![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 25 of 37. This is the beginning of the thread.
Posted by Simcha on October 8, 2001, at 7:33:28
OK folks,
My pdoc has me increase my Wellbutrin SR from 150mg to 200mg/day and he had me decrease my Celexa dose from 40mg to 20mg a day.
The next couple of days were great. My sexual energy was back. I felt fine.
Then whammo!!!! Last Thursday I felt a bit off-balance. This has continued through the weekend. I find myself more irritated at trivial stupid things. I feel that I am less easy going. I am cleaning the house like mad. I can't stand having clutter all of a sudden. (Not normally my behavior)
Initially I have been thinking that this combo has me in a manic state. The boyfriend talked to me this morning about my behavior lately. He loves me very much and he has been very supportive. He seems to think that the Celexa needs to go back to 40mg. He said that the last time I increased Wellbutrin (from 100mg to 150) I had a similar reaction and I relapsed by having a compulsive episode. The pdoc increased the Celexa to 40mg and I levelled out.
I'm thinking that my base problem is Major Depressive Disorder, as the pdoc verifies, AND underlying SEVERE OCD. I do seem to respond to the Celexa very well. My pdoc has me convinced that I need it to combat my OCD. I cry that I will never be able to be off of it but if that is what it takes to not have sex with 12 strangers a day then I'm willing to take it. That life was HELL!
I took the full 40mg of Celexa this morning. I will let you all know how this goes. I'm hoping that I will not have to call the pdoc to have my Wellbutrin dose adjusted back to 150mg. My pdoc gave me the option of going back up to 40mg of Celexa on my own. He gave me control of the dose. I'm glad he did. I can go back up and see how it goes.
I am scared now. I do not want to go back to compulsion again. I have been very happy with my sobriety lately. I love my partner so much. I do not want to put him through another one of my compulsive binges. That is the place of nightmares. Please pray for me everyone while I balance out again. I really need your support.
Thanks,
Simcha.....
Posted by pellmell on October 8, 2001, at 10:55:15
In reply to Reduction in Celexa or Increase in Wellbutrin?, posted by Simcha on October 8, 2001, at 7:33:28
> Then whammo!!!! Last Thursday I felt a bit off-balance. This has continued through the weekend. I find myself more irritated at trivial stupid things. I feel that I am less easy going. I am cleaning the house like mad. I can't stand having clutter all of a sudden. (Not normally my behavior)
>My guess is that the increase in Wellbutrin has knocked you off-balance. Irritability and clean closets are common side-effects of that stuff...when I took it by itself this summer, I tore up our overgrown veggie garden, bought bagged manure, spread it, turned over the soil, and raked it out all in a matter of hours. I needed to be doing something. Though I love gardening, this was not my behavior, either...not AT ALL. I'm usually a lot slower-paced and easygoing. Also, I was snapping at everyone (especially if they were related to me ;)).
Now, taking 200mg instead of 300 Wellbutrin and with Effexor to balance the it, I've only felt mild irritability since I started, and that seems to be fading.
My casual suggestion: stay with the 40mg/day of Celexa for a while (I think you made the right choice) and try stepping down again after you think you've adjusted to the Wellbutrin.
I can only imagine the hell your brand of OCD and depression has put you through. I don't pray, but you'll be in my thoughts. Of course I only know you through what you've posted on this message board, but...I don't know. I care. You write well, and you reveal your personality through your words. I like that.
Best,
-pm
Posted by Kaysey on October 8, 2001, at 12:09:14
In reply to Re: Reduction in Celexa or Increase in Wellbutrin? » Simcha, posted by pellmell on October 8, 2001, at 10:55:15
> > Then whammo!!!! Last Thursday I felt a bit off-balance. This has continued through the weekend. I find myself more irritated at trivial stupid things. I feel that I am less easy going. I am cleaning the house like mad. I can't stand having clutter all of a sudden. (Not normally my behavior)
> >
>
> My guess is that the increase in Wellbutrin has knocked you off-balance. Irritability and clean closets are common side-effects of that stuff...when I took it by itself this summer, I tore up our overgrown veggie garden, bought bagged manure, spread it, turned over the soil, and raked it out all in a matter of hours. I needed to be doing something. Though I love gardening, this was not my behavior, either...not AT ALL. I'm usually a lot slower-paced and easygoing. Also, I was snapping at everyone (especially if they were related to me ;)).
>
> Now, taking 200mg instead of 300 Wellbutrin and with Effexor to balance the it, I've only felt mild irritability since I started, and that seems to be fading.
>
> My casual suggestion: stay with the 40mg/day of Celexa for a while (I think you made the right choice) and try stepping down again after you think you've adjusted to the Wellbutrin.
>
> I can only imagine the hell your brand of OCD and depression has put you through. I don't pray, but you'll be in my thoughts. Of course I only know you through what you've posted on this message board, but...I don't know. I care. You write well, and you reveal your personality through your words. I like that.
>
> Best,
> -pmHi!
You may have already posted the answers to my questions, forgive me if I don't recall, even though I try to keep up! Two weeks ago I added 100mg Wellbutrin SR to my 300mg Effexor (not SR, because I had to titrate up so slowly that I was splitting already-split pills). I had done really well on the Effexor alone (on it now for 5 months, one month at 300mg), but the fatigue and sleepiness had been way too much.
The Wellbutrin has helped some, and I realize that it may not have done its 'thing' time-wise, but I am still really draggy. I have my doctor's approval to up it to 100mgX2 if I want. My problem is that, I have occasionally suffered from anxiety (intensely so)with the Wellbutrin--the irritability subsided after the first four days--and my hair has fallen out (even with zinc and selenium supplements). Now I can live with that (to a point), but I am concerned that the extra 100mg per day will exacerbate the hair loss and anxiety (even if it helps the sleepiness). Have you had problems such as this, and how have you handled them?
Thanks very much
Kaysey
Posted by Simcha on October 8, 2001, at 12:33:13
In reply to Re: Reduction in Celexa or Increase in Wellbutrin? » Simcha, posted by pellmell on October 8, 2001, at 10:55:15
> My guess is that the increase in Wellbutrin has knocked you off-balance. Irritability and clean closets are common side-effects of that stuff...when I took it by itself this summer, I tore up our overgrown veggie garden, bought bagged manure, spread it, turned over the soil, and raked it out all in a matter of hours. I needed to be doing something. Though I love gardening, this was not my behavior, either...not AT ALL. I'm usually a lot slower-paced and easygoing. Also, I was snapping at everyone (especially if they were related to me ;)).
>
> Now, taking 200mg instead of 300 Wellbutrin and with Effexor to balance the it, I've only felt mild irritability since I started, and that seems to be fading.
