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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by Anyuser on July 26, 2002, at 11:51:56
I have had a partial response to 300mg per day Wellbutrin SR after several weeks. I do not feel entirely well.
How do I know whether to increase my WB dose or try another drug?
I would appreciate hearing any stories about increasing WB dose, successful or otherwise.
Posted by KellyM on July 27, 2002, at 21:18:19
In reply to Benefits from increased Wellbutrin dosage?, posted by Anyuser on July 26, 2002, at 11:51:56
For what it's worth, I went from 300mg per day to 450mg of Wellbutrin SR and did see an improvement. This was while I was taking Paxil as well. Don't know if you have ever tried an SSRI, but it can be an effective 1-2 punch. Usually you don't need an overally large dose of the SSRI augmentation. In any event, I found the larger dose of Wellbutrin effectively stimulating.
Kelly
Posted by Anyuser on July 29, 2002, at 9:10:12
In reply to Re: Benefits from increased Wellbutrin dosage? » Anyuser, posted by KellyM on July 27, 2002, at 21:18:19
Thanks for your response. I have indeed had a good response from Celexa in the past, but I had hopes that Wellbutrin would work for me without the undesirable side effects of Celexa: sexual blahs and apathy/lethargy.
Wellbutrin keeps me moving, but I don't get anywhere near the sense of well-being that I got from Celexa. Any suggestion that WB has anxiolytic effects equivalent to an SSRI is way wrong, as far as I am concerned.
Now I am trying to decide whether to augment WB with Celexa and in what amounts, or to take Serzone for a test drive.
Posted by KellyM on July 30, 2002, at 0:41:19
In reply to Re: Benefits from increased Wellbutrin dosage?, posted by Anyuser on July 29, 2002, at 9:10:12
I agree. Short term (for me a few months) SSRI's are great. It just comes to the dreaded "damned if you do, damned if you don't" factor in terms of apathy and lethargy after a while. If you do go the combo route, I'd recommend starting with a small dose of the SSRI. Hopefully that would lessen the bad aspects while getting some benefit from the Wellbutrin. (Just as an aside- I often wondered how combining Ritalin with an SSRI would work, assuming you could convince someone to prescribe it).
I have been on Nardil for about 7 or 8 weeks and it's working great so far. Because of it I'm willing to overlook the side effects, but talk about sexual dysfunction and insomnia...
Posted by cybercafe on July 30, 2002, at 0:59:59
In reply to Re: Benefits from increased Wellbutrin dosage? » Anyuser, posted by KellyM on July 30, 2002, at 0:41:19
>Wellbutrin. (Just as an aside- I often wondered how combining Ritalin with an SSRI would work, assuming you could convince someone to prescribe it).
shouldn't be a problem getting a stimulant, if the doc is aware that there is first line evidence supporting it's use as an augmentation (as well as lithium, thyroid, antipsychotic and buspirone)
Posted by terra miller on July 30, 2002, at 12:55:15
In reply to Benefits from increased Wellbutrin dosage?, posted by Anyuser on July 26, 2002, at 11:51:56
i bumped up from 75mgx4, to 75mgx5. it took a couple weeks to level off/headaches and such. but what i notice is totally no breakthrough in suicidal thinking. i'm just not able to do it at all (think about it, that is.) i have too much drive. i don't take anything else with it besides the occasional xanax.
terra
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