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Re: 3 beers - any thoughts?

Posted by 3 Beer Effect on May 14, 2002, at 2:00:33

In reply to 3 beers - any thoughts?, posted by DiscoPuppy on May 13, 2002, at 17:23:53

Basically, any drug that meets your 4 criteria is going to cause anxiety/panic attacks.

I would not discount the Wellbutrin SR. Wellbutrin SR does not cause weight gain or sexual side effects. Wellbutrin SR usually causes weight LOSS (one of its main side effects) & is often pro-sexual. Wellbutrin also is effective at increasing concentration & alleviating symptoms of Adult ADD although it is not as effective as Adderall or Dexedrine in doing this.
Anything your are experiencing to the contrary is probably an interaction between the Zoloft & the Wellbutrin, but Wellbutrin SR by itself will not cause weight gain, sexual side effects, attention problems.

I took Zoloft 100 mg for over six months & the sexual side effects were pretty ridiculous- that is probably the problem, the Wellbutrin wasn't able to overcome the Zoloft induced anorgasmia/delayed ejaculation. I also noticed that when I resumed taking Ritalin 20 mg 2x per day which I had taken a year before with much pyschostimulant success that the Zoloft somehow interacted/interfered with the Ritalin making my brain numb & basically making the Ritalin useless.
So the Zoloft could be interfering with Wellbutrin's known psychostimulant properties.

Instead of taking Adderall, I think you should ask your doctor about eliminating the Zoloft & instead take Wellbutrin SR by itself at an effective dose, which is 300 to 400 mg/day in 2 divided doses & give it a month to start working. Wellbutrin SR doesn't generally work well at doses below 300 mg/day.

The reason I would recommend Wellbutrin SR is that Wellbutrin decreases anxiety over time (see the Wellbutrin SR website- they have a chart about its positive effect anxiety on there), & is also an effective anti-depressant with hardly any side effects compared to the SSRIs except weight loss & insomnia.

Amphetamines like Adderall & Dexedrine are anti-depressants, but only during the 4 or 6 hours that they are working. After that your original depression returns with a vengence, & this is pretty bad because it happens every day- unlike anti-depressants, stimulants are unsustainable- you can't pop them 24 hours a day & tolerance is always a problem. My only anti-depressant right now is Dexedrine & I feel wonderful for the 4-5 hours after my 2 daily doses, but the other 4-6 hours i'm awake per 24 hour period I feel terrible & severly depressed.

If you do end up taking an amphetamine, i've found Dexedrine usually causes less anxiety & nervousness than Adderall & low-dose Dexedrine makes you quite sociable especially if combined with an adequate dose of the benzodiazepine Klonopin (1 mg breakfast, 1 mg lunch). But, after reading your history of anxiety, if you take over 5 mg of Dexedrine at one time, you will probably become nervous & may even have a panic attack. I would keep the dose low, say 5 mg 2 or 3 times a day. Doses of 10 mg or more at a time are usually reserved/effective for ADD & are less effective for (social) anxiety.

Anyways, I think your best bet is
Wellbutrin SR 300-400 mg/day in two divided doses at breakfast & lunch (any later causes insomnia). Even better would be to also take Klonopin 1 mg breakfast & 1 mg lunch and Ambien (10 mg at night if the Wellbutrin SR causes any insomnia). The Klonopin basically eliminates any anxiety/panic attacks & ironically is one of the most potent but at the same time least addictive benzodiazepines. Klonopin does make you a bit dumber at first & tired (not me, but i've heard that from others), but those & any other side effects are gone by 2 weeks, but the anti-anxiety/anti-panic attack effect lasts atleast 3 months, & some researchers believe the anti-anxiety effect never goes away. For me, Klonopin makes me a nicer person, more confident, & more sociable.

3 Beers.......


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URL: http://www.dr-bob.org/babble/20020510/msgs/106281.html