>
> My casual suggestion: stay with the 40mg/day of Celexa for a while (I think you made the right choice) and try stepping down again after you think you've adjusted to the Wellbutrin.
>
> I can only imagine the hell your brand of OCD and depression has put you through. I don't pray, but you'll be in my thoughts. Of course I only know you through what you've posted on this message board, but...I don't know. I care. You write well, and you reveal your personality through your words. I like that.
>
> Best,
> -pmpm,
Thanks for your support. It helps a lot!
Yeah, I could try to go back down to 20mg/day of Celexa after I've made the adjustment to 200mg/day of Wellbutrin SR. I just do not want to go back into a compulsive episode. I can't afford it now. I don't want it.
Life has been much better with the Celexa. The Wellbutrin has helped with the sexual side effects. My boyfriend actually said, and I quote, "I'd rather deal with your sexual side-effects than the irritability and anger."Wow! Now to me that is love. I was attempting to get a good combo that would allow me to make love to him more often. I guess that it doesn't matter that I can make love more often if I'm a basket case. Who knows? Maybe the extra 50mg of Wellbutrin SR per day will allow me to have better sex more often with him even on 40mg of Celexa.
Take Care,
Simcha.....
Posted by pellmell on October 9, 2001, at 16:58:37
In reply to pellmell, how are you doing with your combo?, posted by Kaysey on October 8, 2001, at 12:09:14
Kaysey,
Nope, I haven't talked about this stuff yet...in fact, I'm still working through it myself. With the exception of the hair loss bit. I haven't noticed that I'm shedding any more than usual. :)
As for anxiousness and irritability...yeah, when I took Wellbutrin alone I had a really bad case of both. What I'm doing to deal with it now probably isn't an option for you: I'm playing with my Effexor dose to try to find the right balance between sleepy-blah and anxiety-charged energy. I think 112.5 mg of Effexor XR does it for me, but I'm not sure when to take it. If I swallow the pills at night it seems to disrupt my sleep, but in the morning it makes me drowsy through the day. Argh! I'm sticking with the regular Wellbutrin program of one 100mg SR pill in the morning and another around 5.
Let's keep talking about this...and good luck for now!
Until next time,
-pm> Hi!
> You may have already posted the answers to my questions, forgive me if I don't recall, even though I try to keep up! Two weeks ago I added 100mg Wellbutrin SR to my 300mg Effexor (not SR, because I had to titrate up so slowly that I was splitting already-split pills). I had done really well on the Effexor alone (on it now for 5 months, one month at 300mg), but the fatigue and sleepiness had been way too much.
> The Wellbutrin has helped some, and I realize that it may not have done its 'thing' time-wise, but I am still really draggy. I have my doctor's approval to up it to 100mgX2 if I want. My problem is that, I have occasionally suffered from anxiety (intensely so)with the Wellbutrin--the irritability subsided after the first four days--and my hair has fallen out (even with zinc and selenium supplements). Now I can live with that (to a point), but I am concerned that the extra 100mg per day will exacerbate the hair loss and anxiety (even if it helps the sleepiness). Have you had problems such as this, and how have you handled them?
> Thanks very much
> Kaysey
Posted by Kaysey on October 10, 2001, at 12:53:58
In reply to Re: pellmell, how are you doing with your combo? » Kaysey, posted by pellmell on October 9, 2001, at 16:58:37
> Kaysey,
>
> Nope, I haven't talked about this stuff yet...in fact, I'm still working through it myself. With the exception of the hair loss bit. I haven't noticed that I'm shedding any more than usual. :)
>
> As for anxiousness and irritability...yeah, when I took Wellbutrin alone I had a really bad case of both. What I'm doing to deal with it now probably isn't an option for you: I'm playing with my Effexor dose to try to find the right balance between sleepy-blah and anxiety-charged energy. I think 112.5 mg of Effexor XR does it for me, but I'm not sure when to take it. If I swallow the pills at night it seems to disrupt my sleep, but in the morning it makes me drowsy through the day. Argh! I'm sticking with the regular Wellbutrin program of one 100mg SR pill in the morning and another around 5.
>
> Let's keep talking about this...and good luck for now!
>
> Until next time,
> -pm
>
> > Hi!
> > You may have already posted the answers to my questions, forgive me if I don't recall, even though I try to keep up! Two weeks ago I added 100mg Wellbutrin SR to my 300mg Effexor (not SR, because I had to titrate up so slowly that I was splitting already-split pills). I had done really well on the Effexor alone (on it now for 5 months, one month at 300mg), but the fatigue and sleepiness had been way too much.
> > The Wellbutrin has helped some, and I realize that it may not have done its 'thing' time-wise, but I am still really draggy. I have my doctor's approval to up it to 100mgX2 if I want. My problem is that, I have occasionally suffered from anxiety (intensely so)with the Wellbutrin--the irritability subsided after the first four days--and my hair has fallen out (even with zinc and selenium supplements). Now I can live with that (to a point), but I am concerned that the extra 100mg per day will exacerbate the hair loss and anxiety (even if it helps the sleepiness). Have you had problems such as this, and how have you handled them?
> > Thanks very much
> > KayseyThanks for the info. Actually in addition to the thinning hair I am also experiencing extremely dry skin (I live in the Southeastern part of the US,and my skin looks like it usually does in the dead of winter). I am drinking more water (have to for the dry mouth), but my skin is still scaly. I experienced some of this when I began the Effexor, but not to this extent.
The 'tweaking' of Effexor that you are doing is of interest to me, because I really don't know how much of the dose of 300mg is helping beyond the 225mg dose. I didn't even see a dent in the depression until I hit 150mg, started feeling very good at 225, and to be honest,titrated up to 300mg, to see if some of the norepinephrine effects might kick in to alleviate or at least minimize the drowsiness (it hasn't). I am wondering about SLOWLY decreasing the effexor to see what impact it might have, and, in turn, perhaps going to WB SR 100mgX2 (instead of the one a day I am currently taking).
Except for the very first day that I took Effexor (the initial 37.5mg dose--wired me--but ONLY for that day), I have felt none of the energy, or alertness that many people report. As I mentioned in another post, it could actually be a 'sleeping pill' for me. I certainly have appreciated the decrease in depression and anxiety, but the too-relaxed/laid-back feeling is difficult to deal with.Thanks again for your help. The very best to you in your guaging process (seems like we are always trying to hone in on the right thing, doesn't it?), and let's continue to compare notes.
Kaysey
Posted by pellmell on October 16, 2001, at 17:07:07
In reply to Re: pellmell, how are you doing with your combo? » pellmell, posted by Kaysey on October 10, 2001, at 12:53:58
Kaysey,
Ok, I've had another week to try to find this elusive med balance, and I'm a little closer than before.
