Posted by LynneDa on September 23, 2004, at 9:44:11
In reply to Adding Wellbutrin to my mix.What to expect? Advice, posted by Jasmineneroli on September 22, 2004, at 17:17:32
Hi!
My diagnosis is PMDD, so my depression is cyclical throughout the month, but I also have some anxiety issues. I was up to 20mg of Lex for about 8 months, but couldn't take the sleepiness and lethargy. So my doc put me on 300mg of Wellbutrin SR. He had me gradually go down on the Lex and up on the WB over a couple of weeks time, which was fine, no bad effects.Immediately the WB caused me to have energy, clarity and sexual interest again. The down-side is I was still depressed/anxious at certain times of the month (but not as bad as I was before I started taking Lex). I hung in there for 2 months on only WB and had to go back to Lex. I'm on my 2nd month of Lex 5mg and WB 300mg combo and I'm starting to feel so sleepy again. The 5mg of Lex is not enough to combat my depression/anxiety. I'm not sure what else I can take. I can't deal with my mental state, but I can't be sleepy all the time either!
Sorry I don't have a good answer for you, but thought I'd share my experiences! Take care!
~ Lynne
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>Hey Everyone:
> I have fairly severe GAD, that sometimes comes with depressive symptoms...directly relates to stress in my life etc.
> I've been on 8 diff. meds over the past few years.
> Klonopin has been the only med to take away the strong physical anxiety symptoms and most of the emotional ones. I love it.I've been on it for 14 months.For me, it's very *clean*. Currently, I'm down to .5mg per day, and 10 weeks ago added Celexa 10mg to the mix, cuz I was getting some sadness type depression and still had the incessant "thinking, worrying" that is a hallmark of GAD.
> The Celexa has definitely improved that aspect and I'm feeling pretty good right now :).
>
> HOWEVER, I've been on Celexa before and had sexual SE's and, eventually, an increase in depression (lethargy/suicide ideation) - after about 9 months or so. The sexual SE's are here already. (I also still have the muscle stiffness/jaw clenching, from Celexa, but it's not intolerable. The GI SE's come & go).
>
> My Pdoc and I anticipated this and he suggested I augment with Wellbutrin when & if, the sexual SE's started. I go to see him next week.
> Please advise me what to expect when I add Wellbutrin to the mix. What form is best? Dosage? (I'm EXTREMELY sensitive to meds, but most particularly Serotonergics, so Wellb. might be OK). Anyone been on the combo I'm contemplating?
> Will it make me more anxious? Irritable?
> I've tried NADH before and found that to be mildly energizing and not anxiety promoting, so I was hoping Wellbutrin wouldn't exacerbate my anxiety.
> Any alternate suggestions for a *cocktail*?
>
> For info in helping advise me, the mental/emotional part of my anxiety attacks tend to manifest as extreme irritabilty, sometimes rages, a complete inability to focus/very scattered, derealization, memory problems (especially with verbal-language) and perseveration.Eventually I just collapse and can't cope with anything!!!
>
> I appreciate all feedback! Thanks.
> Jas
poster:LynneDa
thread:393795
URL: http://www.dr-bob.org/babble/20040921/msgs/394065.html