmm yep!

> 3. Then, around 8:00 p.m. the wellbutrin wears off and I am crabby until I take my 2mg's of klonopin at bedtime.

yep!

> 4. I sleep soundly until it is time to start it all again.
>
> Also, I must add that in the past week, I have been much more hypomanic than I have ever been in my life. Now all of the syptoms are "low-grade" but each and every sypmtom is there (but lack of sleep)....pressured speech, big ideas, very happy periods of the day, lots of shopping, etc. however, I do sleep like a baby 8 hours a night.
>
yeah! me too- I'm sleeping fine, but I am pretty speedy during the day


> So, here is my question/thought...
>
> rather than jumping to the conclusion that the wellbutrin and klonopin are at the root of this extreme crabbiness cycling to hypomania, couldn't it just be the fact that I am coming up on 4 weeks free of an SSRI after 8 years at a hefty dose?
>

I dunno about that...

> Has anyone else experienced agitation and hypomania coming off an SSRI that they could attribute to the serotonin withdrawal and not whatever new cocktail that is being prescribed?
>
> Does this make sense?
>
> I am really trying to justify staying on Wellbutrin because for the first time in many years, I actually feel clear-headed and awake during the day.....even if I am a little racy.
>
>

you don't need to justify it to anyone. if it's working, keep it. Sorry the SSRI withdrawal is the pits. Sounds icky. Do take care of yourself. (try not to spend too much money!!!)

-Ll


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poster:llurpsienoodle thread:827868
URL: http://www.dr-bob.org/babble/20080430/msgs/827894.html