Posted by bleauberry on February 16, 2008, at 20:58:20 [reposted on February 17, 2008, at 2:36:20 | original URL]
In reply to zoloft + wellbutrin - dosage??, posted by baracuda on February 16, 2008, at 1:32:56
From my own experiences I can say that it would be wise not to mess with the zoloft dose at this point. What has been working, well, keep it there. Don't change a thing in the zoloft department. Maybe in a couple months, but not now. As you have already seen, when something weird happens you don't know which med is at fault. One change at a time.
The blah feeling you have is common with serotonin meds. The theory is that it crowds out the action of dopamine, or that dopamine receptors actually starting uptaking serotonin instead since there is so much of it. The trick is to somehow boost dopamine up to the same standards as serotonin. Wellbutrin is one of the drugs that can do that.
I don't know if you are on regular wellbutrin, sustained release, or extended release. I think generally speaking people do best on the extended release. The others can wear off too quick.
You may indeed need to go to a higher dose. I think the doc is rushing things. Stay at 150mg, or switch to 150mg extended release, for at least 2 weeks. Then maybe increase it. Don't mess with zoloft at all.
If all goes well, then in a few months you can decide whether to lower zoloft or not. Personally I think if something is working pretty good, don't mess with it. It may never work again. Happens a lot. Keep it as it is. So even though all of us want to consider ourselves healed, or think we don't need the drugs anymore, or we just don't want to be on drugs anymore, so often the worst thing to do is stop the drugs or lower the doses.
If the whole thing poops out or just isn't working well, that is a different story. But when all is fairly good, don't rock the boat, even though it is tempting to.
poster:bleauberry
thread:813224
URL: http://www.dr-bob.org/babble/neuro/20080204/msgs/813225.html