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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by terra miller on September 24, 2001, at 23:01:41
hi all. been taking wellbutrin i.r. 75mg 4x/day for months. very stable. (couldn't get suicidal if i wanted to... not to be blunt & practical, but it's a good feeling to have hit on the right drug.) as needed i take .5mg xanax and 15mg ambien.
here's the question: everyday in the afternoon this is what's been happening (i've taken 2 doses of wellbutrin by this time)... my vision physically and mentally begins to cloud; i begin to tire; my fuse shortens and irritability rises. this starts in the afternoon and progressively gets worse. i don't notice necessarily that evenings are as bad as the afternoons seem to be.
i typically dose at 8am, 12noon, 4pm, and 8pm.
i don't get what this is. it may be the wellbutrin. it could be the morning coffee (which i already make 1/2 strength since being on the well.) it could be just a phase in my therapy process.
i know that if i take a xanax there's a good chance that this "afternoon thing" will go away, but i find that the wrong use for what i need to use it for and need to save it for panic attacks. i haven't taken one for a week to 10 days and haven't ever taken it regularly.
any clues?
thanks. ~terra.
Posted by KB on September 25, 2001, at 6:36:36
In reply to is this the wellbutrin, or just a passing phase?, posted by terra miller on September 24, 2001, at 23:01:41
you might want to consider what you're eating and when, because what you describe sounds like a blood-sugar crash . . .
Posted by sl on September 25, 2001, at 10:18:08
In reply to is this the wellbutrin, or just a passing phase?, posted by terra miller on September 24, 2001, at 23:01:41
> here's the question: everyday in the afternoon this is what's been happening (i've taken 2 doses of wellbutrin by this time)... my vision physically and mentally begins to cloud; i begin to tire; my fuse shortens and irritability rises. this starts in the afternoon and progressively gets worse. i don't notice necessarily that evenings are as bad as the afternoons seem to be.
>
> i typically dose at 8am, 12noon, 4pm, and 8pm.
>
> i don't get what this is. it may be the wellbutrin. it could be the morning coffee (which i already make 1/2 strength since being on the well.) it could be just a phase in my therapy process.I don't have any ideas, but I'll tell you I experience a similar thing. My mood crashes around 3-4pm. But it comes back to reasonable, if not great.
Try manipulating your meals...make sure you have a snack about that time, including both carbs and protien. That may at least help. :)> i know that if i take a xanax there's a good chance that this "afternoon thing" will go away, but i find that the wrong use for what i need to use it for and need to save it for panic attacks. i haven't taken one for a week to 10 days and haven't ever taken it regularly.
VERY smart girl!
That's a very responsible use of a med that could be habitforming!
Good for you!! :)Luck...
sl
Posted by terra miller on September 25, 2001, at 12:44:51
In reply to Re: is this the wellbutrin, or just a passing phas, posted by sl on September 25, 2001, at 10:18:08
i admit to being a little clueless about how sugar and carbs and blood sugar and all that works. (well, actually "really" clueless)
i do notice that if i eat, i tend to nosedive. i especially nosedive if i eat carbs. if i eat vegetables i notice no change. i do just fine when i don't eat much and limit that to vegetables, but you can't exactly live on only vegetables i don't think.
thoughts about the carbs? thanks so much for the helpful input.
terra
Posted by sl on September 25, 2001, at 22:12:57
In reply to re: sugar carbs/a question, posted by terra miller on September 25, 2001, at 12:44:51
> i admit to being a little clueless about how sugar and carbs and blood sugar and all that works. (well, actually "really" clueless)
>
> i do notice that if i eat, i tend to nosedive. i especially nosedive if i eat carbs. if i eat vegetables i notice no change. i do just fine when i don't eat much and limit that to vegetables, but you can't exactly live on only vegetables i don't think.Well, you can, but I don't think it's healthy.
Or rather, it's not healthy unless you put all the work into it finding all the healthy vegetarian items and healthy combinations that supply what you need.
Try COMPLEX carbs. And I don't mean potatoes or white bread. I mean HEAVY multi-grain bread, whole grain pasta, brown rice, etc. Add peanut butter and/or meat for protien. :)
Sugar takes me down a notch or three, that's for sure.Luck...
sl
> thoughts about the carbs? thanks so much for the helpful input.
>
> terra
Posted by Remi on September 26, 2001, at 16:35:35
In reply to is this the wellbutrin, or just a passing phase?, posted by terra miller on September 24, 2001, at 23:01:41
WB has been very effective for me. My energy is good and NO sexual side effects. But, I still get a bit irritable at times, and have also noticed some occasional vision irregularities (mine pass quickly, but yeah, those are a little freaky). I am going to ask my PDoc about adding some Remeron in the evening to help with sleep and smooth out the WB rough edges. So many posters have had success with WB and Remeron. And I agree with you, there are wiser ways than adding too many benzos to counter these side effects. I take Wellbutrin SR. I don't think this is connected to diet. If anything Wellbutrin helps one avoid junk food and eat the healthier things. No sweet tooth. I Have lost 10-20 lbs. on it. Yet, another positive thing about it! Anyhow, I can't tolerate SSRI's, and this IS working, sooo, I am going to deal and fine tune some.
Remi
Posted by paxvox on September 27, 2001, at 12:55:12
In reply to Re: is this the wellbutrin, or just a passing phase?, posted by Remi on September 26, 2001, at 16:35:35
Sounds like a plan, WB has been around since the late 60's actually (see SalArmy4me's link). It is an effective med. Sure, it has its quirks, but I can deal with most of them. Haven't tried the Remeron, will "study up on it". Good luck.
PAX
Posted by kregpark@yahoo.com on September 28, 2001, at 12:59:03
In reply to Re: is this the wellbutrin, or just a passing phase?, posted by Remi on September 26, 2001, at 16:35:35
Sounds good Remi! :)
Irratibility is the most common side effect, along
with insomnia. Vision problems are not uncommon
either with dopaminergic drugs (wellbutrin is
similar to stimulants, raising dopamine and
norephinephrine.Sounds like your idea to discuss with doc about
roughing out the edges is good one! I think
Remeron might help. It certainly should help with
sleep, but as for irratibility it could either
decrease or increase it I think - defitely worth
a try!!!A very very low dose of SSRI might help also,
and if a low dose is enough Xanax can work
very well with stimulants to boost mood without
giving up the benefits of the the stimulant
or stimulant like med.Just some thoughts...
kregpark@yahoo.com
http://www.socialfear.com/> WB has been very effective for me. My energy is
> good and NO sexual side effects. But, I still
> get a bit irritable at times, and have also
> noticed some occasional vision irregularities
> (mine pass quickly, but yeah, those are a
> little freaky). I am going to ask my PDoc about
> adding some Remeron in the evening to help with
> sleep and smooth out the WB rough edges. So
> many posters have had success with WB and
> Remeron. And I agree with you, there are wiser
> ways than adding too many benzos to counter
> these side effects. I take Wellbutrin SR.
> I don't think this is connected to diet.
> If anything Wellbutrin helps one avoid junk
> food and eat the healthier things. No sweet
> tooth. I Have lost 10-20 lbs. on it. Yet,
> another positive thing about it! Anyhow, I
> can't tolerate SSRI's, and this IS working,
> sooo, I am going to deal and fine tune some.
>
> Remi
This is the end of the thread.
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