Right now I'm sticking with 75mg Effexor XR in the morning, 100mg Wellbutrin SR at noon, and another dose of Wellbutrin around 7.
Moving my first Wellbutrin dose from breakfast to noon has helped the most. I actually felt groggier than ever when I took it in the morning. Maybe it's a circadian rhythm thing. I'm sleeping a whole lot better now, remembering my dreams, but I still don't feel quite right. I feel more awake, but also more anxious; I wonder sometimes if boosting my Effexor dose significantly, all the way back up to 225, would be a good thing, with the Wellbutrin as balance. On the other hand, I feel more aware, more alive on 75mg. Maybe the drop in the Effexor dose was all I needed? Maybe the Wellbutrin is hurting more than it's helping? ..sigh..
So, like I said, I'm closer...but not quite where I'd like to be.
When you get a chance, let me know how you're doing. I'd like to hear.
Best,
-pm
Posted by Kaysey on October 16, 2001, at 18:37:16
In reply to Re: Effexor/Wellbutrin combo » Kaysey, posted by pellmell on October 16, 2001, at 17:07:07
> Kaysey,
>
> Ok, I've had another week to try to find this elusive med balance, and I'm a little closer than before.
>
> Right now I'm sticking with 75mg Effexor XR in the morning, 100mg Wellbutrin SR at noon, and another dose of Wellbutrin around 7.
>
> Moving my first Wellbutrin dose from breakfast to noon has helped the most. I actually felt groggier than ever when I took it in the morning. Maybe it's a circadian rhythm thing. I'm sleeping a whole lot better now, remembering my dreams, but I still don't feel quite right. I feel more awake, but also more anxious; I wonder sometimes if boosting my Effexor dose significantly, all the way back up to 225, would be a good thing, with the Wellbutrin as balance. On the other hand, I feel more aware, more alive on 75mg. Maybe the drop in the Effexor dose was all I needed? Maybe the Wellbutrin is hurting more than it's helping? ..sigh..
>
> So, like I said, I'm closer...but not quite where I'd like to be.
>
> When you get a chance, let me know how you're doing. I'd like to hear.
>
> Best,
> -pmHi!
Except for the Effexor dosage and a few other idiosyncracies that I have experienced, we seem to be pretty much in the same 'boat.' I reduced the Effexor dose down to less than 225, am now back at 225, and considering going back up (started at 300 when I added Wellbutrin two weeks ago). I am now at 200mg Wellbutrin (had to slowly get there, but now seem to be doing okay--still have extremely dry skin and some urinary and fluid retention and therefore drinking lots of water.The increased alertness has been a real plus, but like you, the Wellbutrin makes me sleepy in the AM--makes me want to go back to bed. I'm trying to take it about mid to late-morning and early evening--doesn't interfere with sleep. However, I seem to be 'down'--more so than I know I should be--anxious and overly concerned, etc. That is the reason I was considering increasing the Effexor again.
I am also curious as what type of potentiating effect the Wellbutrin might have on the Effexor. Effexor has always exacerbated the carb cravings that I have with PMS, and this has been even more pronounced with the addition of the WB. Though I have been more alert and somewhat more active, I certainly have not experienced any of the appetite and weight loss, etc. that many people report. I never did with Effexor either, and it seems that the Wellbutrin magnifies this. While this is not a health problem, it is really annoying.
I guess I will continue to 'tweak' the dosage here and there, but there isn't much else to try unless I go up to 300 on the Wellbutrin, which I am reluctant to do at this point. Stay tuned and good luck. Keep in touch.
Kaysey
Posted by SLS on October 16, 2001, at 18:49:05
In reply to Re: Effexor/Wellbutrin combo:almost ditto » pellmell, posted by Kaysey on October 16, 2001, at 18:37:16
Hi.
I wouldn't give up on the combo until you reach 300mg of each.
- Scott
Posted by Kaysey on October 16, 2001, at 22:11:24
In reply to Re: Effexor/Wellbutrin combo:almost ditto, posted by SLS on October 16, 2001, at 18:49:05
> Hi.
>
> I wouldn't give up on the combo until you reach 300mg of each.
>
>
> - ScottThanks for the information. I have researched Wellbutrin and looked at most of the posts related to it here (I did the same thing with Effexor). I was not surprised by the carb-cravings with Effexor. Though I realize everyone is different, and there are those who report weight gain on Wellbutrin, I have really been surprised by my intense carb cravings with it.
Could this be a temporary side effect? Is it a result of some potentiation effect on Effexor? Is there some way I can alleviate it? I am not overweight, and I have generally had pretty good willpower where food is concerned, but the craving is very annoying. Is there a possibility this will diminish at a higher dose (i.e when I reach 300)?
Yes, I realize it just might be that my body reacts differently, but could you (or anyone) shed some light on this?
Thanks again.
Kaysey
Posted by SLS on October 17, 2001, at 0:13:15
In reply to Re: Effexor/Wellbutrin combo:almost ditto » SLS, posted by Kaysey on October 16, 2001, at 22:11:24
> Thanks for the information. I have researched Wellbutrin and looked at most of the posts related to it here (I did the same thing with Effexor). I was not surprised by the carb-cravings with Effexor. Though I realize everyone is different, and there are those who report weight gain on Wellbutrin, I have really been surprised by my intense carb cravings with it.
>
> Could this be a temporary side effect? Is it a result of some potentiation effect on Effexor? Is there some way I can alleviate it? I am not overweight, and I have generally had pretty good willpower where food is concerned, but the craving is very annoying. Is there a possibility this will diminish at a higher dose (i.e when I reach 300)?
>
> Yes, I realize it just might be that my body reacts differently, but could you (or anyone) shed some light on this?
Dear Kaysey,I don’t have anything intelligent to add to what you have already offered as possible explanations and thoughtful questions.
I do have a question or two, though. In what ways are you sure that Wellbutrin is improving your condition? Why are you sure?
One thing that can happen with people as they begin to respond to antidepressant therapy is that they begin to regain the sensation of taste. Food just tastes better. When this happens to me, it is very striking, and I do eat more because of it – at least, at first. If this were to be the case with you, I guess that you would soon reach a balance as the novelty of taste dissipates. I don’t think it makes sense to make treatment decisions based on food cravings at this point in time.
- Scott
Posted by Kaysey on October 17, 2001, at 0:48:54
In reply to Re: Effexor/Wellbutrin combo:almost ditto » Kaysey, posted by SLS on October 17, 2001, at 0:13:15
> > Thanks for the information. I have researched Wellbutrin and looked at most of the posts related to it here (I did the same thing with Effexor). I was not surprised by the carb-cravings with Effexor. Though I realize everyone is different, and there are those who report weight gain on Wellbutrin, I have really been surprised by my intense carb cravings with it.
