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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by Frankie on March 12, 2002, at 22:20:07
Hello friends,
I need feedback on Adderal XR and Wellbutrin SR. I need to know which one is better for a person, like myself, that has OCD symptoms and has dealt with panic and GAD before. Right now, I am sure that I am low in dopamine, because I also have ADHD problems and I am only on an SSRI and a benzo, but I tried Ritalin, and it was not good. My throat closed up pretty tight because of the anxiety from it. I was thinking of trying out one of these 2, to get my dopamine levels elevated a bit. Suggestions appreciated. How bad is the anxiety induced by these 2 medications? Thanks.
Frankie.
Posted by Ritch on March 13, 2002, at 0:29:40
In reply to Feedback on Wellbutrin and Adderal XR., posted by Frankie on March 12, 2002, at 22:20:07
> Hello friends,
>
> I need feedback on Adderal XR and Wellbutrin SR. I need to know which one is better for a person, like myself, that has OCD symptoms and has dealt with panic and GAD before. Right now, I am sure that I am low in dopamine, because I also have ADHD problems and I am only on an SSRI and a benzo, but I tried Ritalin, and it was not good. My throat closed up pretty tight because of the anxiety from it. I was thinking of trying out one of these 2, to get my dopamine levels elevated a bit. Suggestions appreciated. How bad is the anxiety induced by these 2 medications? Thanks.
>
> Frankie.
Hi Frankie,I just got through some weird stuff lately from Wellbutrin and then dexedrine. I hate to say it but *both* of them tended to worsen some of my OCD traits. Whenever I was really depressed small doses of Wellbutrin (and Adderall previously) helped with energy and motivation issues. But, that can be a double-edged sword with anxiety disorders. I don't want to be a broken record, but you might be beter off *adding* on something that will boost NE and/or DA that also has a track record in helping with GAD or panic disorder. An *add-on* low-dose TCA (nortriptyline, desipramine, imipramine, amitripytline), or Effexor might be a better strategy.
Mitch
Posted by Frankie on March 13, 2002, at 22:00:12
In reply to Re: Feedback on Wellbutrin and Adderal XR. » Frankie, posted by Ritch on March 13, 2002, at 0:29:40
> > Hello friends,
> >
> > I need feedback on Adderal XR and Wellbutrin SR. I need to know which one is better for a person, like myself, that has OCD symptoms and has dealt with panic and GAD before. Right now, I am sure that I am low in dopamine, because I also have ADHD problems and I am only on an SSRI and a benzo, but I tried Ritalin, and it was not good. My throat closed up pretty tight because of the anxiety from it. I was thinking of trying out one of these 2, to get my dopamine levels elevated a bit. Suggestions appreciated. How bad is the anxiety induced by these 2 medications? Thanks.
> >
> > Frankie.
>
>
> Hi Frankie,
>
> I just got through some weird stuff lately from Wellbutrin and then dexedrine. I hate to say it but *both* of them tended to worsen some of my OCD traits. Whenever I was really depressed small doses of Wellbutrin (and Adderall previously) helped with energy and motivation issues. But, that can be a double-edged sword with anxiety disorders. I don't want to be a broken record, but you might be beter off *adding* on something that will boost NE and/or DA that also has a track record in helping with GAD or panic disorder. An *add-on* low-dose TCA (nortriptyline, desipramine, imipramine, amitripytline), or Effexor might be a better strategy.
>
> Mitch
Thanks Mitch. I am on 20 mg. Celexa right now. I know exactly what you mean about the "double edge sword". I still think my serotonin levels are too low, so I agree that adding something else in combo to boost that a bit more too would be a good idea. Is Effexor able to be combined effectively with an SSRI? Or would the tricyclic be better? I do need to combine something that will just boost the NE and Dopamine levels secondary, like you said. I did not know if you are aware that I am on Celexa now. Respond if you can Mitch.Frankie.
Posted by Estelle on October 13, 2002, at 21:50:08
In reply to Re: Feedback on Wellbutrin and Adderal XR., posted by Frankie on March 13, 2002, at 22:00:12
I have tried all the SRIs for depression with most of them making me very numb, drowsy and lifeless. I am now taking about 20 mg of adderal twice a day and 200 mg welbutrin sr. These two so far are the only ones that have lifted the dark cloud off me.THANK GOD! My problem now is when it is time to go to bed . I start feeling the depression again and am unable to sleep all night. The doctor has tried in addition to welbutrin sr and aderall trying each one of these desyrl(trazadone) and celexa , paxil and lexapro but still they make me down the next day. I am able to go to seep but only ususally for 4 hours and then wake up and maybe get one more hour. I am so tired of this stuggle. Any suggestions out there? and hopefully something that does not cause weight gain. I also tried lorazam in the evening but I still wake up after sleeping 4 hours. and always with a hangover. Do you think I may not have given the desyrl,(trazadone)a long enough chance? It just sure knocked me out. and seemed to linger the next day. I am just thrilled with how the wellbutrin sr works with the adderal because neither one worked by them self but it just seems I STILL need something in additon to help me wind down but not DEPRESS me in the evenings so I can sleep. Does that make sense to anyone? Been struggling so long with this. Would appreciate any feedback. Thanks
Posted by Cmatt on October 14, 2002, at 1:13:44
In reply to Re: Feedback on Wellbutrin and Adderal XR., posted by Estelle on October 13, 2002, at 21:50:08
You and the doc might consider a sedating tricylic like Elavil.....perhaps just 10 or 20 mg.
