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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by PsychoSage on February 12, 2004, at 19:24:03
Does anyone have ideas for a future Wellbutrin holiday I am planning? What schedules did you follow? I have been on 300SR or XL for 4 months or so, and I have been on Wellbutrin {again} for 10 months. I am not sure if it is working since my doctor has added provigil 100mg. I am starting at 50mg for now. I will talk to my doctor before I start the holiday. Thanks!
Posted by theo on February 12, 2004, at 19:52:42
In reply to Wellbutrin Holiday suggestions, posted by PsychoSage on February 12, 2004, at 19:24:03
Has the Provigil caused any problems taken with the Wellbutrin? Headaches?
Posted by PsychoSage on February 12, 2004, at 22:36:17
In reply to Re: Wellbutrin Holiday suggestions » PsychoSage, posted by theo on February 12, 2004, at 19:52:42
> Has the Provigil caused any problems taken with the Wellbutrin? Headaches?
No, it's only my second day though. Yesterday, I felt really good for half an hour about 4 hours after I took 50mg {split a 100mg} in which would coincide with the peak plasma range of 2-4 hours.That kind of overwhelming ball of warm feeling inside {aka euphoria} was not experienced today. I felt euphoric from Wellbutrin in the same exact way when I went on it again for the third try, and when I was increased. I realize this will happen when I titrate upward, but it will not be a regular occurance. I will become psychotic if I am overstimulated, so I am in no position to play with this drug for kicks.
I felt a little nauseous and very mild dizziness, but sometimes I think I am like this more often then I recognize since I am on 1200mg of Trileptal.
I don't want to be manic, but I don't want to be dulled and irritable as I have been. I am itnerested in shaking things up a bit here.
Anyone else have Wellbutrin strategies to try to make it effective from a 300mg dose? I don't want to go up.
Posted by Chairman_MAO on February 13, 2004, at 7:19:36
In reply to Re: Wellbutrin Holiday suggestions, posted by PsychoSage on February 12, 2004, at 22:36:17
Dopaminergics: selegiline (5-15mg/day in divided doses) or a direct agonist (pramipexole, ropinirole, cabergoline, bromocriptine, pergolide)
This will potentiate the antidepressant effect of the Wellbutrin, which is already quite noradrenergic but only weakly dopaminergic. I'd be doing this along with the wellbutrin if my psychiatrist would let me.
Of course, the other option is dextroamphetamine/methamphetamine or methylphenidate, but the above drugs have fewer [adrenergic] side effects and are not controlled substances.
Posted by PsychoSage on February 13, 2004, at 16:14:58
In reply to Re: Wellbutrin Holiday suggestions » PsychoSage, posted by Chairman_MAO on February 13, 2004, at 7:19:36
> Dopaminergics: selegiline (5-15mg/day in divided doses) or a direct agonist (pramipexole, ropinirole, cabergoline, bromocriptine, pergolide)
>
> This will potentiate the antidepressant effect of the Wellbutrin, which is already quite noradrenergic but only weakly dopaminergic. I'd be doing this along with the wellbutrin if my psychiatrist would let me.
>
> Of course, the other option is dextroamphetamine/methamphetamine or methylphenidate, but the above drugs have fewer [adrenergic] side effects and are not controlled substances.
Thank you so much! i am not permitted to take amphetamines or methylphenidate.Today I am on my third day of Provigil 50mg.
What do you think of Aricept and anti parkinsonians?
I am really just learning about the intricacies of this psychiatric thing even though I have been on and off all classes of popular meds for 6 years.
Posted by micro on February 19, 2004, at 23:48:45
In reply to Re: Wellbutrin Holiday suggestions » PsychoSage, posted by Chairman_MAO on February 13, 2004, at 7:19:36
> Dopaminergics: selegiline (5-15mg/day in divided doses) or a direct agonist (pramipexole, ropinirole, cabergoline, bromocriptine, pergolide)
>
> This will potentiate the antidepressant effect of the Wellbutrin, which is already quite noradrenergic but only weakly dopaminergic. I'd be doing this along with the wellbutrin if my psychiatrist would let me.