> >
> > Could this be a temporary side effect? Is it a result of some potentiation effect on Effexor? Is there some way I can alleviate it? I am not overweight, and I have generally had pretty good willpower where food is concerned, but the craving is very annoying. Is there a possibility this will diminish at a higher dose (i.e when I reach 300)?
> >
> > Yes, I realize it just might be that my body reacts differently, but could you (or anyone) shed some light on this?
>
>
> Dear Kaysey,
>
> I don’t have anything intelligent to add to what you have already offered as possible explanations and thoughtful questions.
>
> I do have a question or two, though. In what ways are you sure that Wellbutrin is improving your condition? Why are you sure?
>
> One thing that can happen with people as they begin to respond to antidepressant therapy is that they begin to regain the sensation of taste. Food just tastes better. When this happens to me, it is very striking, and I do eat more because of it – at least, at first. If this were to be the case with you, I guess that you would soon reach a balance as the novelty of taste dissipates. I don’t think it makes sense to make treatment decisions based on food cravings at this point in time.
>
>
> - Scott
Scott:
Your questions are reasonable. Considering I just added this med 3 weeks ago (and have only been at 200mg/day for less than a week), I can't honestly say that any improvement is directly due
to WB. However, the fact that I no longer desire to sleep 12+ hours per day and can actually get up early (with only a little prodding)is definitely an improvement--and this occurred immediately when I began taking the Wellbutrin. Prior to that, I could fall asleep so easily that I was almost afraid to drive long distances--and actually planned trips around the Effexor dosage.Effexor alone certainly lifted my depression (yes, I know what you mean by the distinct improvement in all sensory images--taste especially), but the drowsiness was debilitating. Rather than continue increasing the
Effexor beyond 300mg (which I realize is not a bad thing), the decision was made to augment with Wellbutrin. The increased alertness (whether or not it is actually due to the WB at this point) has been sufficient for me to want to continue with this med (at least for now).Sorry, this post ended up longer than it should have. Thanks again for your help.
Kaysey
Posted by pellmell on October 20, 2001, at 13:02:44
In reply to Re: Effexor/Wellbutrin combo:almost ditto » SLS, posted by Kaysey on October 17, 2001, at 0:48:54
Okay, here's the latest:
I dropped the Wellbutrin for two days, and hung on to the 75mg Effexor. I found myself feeling more depressed (maybe 'cause the Wellbutrin-induced anxiety wasn't there to distract me), so I went back up to 112.5mg. I've been on that dose for a couple of days and I'm feeling better...except I sliding back into lethargy again.
So today I did what helped me in the beginning, and took a 150mg Wellbutrin pill around noon. I was feeling best when I was taking that amount at that time; hopefully I will again. I have to talk to my pdoc again soon for more Effexor, unless I want to take 150-225mg a day again (I've got a prescription for 5 refills at that dose).
Anyway... wish me luck.
By the way, how've you been doing since you posted last?-pm
Posted by kregpark@yahoo.com on October 20, 2001, at 15:39:51
In reply to Reduction in Celexa or Increase in Wellbutrin?, posted by Simcha on October 8, 2001, at 7:33:28
Interesting post.
I have been gaining increase in Wellbutrin.
My regimen of 60 Nardil + 2.75 Klonopin + 50 Provigil
and why I take is at http://www.socialfear.com/Though I trialed extensively in the past, I do with much more reservation primarily due to the fact I want to be able to show up at work and not be having frequent mood and behavioral or personality changes.
Also interferes with friends, family etc.I recently decided that if I *do* want to trial, I want a good *washout* and *washin* regimen to/from MAOI (even at the low dose I take). Probably 4-7 days worth.
My feeling is that Wellbutrin + Xanax, or Ritalin + Xanax (have actually done these for 1 or 2 days a couple times already), allows me to retain excellent SP and good energy treatment and drop nardil from 60mg to 0 immediately.Tramadol + Wellbutrin is another but I'm not sure about that one.
At least the Xanax + Ritalin (I've tried it) is not even FDA contraindicated for washout, or even concurrent MAOI use for that matter.
I would like to sometime try the Wellbutrin + Xanax for a week or so and see how it goes.
I could try it for washout/washin but it may also be good long term regimen for me.
It is what I want to discuss with my doc next time
(I really should see him more than once every 3 months!!!)Anyways... a bit off topic at the end ...
kregpark@yahoo.com
http://www.socialfear.com/
> OK folks,
>
> My pdoc has me increase my Wellbutrin SR from 150mg to 200mg/day and he had me decrease my Celexa dose from 40mg to 20mg a day.
>
> The next couple of days were great. My sexual energy was back. I felt fine.
>
> Then whammo!!!! Last Thursday I felt a bit off-balance. This has continued through the weekend. I find myself more irritated at trivial stupid things. I feel that I am less easy going. I am cleaning the house like mad. I can't stand having clutter all of a sudden. (Not normally my behavior)
>
> Initially I have been thinking that this combo has me in a manic state. The boyfriend talked to me this morning about my behavior lately. He loves me very much and he has been very supportive. He seems to think that the Celexa needs to go back to 40mg. He said that the last time I increased Wellbutrin (from 100mg to 150) I had a similar reaction and I relapsed by having a compulsive episode. The pdoc increased the Celexa to 40mg and I levelled out.
>
> I'm thinking that my base problem is Major Depressive Disorder, as the pdoc verifies, AND underlying SEVERE OCD. I do seem to respond to the Celexa very well. My pdoc has me convinced that I need it to combat my OCD. I cry that I will never be able to be off of it but if that is what it takes to not have sex with 12 strangers a day then I'm willing to take it. That life was HELL!
>
> I took the full 40mg of Celexa this morning. I will let you all know how this goes. I'm hoping that I will not have to call the pdoc to have my Wellbutrin dose adjusted back to 150mg. My pdoc gave me the option of going back up to 40mg of Celexa on my own. He gave me control of the dose. I'm glad he did. I can go back up and see how it goes.
>
> I am scared now. I do not want to go back to compulsion again. I have been very happy with my sobriety lately. I love my partner so much. I do not want to put him through another one of my compulsive binges. That is the place of nightmares. Please pray for me everyone while I balance out again. I really need your support.
>
> Thanks,
> Simcha.....
Posted by Kaysey on October 21, 2001, at 10:44:50
In reply to Re: Effexor/Wellbutrin combo: another update » Kaysey, posted by pellmell on October 20, 2001, at 13:02:44
> Okay, here's the latest:
>
> I dropped the Wellbutrin for two days, and hung on to the 75mg Effexor. I found myself feeling more depressed (maybe 'cause the Wellbutrin-induced anxiety wasn't there to distract me), so I went back up to 112.5mg. I've been on that dose for a couple of days and I'm feeling better...except I sliding back into lethargy again.
