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Re: sertraline + bupropion combination » linkadge

Posted by bleauberry on June 11, 2009, at 17:30:43

In reply to sertraline + bupropion combination, posted by linkadge on June 9, 2009, at 20:16:45

> I am currently on a combination of zoloft and ritalin which is working so so. I am still having problems (mainly with depression). Do you think there would be any antidepressant advantage of changing from ritalin to wellbutrin?
>
> Linkadge

Well, you know Link, if you ask a bunch of doctors, sure, that's a real popular combination. Have you ever tried Wellbutrin? If not, well, I guess it might be worth a shot. I don't know why, I just don't have much faith in Wellbutrin. But I must admit, sometimes it works just great. It is actually quite weak on norepinephrine and dopamine, the things most people say it does. I believe its mechanics have something else going on the nitric oxide channels. I mean, it induces seizures at high doses, which tells you right there that something else is going on besides reuptake inhibition, which is actually very weak.

Enough armchair quarterbacking though. You know how it is. We can think it and outthink all we want, but only a trial will tell.

From that armchair quarterback stance, I would be more likely to say forget Wellbutrin, go for either Nortriptyline+Zoloft or better yet, better by a long shot...Zoloft+Savella.


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poster:bleauberry thread:900224
URL: http://www.dr-bob.org/babble/20090611/msgs/900513.html