Posted by Ritch on April 25, 2002, at 21:41:09
In reply to Re: Is Dysphoria an Actual Diagnosis? » Ritch, posted by Leighwit on April 25, 2002, at 16:36:38
> Thanks for your input, Mitch. I thought the very same: that the Wellbutrin dosage might be too high. I've gone from the max. daily dosage to only 150 mg in the a.m., and unfortunately my agitation hasn't diminished one bit. A low dosage of Celexa did seem to take the edge off the WB, but I gained a lot of weight and my endocrinologist insisted I discontinue it. As soon as I stopped Celexa, the steady weight gain stopped. As for Reboxetine, I took it here in the US (through a teaching hospital in Chicago) but it didn't do a thing for me. In fact, I found it as agitating as Effexor. WB, while I'm having problems with it, has been much easier to tolerate than either Effexor or Reboxetine in my experience. I've had a better response, and less irritability until very recently. I'm hesitant to discontinue or switch from WB ~ yet I feel like I'm settling for miserable results only because I'm not gaining weight or laying on the couch all day.
>
> Thanks again for the feedback.What about a more *activating* SSRI to add to the Wellbutrin? Have you considered a low-dose combo of Wellbutrin + Prozac? Here's another idea-Wellbutrin+low-dose nortriptyline (to combat the agitation from the WB). I had a decent response to a low-dose three way combo (last SAD episode) to WB+Celexa+nortriptyline. The NT add-on was done in an attempt to quell the WB agitation.
Mitch
poster:Ritch
thread:104108
URL: http://www.dr-bob.org/babble/20020425/msgs/104159.html