>
> So today I did what helped me in the beginning, and took a 150mg Wellbutrin pill around noon. I was feeling best when I was taking that amount at that time; hopefully I will again. I have to talk to my pdoc again soon for more Effexor, unless I want to take 150-225mg a day again (I've got a prescription for 5 refills at that dose).
>
> Anyway... wish me luck.
> By the way, how've you been doing since you posted last?
>
> -pmHi!
I can say this, for now: depression is non-existent, energy level is fair to almost good at times, carb-cravings are as bad as ever. Scott pointed out that I shouldn't discard a med so quickly because of food cravings, and I realize that is probably the sensible thing to do. However, this is a distraction and makes it difficult to concentrate (I spend a lot of time at a computer and just like the story says, "visions of sugar plums dance in my head" ha!)
There is a post below about WB and weight gain--Terra suggested protein bars--which I did use with just the Effexor, with some degree of success. If it was just an increase in appetite, I could handle that by munching on veggies, etc...but that isn't it.
Enough about that. I have to admit it is nice to be out of that dark mode, and for that I am thankful. I don't know if there is any advantage to increasing the meds or not at this point. Really the only things I would be interested in are more alertness (fatigue is still there to some degree--I find myself feeling good then 'hitting the wall' all of a sudden), and eliminating or minimizing these hounding cravings.
Stay tuned and keep me posted. You may have said and I don't remember, what were you taking before this combo?
Thanks.
Kaysey
Posted by Kaysey on October 25, 2001, at 19:09:15
In reply to Re: Effexor/Wellbutrin combo: another update » pellmell, posted by Kaysey on October 21, 2001, at 10:44:50
Hi:I am preparing to start 300mg (2x150mg-up from 200mg 2x100 perday) Wellbutrin SR next week (with my 225mg Effexor). I say 'preparing' because I am concerned about the continuing fatigue. As compared to the Effexor alone experience, I am somewhat more alert, and my depression control is good. However, I have this dull fatigue and some muscle weakness that doesn't seem to want to subside (i.e I'm alert but certainly not energetic or strong).
I have gone through the archives (especially about Wellbutrin), to see if this dissatisfying side-effect ever subsides alone (or with increased dosage).
On Effexor alone I kept increasing the dosage to see if the fatigue and drowsiness would ever subside--went to 300mg and then doc and I agreed to add the Wellbutrin. Fortunately some of the hair loss and edema seems to have subsided--but the fatigue is at times almost as debilitating as the depression was.
When I was on Prozac (and when it was working), I never suffered this kind of fatigue (some sedation, but no fatigue). Anyone have anymore suggestions. They are certainly welcome!Thanks.
Kaysey
Posted by Dreamy on October 26, 2001, at 17:38:49
In reply to Re: Effexor/WB combo: update and ask for help, posted by Kaysey on October 25, 2001, at 19:09:15
>
> Hi:
>
> I am preparing to start 300mg (2x150mg-up from 200mg 2x100 perday) Wellbutrin SR next week (with my 225mg Effexor). I say 'preparing' because I am concerned about the continuing fatigue. As compared to the Effexor alone experience, I am somewhat more alert, and my depression control is good. However, I have this dull fatigue and some muscle weakness that doesn't seem to want to subside (i.e I'm alert but certainly not energetic or strong).
> I have gone through the archives (especially about Wellbutrin), to see if this dissatisfying side-effect ever subsides alone (or with increased dosage).
> On Effexor alone I kept increasing the dosage to see if the fatigue and drowsiness would ever subside--went to 300mg and then doc and I agreed to add the Wellbutrin. Fortunately some of the hair loss and edema seems to have subsided--but the fatigue is at times almost as debilitating as the depression was.
> When I was on Prozac (and when it was working), I never suffered this kind of fatigue (some sedation, but no fatigue). Anyone have anymore suggestions. They are certainly welcome!
>
> Thanks.
> KayseyYeah...I am on that combo right now...although not
that much effexor...
I feel great...wake early want to excersize...etc.
AND I was totally lethargic!
AND let me tell you something else...I have had
a ton of hair fall out prior to using effexor...
since starting effexor...it's like my hair is
actually sticking in...its totallly weird.
May I ask you why you were losing hair?
I am a female and it was totally devestating and
horrifying for me to lose my hair...
Now I look like buck wheat with a TON of new hair
growth.
Let me know!
Thanks,
Dreamy
Posted by Kaysey on October 26, 2001, at 19:11:02
In reply to Re: Effexor/WB combo: update and ask for help, posted by Dreamy on October 26, 2001, at 17:38:49
> >
> > Hi:
> >
> > I am preparing to start 300mg (2x150mg-up from 200mg 2x100 perday) Wellbutrin SR next week (with my 225mg Effexor). I say 'preparing' because I am concerned about the continuing fatigue. As compared to the Effexor alone experience, I am somewhat more alert, and my depression control is good. However, I have this dull fatigue and some muscle weakness that doesn't seem to want to subside (i.e I'm alert but certainly not energetic or strong).
> > I have gone through the archives (especially about Wellbutrin), to see if this dissatisfying side-effect ever subsides alone (or with increased dosage).
> > On Effexor alone I kept increasing the dosage to see if the fatigue and drowsiness would ever subside--went to 300mg and then doc and I agreed to add the Wellbutrin. Fortunately some of the hair loss and edema seems to have subsided--but the fatigue is at times almost as debilitating as the depression was.
> > When I was on Prozac (and when it was working), I never suffered this kind of fatigue (some sedation, but no fatigue). Anyone have anymore suggestions. They are certainly welcome!
> >
> > Thanks.
> > Kaysey
>
> Yeah...I am on that combo right now...although not
> that much effexor...
> I feel great...wake early want to excersize...etc.
> AND I was totally lethargic!
> AND let me tell you something else...I have had
> a ton of hair fall out prior to using effexor...
> since starting effexor...it's like my hair is
> actually sticking in...its totallly weird.
> May I ask you why you were losing hair?
> I am a female and it was totally devestating and
> horrifying for me to lose my hair...
> Now I look like buck wheat with a TON of new hair
> growth.
> Let me know!
> Thanks,
> DreamyHi Dreamy:
I associated the most recent hair loss with the addition of Wellbutrin SR. I say 'most recent' because I have had it happen before: when I have changed oral contraceptives (or gone off them), when I began effexor, and now it has coincided with the start of Wellbutrin SR a little over a month
ago. I am one of those people who, if there is an unpleasant side effect, I am darn sure going to experience it. I had no energizing effect from Effexor, no loss of appetite and no energy--craved sweets and wanted to sleep every 3-4 hours. Ditto the Wellbutrin except I am more 'alert' and only get drowsy a little after taking it. However, I have my fingers crossed that these WB (SR) negative side effects may be subsiding---and that is the reason I asked for im- put. I don't want to feel 'sped up,' I just want to be able to not worry about driving and/or falling asleep at inappropriate times. I will also add that I am very thankful for the control of the depression.
