Posted by terra miller on July 31, 2001, at 23:39:52
In reply to Wellbutrin and chest pains - dosage, posted by Joe Schmoe on July 31, 2001, at 15:32:01
i am not a doc..... blablabla :-)
i would drop to the 100mg and take that twice a day. that is specifically what my pdoc did for me. i did that for a week, which i would recommend to you (i am not a doc......).
i really think that dropping down and going more slowly will cause the side-effects to diminish. 1. maybe you need to increase slower as you shoot for a higher maintainance dose 2. maybe your body is telling you that you will do fine at a dose lower than "the recommended level."
for me in my personal experience, i did all this adjusting. it seemed to take longer to "arrive" at that "therapeutic level".... you know, when "they" say you are where you need to be chemically. i really think that has to do with wellbutrin being a "weak" chemical whatever compared to stronger/more specific meds. anyway, i just can feel it in my body. 1. i "just know" that i've arrived at the maintainance dose. 2. my side-effects do not exist at this level. 3. it took some tweaking with the level and dosages (and a pdoc who was rooting for me against what seemed to be side-effects that weren't listed or rare) and patience.
same disclaimer about not being a doc,.... but it seems that you are doing such a good job sticking the wellbutrin out and giving it a chance. i am really rooting for you. i "will" tell you that it took some searching to find "my" side-effects.... if you look under that "immediate-release" section of the rx-list you might find it perhaps. in my body, i react completely oppositely so that i get the i.r. side-effects if i am taking the s.r. pills, and i get the s.r. sice-effects if i am taking the i.r. pills.... that's how i was able to understand the hypothermia i was experiencing....
ok, all that is to say... i would drop to taking 100mg tabs twice a day.
of further questioning: are you noticing peaks and valleys on the s.r. pills at all? or does that seem to be steady or unnoticable for you? also: i would also try to notice what difference it makes dropping to the 100mg tabs, that is what different physical symptoms do you notice. if there is a lessening, for example, but not enough, you can drop to 75 i.r. for example. but if you are otherwise doing well on the s.r. ..... there are all these factors, aren't there??? bottom line: i'd take 100mg 2xdaily, and i think you are really giving this med the trial it deserves in order to see if it works for you. (i think it takes some weeks to know before you abandon it totally, and it seems that you are staying strong. i applaud your efforts.)
sincerely cheering you- terra "ra-ra"
poster:terra miller
thread:72766
URL: http://www.dr-bob.org/babble/20010731/msgs/72823.html