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Re: Increased OCD symptoms--sign of lifting deprss'n?

Posted by Shawn. T. on August 4, 2002, at 2:40:49

In reply to Increased OCD symptoms--sign of lifting deprss'n?, posted by fairnymph on August 3, 2002, at 13:55:10

I believe that Remeron would be a much better choice for you than an SSRI. Because you're already taking Wellbutrin, you won't have to worry about side effects like weight gain. I can overeat all I want and still remain at the same weight. You won't need more than 15mg/day of Remeron when taking it with Wellbutrin. I experienced a similar situation when I started taking Wellbutrin; I became more obsessive than normal. My pdoc and I decided that Remeron would be the best thing for me to take; there really aren't many problems with it in combination with Wellbutrin. He told me that I have an obsessive personality, but I lack the compulsive side. I too had a bit of an increase in anxiety while taking just Wellbutrin (which is somewhat unusual, that side effect should go away after it starts to kick in); Remeron pretty much took care of that problem. Wellbutrin also switched me from generally apathetic to energetic.

If you decide to ignore my advice and take an SSRI, you absolutely must not choose Paxil or Prozac. Both of those drugs interact with Wellbutrin (I know this from both experience and medical journals).

I agree with your theory. After three weeks, you actually have less noradrenaline available in your brain's synapses than you did before taking Wellbutrin. Its mild effects on dopamine can't really be used to explain a switch to OCD behavior. If you told that story to my pdoc, he'd probably put you on Remeron without even giving it much thought.





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