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Dr. Bob is Robert Hsiung, MD,
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Posted by Margit on March 28, 2001, at 0:14:55
I have tried SSRIs - cannot tolerate them, Remeron and Effexor didn't work. So, my pdoc put me on Nortriptyline and we have been titrating my Nortriptyline to 70mg over the last 4 month. Couldn't go any faster because of racing heart. He tried augmenting with different meds (Zoloft, Paxil, Seroquel). Since I cannot tolerate the SSRIs that well, these attempts backfired. The Seroquel just made me very tired and I couldn't think one clear thought. We refrained from augmenting then for a while, until I hit 70mg and my heart racing hasn't subsided. Well, now he wants to augment with Wellbutrin. I am pretty scared, because I don't know what to expect. I suffer from PAD, OCD, and Depression. I take Xanax and Neurontin which keep the panic under control. However, I am still suffering from anxiety and depression. Can Wellbutrin be added to a tricyclic? Wouldn't it make you more jittery with all the norepinephrine? Does anybody have experience with these two meds. I would appreciate any comments, suggestions, or experiences anybody could share.
Thanks
Margit
Posted by ChrisK on March 28, 2001, at 5:13:21
In reply to Wellbutrin and Nortriptyline???, posted by Margit on March 28, 2001, at 0:14:55
I spent several months on the combination of Wellbutrin and Nortriptyline and didn't experience problems. That said, I also never experienced the racing heart problem on Nortriptyline alone. I still take 100 mg of Nortrip but have since dropped the Wellbutrin for reasons unrelated to side effects.
The Wellbutrin is known as an "activating" med and some people do feel extra anxiety while taking it so be careful with it but do give it a fair run of a couple of weeks.
This is the end of the thread.
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