Posted by terra miller on July 20, 2001, at 0:35:00
In reply to Re: BuSpar/Wellbutrin/Trazadone » terra miller, posted by Elizabeth on July 18, 2001, at 21:48:27
Hi and thanks for your reply. To answer the questions you posed:
> > As an aid to the healing process of PTSD, I am currently stable on 75mg Wellbutrin I.R. 4xday.
>
> Why four times a day? And why not use Wellbutrin SR? Wellbutrin is awfully activating, and while I can see how you could take it four times a day with the last time not being too late (I took Parnate six times a day), it would be tricky.You know, I've just gotten used to the routine. It actually makes me sleepy at night believe it or not. I churn wellbutrin up fast no matter if it's I.R. or S.R. After 4-5 hours I know I need more. When I tried the S.R. version I would be hurting by the 5th hour and have to wait to take the other pill. I also developed pretty uncomfortable hypothermia on the S.R. version (which actually is a side-effect listed with the I.R. and not the S.R. version; go figure). So, I switched over to the I.R. version so I could spread the pills out over four dosages a day and taking smaller amounts at a time (75mg) seems to help my body not dive to such extreme and painful temperature lows. I cannot increase over the 75mg pills because anymore at once makes my temperature dive and I get all brain fuzzy. So, 75mg 4x/day it is. I've just settled into the routine. (and I bought a really terrifically helpful pill counter so I know when I've taken what.)
> SSRIs, some tricyclics, and MAOIs are all good for anxiety and panic, and the tricyclics I'm thinking of (imipramine, clomipramine) would probably help you sleep, too.
I'm scared to death of tricyclics, but I have no rational reason for that feeling at all. I know nothing about them. Maybe it's just the ignorance breeding fear thing.
Can't take SSRI's because they make me suicidal. In fact, drugs that primarily effect serotonin levels make me swell up all over and get depressed. I don't get why. I just suspect that serotonin isn't the neurotransmitter I need to mess with in my body. Anyway, it's made finding the right med moderately frustrating.
Do people have serotonin issues because really what they need is help with different neurotransmitters than serotonin?>
> > Therefore, being switched to wellbutrin (continue at same dose), 50mg 1xday Trazadone at bedtime, 30mg BuSpar (15mg 2xday... after a week at 7.5mg 2xday) with the understanding from my pdoc that BuSpar works for some on anxiety and not for others/and it can take months for it to "kick in."
>
> I'd give it 8 weeks and try higher doses if low ones aren't helping, yeah.I'm going to give it a good shot. Pdoc told me to give it that much time as well and to expect the possibility that the buspar does nothing for me. But given that it helps some people, you have to put your nose out there to see if you are one of them.
> There's a possible interaction between Buspar and trazodone where the levels of Buspar would be raised -- you'll know by how well you tolerate it, I think.
What's the issue on this, that is, what action is interacting?
>
> -elizabethThanks for your help. -Terra
poster:terra miller
thread:70523
URL: http://www.dr-bob.org/babble/20010714/msgs/71006.html