>
> Of course, the other option is dextroamphetamine/methamphetamine or methylphenidate, but the above drugs have fewer [adrenergic] side effects and are not controlled substances.I am curious about your diagnosis/es. Do you have multiple comorbid conditions? The number of various Psychotropics you intake is vast. What has been most effective etc? Thanks. Micro
Posted by Chairman_MAO on February 20, 2004, at 7:58:53
In reply to Re: Wellbutrin Holiday suggestions » Chairman_MAO, posted by micro on February 19, 2004, at 23:48:45
I have BP2 (cyclothymia), ADD, and some social phobia, although this falls enough within the "normal range" that I feel it's way more a life issue than a medication issue. Thus, I really only have two comorbid conditions needing medication. Doctors that I see these days will not give me controlled substances (this is probably a good idea for at least the next 6 months), so it's hard to treat the ADD well without agitating me (BP2), as amphetamine is basically the only ADD med that doesn't do that.
I've been on so many drugs because in an attempt to treat the anxiety--I've given up on this basically--and ADD without controlled substances, as SSRIs end up making me MORE anxious and the ADD much worse. And antipsychotics? Forget about it, I already have problems getting myself ready to leave the house in the morning without getting distracted (I'm doing this right now, and if I stopped I would just be back at the computer within 5 minutes).
I only take Wellbutrin, Trileptal, and trazodone (for sleep) now. The Wellbutrin's OK for depression, but stinks for ADD. I still can't read more than a few pages in a book.I'm hoping to move onto Parnate when I get a shrink willing to do so, but I must recommend selegiline to anyone who can get it prescribed and is looking for a little bit of motivation/focus/energy. As an "augmentation" drug, it blows Wellbutrin out of the water.
Posted by micro on February 20, 2004, at 18:56:15
In reply to Re: Wellbutrin Holiday suggestions » micro, posted by Chairman_MAO on February 20, 2004, at 7:58:53
> I have BP2 (cyclothymia), ADD, and some social phobia, although this falls enough within the "normal range" that I feel it's way more a life issue than a medication issue. Thus, I really only have two comorbid conditions needing medication. Doctors that I see these days will not give me controlled substances (this is probably a good idea for at least the next 6 months), so it's hard to treat the ADD well without agitating me (BP2), as amphetamine is basically the only ADD med that doesn't do that.
>
> I've been on so many drugs because in an attempt to treat the anxiety--I've given up on this basically--and ADD without controlled substances, as SSRIs end up making me MORE anxious and the ADD much worse. And antipsychotics? Forget about it, I already have problems getting myself ready to leave the house in the morning without getting distracted (I'm doing this right now, and if I stopped I would just be back at the computer within 5 minutes).
>
> I only take Wellbutrin, Trileptal, and trazodone (for sleep) now. The Wellbutrin's OK for depression, but stinks for ADD. I still can't read more than a few pages in a book.
>
> I'm hoping to move onto Parnate when I get a shrink willing to do so, but I must recommend selegiline to anyone who can get it prescribed and is looking for a little bit of motivation/focus/energy. As an "augmentation" drug, it blows Wellbutrin out of the water.Those diagnoses don't seem out of the ordinary. It appears to me as though should be able to be controlled especially because you are willing to be medicated {don't fear them as most on this site do}. Do you have a propensity for addiction? Is that why you are not able to procure the Rx which you prefer? I think that it is absurd for most people to spend as much time researching their condition as much as the docs. Sometimes years. I am not a believer that some people just can't be helped. Unlike your Pcp who you can visit when you don't feel well, Psychiatry is a come when I want you to practice. [basically retroactive]Its interesting how the profession schedules patients.
All I can say is Best wishes. Micro
Posted by Chairman_MAO on February 21, 2004, at 10:57:52
In reply to Re: Wellbutrin Holiday suggestions, posted by micro on February 20, 2004, at 18:56:15
I do have a propensity for addiction, although it comes and goes depending upon circumstances. But it being there at all right now is reason enough to stay away from controlled substances until I have robust structure and discipline in my life. The whole reason I'd like to get an MAOI is because they're good for depression/social anxiety/ADD _AND_ not controlled substances. I do not have insurance, and so cannot afford to pay hundreds of dollars per month out of pocket for polypharmacy--while in school on loans--if a single agent exists to effectively treat what I've got going on.
I've been researching/taking classes in the mind/brain/philosophy of mind/psychopharmacology way before I ever went on psych meds, besides Ritalin which was started when I was a teenager and stopped when I was 20. The whole reason why I'm bothering with meds at all is so I can get out into the world and help OTHERS instead of just concetrating on my own shortcomings.
This is the end of the thread.
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