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wellbutrin+effexor?

Posted by Christ_empowered on June 12, 2016, at 15:32:34

I am diagnosed w/ bipolar I. I take: 1200/Trileptal, 100/Lamictal, 30/Abilify, and 400/Wellbutrin SR. Overall, I'm doing quite well.

Only problem...I have some lingering depressive stuff (I had a couple cycles of psychotic depression that went un- or under-treated), plus some OCD-ish issues. I don't think I'm currently diagnosed with full fledged OCD; its more like...obsessive weirdness that pops up with mood swings (in my case, much more deep dips than trips into manic or mixed states).

I can take 100mgs/neurontin 2x daily as needed, plus I have 2mgs/risperidone when I get agitated. I don't usually take either.

Sooo...wellbutrin has been a godsend, but the obsessive stuff and the lingering depressive symptoms (sleeping too much sometimes, then waking up too early other nights; apathy; difficulty doing basic tasks, etc.) kinda has me concerned.

To be fair, life brings with it a certain degree of mood swings and such, so I don't wanna overdo it on AD meds. At the same time...I was so severely depressed for so long that now I'd really, really like to have remission.

Effexor+wellbutrin? I guess lexapro+wellbutrin would be easier, but I kinda want something to add a bit of stimulation, too. Cymbalta? At least the dosing's fairly easy...

I don't think I wanna try remeron. Its community/public mental health, so I won't get to adjust the dose for 3 months+/- (this is why I thought of cymbalta).

Any ideas? I thought Prozac, but it seems like that'd potentially mess up the blood levels of everything, plus I don't want to turn apathetic...

Advice?


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poster:Christ_empowered thread:1089575
URL: http://www.dr-bob.org/babble/20160609/msgs/1089575.html