Posted by mike21 on March 3, 2002, at 8:04:56
In reply to Re: Wellbutrin after one week, posted by JohnX2 on March 2, 2002, at 22:42:15
John,
I didn't think you were being too short. Nothing wrong with being to-the-point.
I read in a book that the therapeutic dose range is 225-450mg. Obviously not the case. I think there is a conventional wisdom that says you need to treat strongly your depression,anxiety,etc. and I think that can do more harm than good. My doctor didn't even recommend ramping up the dose. I started with one 150 and then immediately started with 2x150 the next day. To further complicate matters, as I mentioned in another thread, remeron was also prescribed. As an alpha-2 antagonist I expect it was further increasing the norepinephrine levels, but the sedative effect was masking it somewhat. I discontinued the remeron after 4 days.
Obviously a lower dose is needed here. I will request the 100mg tabs and the inderal as well.
Thanks for all your input,
Mike
>
> Hi Mike,
>
> Sorry I was being so short with you. I got
> shut out from the pharmacy to pick up my mood
> stabilizer and I'm really skimping. Feeling a bit
> hot tempered today, maybe I should take a beta-
> blocker! ;)
>
> Anyways, here's one thing I don't understand about
> Wellbutrin, it's the only medicine I was put on that
> the doctor pushed to the therapeutic dose more or
> less immediately. 4 days at 150 mg and then 300 mg.
> Every other medicine I got to taper up very slowly.
> Doesn't this seem odd? No wonder a lot of people complain
> of start up anxiety! Mind you I just happened to get lucky
> and have no real side effects except for after the medicine
> kicked in I thought I was superman and felt that there were
> conspiracies going on by my work and family (this was before
> I was dx'd as bipolar) ;).
>
> Anyways, I think a lot of people find relief at doses
> lower than 300 mg and for you starting this high might just
> be too strong. Also there is a 100 mg SR tab that you can
> start with that should be a good option to ween you onto
> the medicine.
>
> As far as the beta blockers go (Inderal being the gold
> standard), they do slow down a hyperactive locus coerulus
> like you and I were discussing in another thread. So do
> alpha-2 agonists. Its just that the medical community are
> much more standardized at prescribing the beta blockers.
> I personally took Inderal a few times. One time I was on this
> crazy combo of medicines including Remeron and my heart was
> racing at like 120 beats per second and I felt really anxious
> and I took Inderal and I felt fine minutes later. Slept like
> a baby.
>
> Hope this info helps.
>
> Best wishes,
> John
>
>
>
> >
> > Mike,
> >
> > Based on neuropysiology, if you are having
> > hand tremors, then a beta-blocker is THE
> > anti-dote. Period. End of story. Call your doctor and ask
> > about it. It will help your sleep if you
> > take it at night before sleep.
> >
> > Good Luck,
> > John
> >
> >
> >
> >
> >
> >
> >
> > > >
> > > > You can take a beta blocker like Inderal if you
> > > > are in a bind.
> > > >
> > > > Another pbabble poster was having similar problems
> > > > and took Inderal on/off. Eventually the problem
> > > > wore off and his anxiety eased.
> > > >
> > > > -John
> > > >
> > > >
> > > I was thinking beta blockers were used more for panic attacks. I don't know if this qualifies, although it could develop into that if it gets worse. I guess it's an option to keep in mind.
> > >
> > > Mike
poster:mike21
thread:96089
URL: http://www.dr-bob.org/babble/20020301/msgs/96154.html