The Elavil might have a positive interaction with the the Wellbutrin and Adderal XR on the feel good neurotransmitters while providing a sedative effect to promote sleep.
Cmatt
Posted by Estelle on October 14, 2002, at 9:36:34
In reply to Re: Feedback on Wellbutrin and Adderal XR., posted by Cmatt on October 14, 2002, at 1:13:44
Cmatt,
Thank you for your response. Do you think the elavil would be much different from the trazadone that I have tried? How does the elavil work different from the paxil, celexa , and all the other ssris I have tried? appreciate you help.
Posted by Cmatt on October 15, 2002, at 3:57:08
In reply to Re: Feedback on Wellbutrin and Adderal XR., posted by Estelle on October 14, 2002, at 9:36:34
Not too sure about how Trazadone works, but Elavil would likely exibit a similar sedative effect as the Trazadone, but may do so by a different mechanism.
As far as Elavil vs SSRI's, Elavil is Tricylic antidepressant that effects multiple neurotransmitters in the brain where as SSRI's like Paxil..ect primarily affect Serotonin.
Tricylic antidepressants have an effect on uplifting (feel good....energetic) neurotransmitters, so although Elavil has a sedative component and is believed to affect Serotonin, it should affect the neurotransmitters that Wellbutrin and Adderal also affect while providing a sedative effect at night. Surmontil is another Tricylic that has a sedative component.
In theory this sounds like a practical alternative, but as we know we are not test tubes, and to each his or her own experience.
Cmatt
Posted by Ritch on October 16, 2002, at 12:53:55
In reply to Re: Feedback on Wellbutrin and Adderal XR., posted by Estelle on October 13, 2002, at 21:50:08
> I have tried all the SRIs for depression with most of them making me very numb, drowsy and lifeless. I am now taking about 20 mg of adderal twice a day and 200 mg welbutrin sr. These two so far are the only ones that have lifted the dark cloud off me.THANK GOD! My problem now is when it is time to go to bed . I start feeling the depression again and am unable to sleep all night. The doctor has tried in addition to welbutrin sr and aderall trying each one of these desyrl(trazadone) and celexa , paxil and lexapro but still they make me down the next day. I am able to go to seep but only ususally for 4 hours and then wake up and maybe get one more hour. I am so tired of this stuggle. Any suggestions out there? and hopefully something that does not cause weight gain. I also tried lorazam in the evening but I still wake up after sleeping 4 hours. and always with a hangover. Do you think I may not have given the desyrl,(trazadone)a long enough chance? It just sure knocked me out. and seemed to linger the next day. I am just thrilled with how the wellbutrin sr works with the adderal because neither one worked by them self but it just seems I STILL need something in additon to help me wind down but not DEPRESS me in the evenings so I can sleep. Does that make sense to anyone? Been struggling so long with this. Would appreciate any feedback. Thanks
Hi, I have been retrying WB the last few weeks and have gotten very bad insomnia (again). I'm also taking a stimulant (Ritalin) in the daytime, but it isn't causing the problem (I can take Ritalin 2 hrs before bedtime and sleep fine-w/o WB that is). Anyhow, I found that Neurontin at bedtime works good without causing lingering sedative effects the next day. You might ask your doc about that. Also, do you think 100mg of WB would be adequate in the AM instead? I had to reduce my WB from 150mg to 75mg and I am finally starting to sleep Ok.
Posted by Festus on October 18, 2002, at 0:04:59
In reply to Re: Feedback on Wellbutrin and Adderal XR. » Estelle, posted by Ritch on October 16, 2002, at 12:53:55
Hi Estelle,
Have you tried Ambien or Restoril?They are made just for inducing sleep.I prefer the Restoril,it will keep me asleep all night,no droopy feeling in the morn. Festus
Posted by buck on February 10, 2004, at 22:55:44
In reply to Re: Feedback on Wellbutrin and Adderal XR., posted by Estelle on October 13, 2002, at 21:50:08
> I have tried all the SRIs for depression with most of them making me very numb, drowsy and lifeless. I am now taking about 20 mg of adderal twice a day and 200 mg welbutrin sr. These two so far are the only ones that have lifted the dark cloud off me.THANK GOD! My problem now is when it is time to go to bed . I start feeling the depression again and am unable to sleep all night. The doctor has tried in addition to welbutrin sr and aderall trying each one of these desyrl(trazadone) and celexa , paxil and lexapro but still they make me down the next day. I am able to go to seep but only ususally for 4 hours and then wake up and maybe get one more hour. I am so tired of this stuggle. Any suggestions out there? and hopefully something that does not cause weight gain. I also tried lorazam in the evening but I still wake up after sleeping 4 hours. and always with a hangover. Do you think I may not have given the desyrl,(trazadone)a long enough chance? It just sure knocked me out. and seemed to linger the next day. I am just thrilled with how the wellbutrin sr works with the adderal because neither one worked by them self but it just seems I STILL need something in additon to help me wind down but not DEPRESS me in the evenings so I can sleep. Does that make sense to anyone? Been struggling so long with this. Would appreciate any feedback. Thanks
Ask your doctor if 3mg of melatonin 1 or 2 hours before bed would be ok. I use melatonin and have read about others using it with excelent results. I have been prescribed Trileptal, Wellbutrin and Adderal for my ADHD with depression/anxity. melatonin really helps returning the body to a normal sleep pattern. Good luck and let us know if you try it and your results.
Buckarooh
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