Dreamy--you mentioned that you were on the same combo, except for the dosage of Effexor. I take it (based on some of your other postings) that you have decreased it? What dosage are you on? I have reached a point where, if the WB SR turns out to be OK, I will try to further titrate down the Effexor. What has been your experience?
Getting back to the hair loss, again. Yes, it is distressful, but the first time it happened I was 23 and I just about freaked! It has happened several times since then-- at times I have used Rogaine for women,-- and now that I am 43, I just take it in stride. My husband has seen me with bald spots, with sunsburned scalp and a receding hairline that looked like a man's--he is still with me, but even if he had split, I would have dealt with it. There are worse things in life, I have found out over the past two decades.
Get back with me regarding your experiences. I appreciate your imput.
Thanks and good luck!
Kaysey
Posted by Dreamy on October 27, 2001, at 17:13:24
In reply to Re: Effexor/WB combo: update and ask for help » Dreamy, posted by Kaysey on October 26, 2001, at 19:11:02
> > >
> > > Hi:
> > >
> > > I am preparing to start 300mg (2x150mg-up from 200mg 2x100 perday) Wellbutrin SR next week (with my 225mg Effexor). I say 'preparing' because I am concerned about the continuing fatigue. As compared to the Effexor alone experience, I am somewhat more alert, and my depression control is good. However, I have this dull fatigue and some muscle weakness that doesn't seem to want to subside (i.e I'm alert but certainly not energetic or strong).
> > > I have gone through the archives (especially about Wellbutrin), to see if this dissatisfying side-effect ever subsides alone (or with increased dosage).
> > > On Effexor alone I kept increasing the dosage to see if the fatigue and drowsiness would ever subside--went to 300mg and then doc and I agreed to add the Wellbutrin. Fortunately some of the hair loss and edema seems to have subsided--but the fatigue is at times almost as debilitating as the depression was.
> > > When I was on Prozac (and when it was working), I never suffered this kind of fatigue (some sedation, but no fatigue). Anyone have anymore suggestions. They are certainly welcome!
> > >
> > > Thanks.
> > > Kaysey
> >
> > Yeah...I am on that combo right now...although not
> > that much effexor...
> > I feel great...wake early want to excersize...etc.
> > AND I was totally lethargic!
> > AND let me tell you something else...I have had
> > a ton of hair fall out prior to using effexor...
> > since starting effexor...it's like my hair is
> > actually sticking in...its totallly weird.
> > May I ask you why you were losing hair?
> > I am a female and it was totally devestating and
> > horrifying for me to lose my hair...
> > Now I look like buck wheat with a TON of new hair
> > growth.
> > Let me know!
> > Thanks,
> > Dreamy
>
> Hi Dreamy:
> I associated the most recent hair loss with the addition of Wellbutrin SR. I say 'most recent' because I have had it happen before: when I have changed oral contraceptives (or gone off them), when I began effexor, and now it has coincided with the start of Wellbutrin SR a little over a month
> ago. I am one of those people who, if there is an unpleasant side effect, I am darn sure going to experience it. I had no energizing effect from Effexor, no loss of appetite and no energy--craved sweets and wanted to sleep every 3-4 hours. Ditto the Wellbutrin except I am more 'alert' and only get drowsy a little after taking it. However, I have my fingers crossed that these WB (SR) negative side effects may be subsiding---and that is the reason I asked for im- put. I don't want to feel 'sped up,' I just want to be able to not worry about driving and/or falling asleep at inappropriate times. I will also add that I am very thankful for the control of the depression.
> Dreamy--you mentioned that you were on the same combo, except for the dosage of Effexor. I take it (based on some of your other postings) that you have decreased it? What dosage are you on? I have reached a point where, if the WB SR turns out to be OK, I will try to further titrate down the Effexor. What has been your experience?
> Getting back to the hair loss, again. Yes, it is distressful, but the first time it happened I was 23 and I just about freaked! It has happened several times since then-- at times I have used Rogaine for women,-- and now that I am 43, I just take it in stride. My husband has seen me with bald spots, with sunsburned scalp and a receding hairline that looked like a man's--he is still with me, but even if he had split, I would have dealt with it. There are worse things in life, I have found out over the past two decades.
> Get back with me regarding your experiences. I appreciate your imput.
> Thanks and good luck!
> KayseyHey Kaysey!
No...I have not decreased off of effexor...I am
on 75mg although my doctor prescribed 150mg...
I am worried to take the prescribed amount if
it is as bad as all these people make it sound.
So...I am holding off.
The first week of taking the effexor was the worst
of it for me...leaving me real drowsy etc. But
all that went away and I now am more active and
more energetic than I was w/out it.That's a horrifying story about your hair loss.
And I know exactly how you have felt.
And I agree...there are worse things that can happen!
I too had a VERY burnt scalp for the first time
this year...it was awful when it was flaking!
Its growing back though and I now look like buck-
wheat!!!Oh-well...live and learn right?
Take care and Good Luck to you too!!!
Dreamy
Posted by Kaysey on October 28, 2001, at 0:35:18
In reply to Re: Effexor/WB combo: update and ask for help, posted by Dreamy on October 27, 2001, at 17:13:24
> > > >
> > > > Hi:
> > > >
> > > > I am preparing to start 300mg (2x150mg-up from 200mg 2x100 perday) Wellbutrin SR next week (with my 225mg Effexor). I say 'preparing' because I am concerned about the continuing fatigue. As compared to the Effexor alone experience, I am somewhat more alert, and my depression control is good. However, I have this dull fatigue and some muscle weakness that doesn't seem to want to subside (i.e I'm alert but certainly not energetic or strong).
> > > > I have gone through the archives (especially about Wellbutrin), to see if this dissatisfying side-effect ever subsides alone (or with increased dosage).
> > > > On Effexor alone I kept increasing the dosage to see if the fatigue and drowsiness would ever subside--went to 300mg and then doc and I agreed to add the Wellbutrin. Fortunately some of the hair loss and edema seems to have subsided--but the fatigue is at times almost as debilitating as the depression was.
> > > > When I was on Prozac (and when it was working), I never suffered this kind of fatigue (some sedation, but no fatigue). Anyone have anymore suggestions. They are certainly welcome!
> > > >
> > > > Thanks.
> > > > Kaysey
> > >
> > > Yeah...I am on that combo right now...although not
> > > that much effexor...
> > > I feel great...wake early want to excersize...etc.
