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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by rainbowlight on May 30, 2002, at 22:32:51
I need some advice. Talked to pdoc, she said the diarhea (sp?) and horrible headaches are normal and that I should try to stay on the med. These headaches are worse than migraines, tylenol doesn't touch them. I need to know if this med is really worth going through a few more weeks of hell? It was added to my Lamictal/Remeron/Risperdal combo to help with ADD, to make me less hyper and to be able to concentrate. I am concerned that it won't help with my OCD/anxiety though, which is the problem I was trying to address by adding a new med. Should I bear it out or call her and see if she can start me on a smaller dose of some of the meds I have recently tried, maybe I could deal with them if I started slower? Any advice???
Posted by Leighwit on May 31, 2002, at 9:30:44
In reply to Is Wellbutrin worth it? Need advice!, posted by rainbowlight on May 30, 2002, at 22:32:51
I've used WB for several years, but this doesn't really make much sense to me, on several levels.
First, I've started and stopped WB three times in twelve years, and don't recall ever having migraine-type headaches. That doesn't (in and of itself) mean anything, but I don't think migraines are a typical side effect, nor do I believe anyone should be in excrutiating physical pain as a result of starting any of these AD drugs.
You say the Pdoc added WB to make you less hyper and better able to concentrate? WB is activating, but difficulty concentrating is a common side effect, so that doesn't make sense to me. Brain fog is my own single biggest side effect on WB, and I have been prescribed other drugs (such as Aricept) to specifically alleviate that particular side effect.
You also mentioned OCD and anxiety. Agitation is also considered a common side effect of WB. I've augmented with Celexa in the past, just to ease the WB-induced anxiety and agitation, which are common side effects.
I think you're right in considering a call to the Pdoc, to review this change. You have every right to want to understand the details of her decision process for adding WB to your mix. It doesn't sound like you and she are on the same page right now. You already know this, but if you're like me, it helps to pick up some courage and resolve from this board before picking up the phone!
Laurie
Posted by Ritch on May 31, 2002, at 10:16:57
In reply to Is Wellbutrin worth it? Need advice!, posted by rainbowlight on May 30, 2002, at 22:32:51
> I need some advice. Talked to pdoc, she said the diarhea (sp?) and horrible headaches are normal and that I should try to stay on the med. These headaches are worse than migraines, tylenol doesn't touch them. I need to know if this med is really worth going through a few more weeks of hell? It was added to my Lamictal/Remeron/Risperdal combo to help with ADD, to make me less hyper and to be able to concentrate. I am concerned that it won't help with my OCD/anxiety though, which is the problem I was trying to address by adding a new med. Should I bear it out or call her and see if she can start me on a smaller dose of some of the meds I have recently tried, maybe I could deal with them if I started slower? Any advice???
RBL,I agree with Leighwit that your response to the WB add is a little strange. WB for OCD? That is VERY strange. If anything WB could aggravate OCD greatly IMO. You had a good response to Zoloft, but you obviously got WAY too much Zoloft and got nauseated really bad. You might try a *little* Celexa (say 2.5mg of the liquid/day) added to your combo of Lamictal/Remeron/Risperdal. Celexa is a relatively weak SSRI and perhaps more importantly it is primarily metabolized by CYP3A4 liver enzymes, so it should be less likely (than other OCD meds) to affect the blood levels of the other meds that you are on. I think you may have tried it before and had a squawk about it-but I can't remember.
hope this helps,
Mitch
Posted by terra miller on May 31, 2002, at 22:51:16
In reply to Is Wellbutrin worth it? Need advice!, posted by rainbowlight on May 30, 2002, at 22:32:51
for headaches, do NOT use tylenol... it will just cause you to have worse headaches. it occurs to me that if you have taken too much, that could also be the cause of headaches- you get rebound headaches. for bad headaches, you should use an advil type product.
terra
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