> > > AND I was totally lethargic!
> > > AND let me tell you something else...I have had
> > > a ton of hair fall out prior to using effexor...
> > > since starting effexor...it's like my hair is
> > > actually sticking in...its totallly weird.
> > > May I ask you why you were losing hair?
> > > I am a female and it was totally devestating and
> > > horrifying for me to lose my hair...
> > > Now I look like buck wheat with a TON of new hair
> > > growth.
> > > Let me know!
> > > Thanks,
> > > Dreamy
> >
> > Hi Dreamy:
> > I associated the most recent hair loss with the addition of Wellbutrin SR. I say 'most recent' because I have had it happen before: when I have changed oral contraceptives (or gone off them), when I began effexor, and now it has coincided with the start of Wellbutrin SR a little over a month
> > ago. I am one of those people who, if there is an unpleasant side effect, I am darn sure going to experience it. I had no energizing effect from Effexor, no loss of appetite and no energy--craved sweets and wanted to sleep every 3-4 hours. Ditto the Wellbutrin except I am more 'alert' and only get drowsy a little after taking it. However, I have my fingers crossed that these WB (SR) negative side effects may be subsiding---and that is the reason I asked for im- put. I don't want to feel 'sped up,' I just want to be able to not worry about driving and/or falling asleep at inappropriate times. I will also add that I am very thankful for the control of the depression.
> > Dreamy--you mentioned that you were on the same combo, except for the dosage of Effexor. I take it (based on some of your other postings) that you have decreased it? What dosage are you on? I have reached a point where, if the WB SR turns out to be OK, I will try to further titrate down the Effexor. What has been your experience?
> > Getting back to the hair loss, again. Yes, it is distressful, but the first time it happened I was 23 and I just about freaked! It has happened several times since then-- at times I have used Rogaine for women,-- and now that I am 43, I just take it in stride. My husband has seen me with bald spots, with sunsburned scalp and a receding hairline that looked like a man's--he is still with me, but even if he had split, I would have dealt with it. There are worse things in life, I have found out over the past two decades.
> > Get back with me regarding your experiences. I appreciate your imput.
> > Thanks and good luck!
> > Kaysey
>
> Hey Kaysey!
> No...I have not decreased off of effexor...I am
> on 75mg although my doctor prescribed 150mg...
> I am worried to take the prescribed amount if
> it is as bad as all these people make it sound.
> So...I am holding off.
> The first week of taking the effexor was the worst
> of it for me...leaving me real drowsy etc. But
> all that went away and I now am more active and
> more energetic than I was w/out it.
>
> That's a horrifying story about your hair loss.
> And I know exactly how you have felt.
> And I agree...there are worse things that can happen!
> I too had a VERY burnt scalp for the first time
> this year...it was awful when it was flaking!
> Its growing back though and I now look like buck-
> wheat!!!
>
> Oh-well...live and learn right?
>
> Take care and Good Luck to you too!!!
> DreamyDreamy--I guess one thing that has come from this is I have one heck of a collection of hats! And, yes when the hair grows back in, it is weird looking, as I have longer than shoulder length blonde hair---and all of sudden there are these little spikes coming up at the crown and at the front, etc. Might as well laugh at these things, I guess.
Still I would like your or other's 'long-term' (i.e greater than 6-8 weeks) experience with Wellbutrin --or a Wellbutrin combo (mine being with Effexor) (I know that you have recently had a good experience with adding the Effexor)--does the weakness fatigue subside with the Wellbutrin though--or did you even experience that?
Thanks again.
Kaysey
Posted by Dreamy on October 30, 2001, at 9:56:58
In reply to Re: Effexor/WB combo: the good with the bad, posted by Kaysey on October 28, 2001, at 0:35:18
> > > > >
> > > > > Hi:
> > > > >
> > > > > I am preparing to start 300mg (2x150mg-up from 200mg 2x100 perday) Wellbutrin SR next week (with my 225mg Effexor). I say 'preparing' because I am concerned about the continuing fatigue. As compared to the Effexor alone experience, I am somewhat more alert, and my depression control is good. However, I have this dull fatigue and some muscle weakness that doesn't seem to want to subside (i.e I'm alert but certainly not energetic or strong).
> > > > > I have gone through the archives (especially about Wellbutrin), to see if this dissatisfying side-effect ever subsides alone (or with increased dosage).
> > > > > On Effexor alone I kept increasing the dosage to see if the fatigue and drowsiness would ever subside--went to 300mg and then doc and I agreed to add the Wellbutrin. Fortunately some of the hair loss and edema seems to have subsided--but the fatigue is at times almost as debilitating as the depression was.
> > > > > When I was on Prozac (and when it was working), I never suffered this kind of fatigue (some sedation, but no fatigue). Anyone have anymore suggestions. They are certainly welcome!
> > > > >
> > > > > Thanks.
> > > > > Kaysey
> > > >
> > > > Yeah...I am on that combo right now...although not
> > > > that much effexor...
> > > > I feel great...wake early want to excersize...etc.
> > > > AND I was totally lethargic!
> > > > AND let me tell you something else...I have had
> > > > a ton of hair fall out prior to using effexor...
> > > > since starting effexor...it's like my hair is
> > > > actually sticking in...its totallly weird.
> > > > May I ask you why you were losing hair?
> > > > I am a female and it was totally devestating and
> > > > horrifying for me to lose my hair...
> > > > Now I look like buck wheat with a TON of new hair
> > > > growth.
> > > > Let me know!
> > > > Thanks,
> > > > Dreamy
> > >
> > > Hi Dreamy:
> > > I associated the most recent hair loss with the addition of Wellbutrin SR. I say 'most recent' because I have had it happen before: when I have changed oral contraceptives (or gone off them), when I began effexor, and now it has coincided with the start of Wellbutrin SR a little over a month
> > > ago. I am one of those people who, if there is an unpleasant side effect, I am darn sure going to experience it. I had no energizing effect from Effexor, no loss of appetite and no energy--craved sweets and wanted to sleep every 3-4 hours. Ditto the Wellbutrin except I am more 'alert' and only get drowsy a little after taking it. However, I have my fingers crossed that these WB (SR) negative side effects may be subsiding---and that is the reason I asked for im- put. I don't want to feel 'sped up,' I just want to be able to not worry about driving and/or falling asleep at inappropriate times. I will also add that I am very thankful for the control of the depression.
> > > Dreamy--you mentioned that you were on the same combo, except for the dosage of Effexor. I take it (based on some of your other postings) that you have decreased it? What dosage are you on? I have reached a point where, if the WB SR turns out to be OK, I will try to further titrate down the Effexor. What has been your experience?
> > > Getting back to the hair loss, again. Yes, it is distressful, but the first time it happened I was 23 and I just about freaked! It has happened several times since then-- at times I have used Rogaine for women,-- and now that I am 43, I just take it in stride. My husband has seen me with bald spots, with sunsburned scalp and a receding hairline that looked like a man's--he is still with me, but even if he had split, I would have dealt with it. There are worse things in life, I have found out over the past two decades.
> > > Get back with me regarding your experiences. I appreciate your imput.
> > > Thanks and good luck!
> > > Kaysey
> >
> > Hey Kaysey!
> > No...I have not decreased off of effexor...I am
> > on 75mg although my doctor prescribed 150mg...
> > I am worried to take the prescribed amount if
> > it is as bad as all these people make it sound.
> > So...I am holding off.
> > The first week of taking the effexor was the worst
> > of it for me...leaving me real drowsy etc. But
> > all that went away and I now am more active and
> > more energetic than I was w/out it.
> >
> > That's a horrifying story about your hair loss.
> > And I know exactly how you have felt.
> > And I agree...there are worse things that can happen!
> > I too had a VERY burnt scalp for the first time
> > this year...it was awful when it was flaking!
> > Its growing back though and I now look like buck-
> > wheat!!!
> >
> > Oh-well...live and learn right?
> >
> > Take care and Good Luck to you too!!!
> > Dreamy
>
> Dreamy--I guess one thing that has come from this is I have one heck of a collection of hats! And, yes when the hair grows back in, it is weird looking, as I have longer than shoulder length blonde hair---and all of sudden there are these little spikes coming up at the crown and at the front, etc. Might as well laugh at these things, I guess.
> Still I would like your or other's 'long-term' (i.e greater than 6-8 weeks) experience with Wellbutrin --or a Wellbutrin combo (mine being with Effexor) (I know that you have recently had a good experience with adding the Effexor)--does the weakness fatigue subside with the Wellbutrin though--or did you even experience that?
> Thanks again.
> KayseyFunny...I have long blond hair too...except for the punk spikes all over the top!
And yep...got lots of hats too!
OK...
I don't think the welbutrin ever made me feel week or give me fatigue -but the effexor did.
Don't know what to tell you...too bad you can't get a good prescription...
Take it easy and good luck!
Dreamy
Posted by Dreamy on October 30, 2001, at 18:59:06
In reply to Re: Effexor/WB combo: update and ask for help, posted by Kaysey on October 25, 2001, at 19:09:15
Kaysey,
One more note for you...
Welbutrin will wear off quickly...
I at one time was taking three pills/day at about
3 hour intervals.
When the pill starts wearing off...I will start
to get fatigue-ish.
I told my doctor and was upped on the medication.
Hope that helps too!
Dreamy
Posted by Kaysey on October 30, 2001, at 20:45:24
In reply to Re: Effexor/WB combo: update and ask for help, posted by Dreamy on October 30, 2001, at 18:59:06
>
> Kaysey,
> One more note for you...
> Welbutrin will wear off quickly...
> I at one time was taking three pills/day at about
> 3 hour intervals.
> When the pill starts wearing off...I will start
> to get fatigue-ish.
> I told my doctor and was upped on the medication.
> Hope that helps too!
> DreamyDreamy:
Were/are you taking the immediate release form? I can't imagine any set of circumstances where one could take WB SR that often (my understanding is at least 8 hours apart, though I think there are people who do not follow that, but it is the general rule). What dosage were you taking and what are you taking now? What time frame have you been on it an how long did it take you to reach your current dosage? (forgive me if you have said this in another post--I try to keep up, but sometimes I miss things). I am currently at 250 mg SR (150 and 100 12 hours apart) and moving up to 300 mg SR. Thanks again for the info.
Kaysey
Posted by Dreamy on October 31, 2001, at 16:06:01
In reply to Re: Effexor/WB combo: » Dreamy, posted by Kaysey on October 30, 2001, at 20:45:24
> >
> > Kaysey,
> > One more note for you...
> > Welbutrin will wear off quickly...
> > I at one time was taking three pills/day at about
> > 3 hour intervals.
> > When the pill starts wearing off...I will start
> > to get fatigue-ish.
> > I told my doctor and was upped on the medication.
> > Hope that helps too!
> > Dreamy
>
> Dreamy:
> Were/are you taking the immediate release form? I can't imagine any set of circumstances where one could take WB SR that often (my understanding is at least 8 hours apart, though I think there are people who do not follow that, but it is the general rule). What dosage were you taking and what are you taking now? What time frame have you been on it an how long did it take you to reach your current dosage? (forgive me if you have said this in another post--I try to keep up, but sometimes I miss things). I am currently at 250 mg SR (150 and 100 12 hours apart) and moving up to 300 mg SR. Thanks again for the info.
> Kaysey150mG of WB-SR Morning, Noon and 3:00PM.
So 450 total...and WAY less than 8 hours apart.
Closer to every 3 hours.
If I wait 6 hours I start to hit the floor...
Can't imagine taking them so far apart!
Posted by Kaysey on November 1, 2001, at 7:21:09
In reply to Re: Effexor/WB combo:, posted by Dreamy on October 31, 2001, at 16:06:01
> > >
> > > Kaysey,
> > > One more note for you...
> > > Welbutrin will wear off quickly...
> > > I at one time was taking three pills/day at about
> > > 3 hour intervals.
> > > When the pill starts wearing off...I will start
> > > to get fatigue-ish.
> > > I told my doctor and was upped on the medication.
> > > Hope that helps too!
> > > Dreamy
> >
> > Dreamy:
> > Were/are you taking the immediate release form? I can't imagine any set of circumstances where one could take WB SR that often (my understanding is at least 8 hours apart, though I think there are people who do not follow that, but it is the general rule). What dosage were you taking and what are you taking now? What time frame have you been on it an how long did it take you to reach your current dosage? (forgive me if you have said this in another post--I try to keep up, but sometimes I miss things). I am currently at 250 mg SR (150 and 100 12 hours apart) and moving up to 300 mg SR. Thanks again for the info.
> > Kaysey
>
> 150mG of WB-SR Morning, Noon and 3:00PM.
> So 450 total...and WAY less than 8 hours apart.
> Closer to every 3 hours.
> If I wait 6 hours I start to hit the floor...
> Can't imagine taking them so far apart!Hi again!
Sorry to keep asking so many questions, but my curiosity just keeps going. How long did it take you to get to 450 mg WB SR? How long altogether have you been on it at any dose? What happens between 3PM and the next AM (i.e you are taking it at short intervals and then all of sudden you don't take anymore for 12-18 hours)? Obviously this works for you, so I am not questioning the dosage or administration of it, I am just amazed
at the disproportionate time intervals. Just another example of how we are all unique with regard to our responses!
Thanks again.
Kaysey
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