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      National Mental Health Awareness Month, 2016   05/01/2016

      Proclamation 9433 of April 28, 2016 National Mental Health Awareness Month, 2016 A Proclamation Nearly 44 million American adults, and millions of children, experience mental health conditions each year, including depression, anxiety, bipolar disorder, schizophrenia, and post-traumatic stress. Although we have made progress expanding mental health coverage and elevating the conversation about mental health, too many people still do not get the help they need. Our Nation is founded on the belief that we must look out for one another—and whether it affects our family members, friends, co-workers, or those unknown to us—we do a service for each other when we reach out and help those struggling with mental health issues. This month, we renew our commitment to ridding our society of the stigma associated with mental illness, encourage those living with mental health conditions to get the help they need, and reaffirm our pledge to ensure those who need help have access to the support, acceptance, and resources they deserve. In the last 7 years, our country has made extraordinary progress in expanding mental health coverage for more people across America. The Affordable Care Act prohibits insurance companies from discriminating against people based on pre-existing conditions, requires coverage of mental health and substance use disorder services in individual and small group markets, and expands mental health and substance use disorder parity policies, which are estimated to help more than 60 million Americans. Nearly 15 million more Americans have gained Medicaid coverage since October 2013, significantly improving access to mental health care. And because of more than $100 million in funding from the Affordable Care Act, community health centers have expanded behavioral health services for nearly 900,000 people nationwide over the past 2 years. Still, far too few Americans experiencing mental illnesses do not receive the care and treatment they need. That is why my most recent Budget proposal includes a new half-billion dollar investment to improve access to mental health care, engage individuals with serious mental illness in care, and help ensure behavioral health care systems work for everyone. Our Nation has made strong advances in improving prevention, increasing early intervention, and expanding treatment of mental illnesses. Earlier this year, I established a Mental Health and Substance Use Disorder Parity Task Force, which aims to ensure that coverage for mental health benefits is comparable to coverage for medical and surgical care, improve understanding of the requirements of the law, and expand compliance with it. Mental health should be treated as part of a person's overall health, and we must ensure individuals living with mental health conditions can get the treatment they need. My Administration also continues to invest in science and research through the BRAIN initiative to enhance our understanding of the complexities of the human brain and to make it easier to diagnose and treat mental health disorders early. One of our most profound obligations as a Nation is to support the men and women in uniform who return home and continue fighting battles against mental illness. Last year, I signed the Clay Hunt SAV Act, which fills critical gaps in serving veterans with post-traumatic stress and other illnesses, increases peer support and outreach, and recruits more talented individuals to work on mental health issues at the Department of Veterans Affairs. This law will make it easier for veterans to get the care they need when they need it. All Americans, including service members, can get immediate assistance by calling the National Suicide Prevention Lifeline at 1-800-273-TALK or by calling 1-800-662-HELP. During National Mental Health Awareness Month, we recognize those Americans who live with mental illness and substance use disorders, and we pledge solidarity with their families who need our support as well. Let us strive to ensure people living with mental health conditions know that they are not alone, that hope exists, and that the possibility of healing and thriving is real. Together, we can help everyone get the support they need to recover as they continue along the journey to get well. NOW, THEREFORE, I, BARACK OBAMA, President of the United States of America, by virtue of the authority vested in me by the Constitution and the laws of the United States, do hereby proclaim May 2016 as National Mental Health Awareness Month. I call upon citizens, government agencies, organizations, health care providers, and research institutions to raise mental health awareness and continue helping Americans live longer, healthier lives. IN WITNESS WHEREOF, I have hereunto set my hand this twenty-eighth day of April, in the year of our Lord two thousand sixteen, and of the Independence of the United States of America the two hundred and fortieth.  
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scoobnme

Every Other Day Wellbutrin?

12 posts in this topic

Posted

Well, I finally got up the courage to try my first pill, 150XL, yesterday. Felt weird but not overly so. Slept ok actually, sort of wiped out appetite. Anyway, it is now time for the next pill (24 hrs later) and I still feel a bit wired, etc. Do you think since I am just starting out I could take it tomorrow instead? Do every other day for awhile, then maybe increase to every day? Or try today and if too much, then do every other? Thanks. Scoobnme

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Posted

That's a bad idea. The XL formulation is set to release it over a 16-24 hour period (roughly). Thus, if you took it every other day, the first day you would have a constant supply and the second you would have no additional bupropion. This would cause the available level of the drug in your system to fluctuate rapidly.

Bupropion does typically have some side effects when you start it, and I can only imagine this dosing system would greatly exacerbate them.

Basically, you're suggesting doing something which was not meant by the manufacturers to be done. If you still disagree with me, you really should get the OK from your doctor at first.

Keep in mind, your blood levels of bupropion was fluctuate until it reaches a steady state (1-2 weeks maybe?) This means you may feel the effects off and on early, but you should feel more stable once there is a constant amount in your system.

When I started bupropion I had the same side effects. It inhibited my appetite a bit, and made me hyper. It actually made the room spin a bit for me the very first time I took it and the first time increased the dose. That only happened those two days though. All of my side effects disappeared two weeks after hitting my final dose. (Until recently)

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Posted

I agree with Reborn, that skipping days is a bad idea. The goal is to achieve a steady state of the medication in your system, and you can't have that if you're dosing every 48 hours with a daily medication. The few times I've missed even one dose, I've been thrown off kilter for days.

It's very common to feel overstimulated when you start Wellbutrin, but for most people that fades away. The first 2 weeks are usually the most challenging with any antidepressant, but then the side effects will start to fade, and soon you'll start to feel the benefits. It takes about 6-8 weeks to fully adjust to an AD, but you should start feeling better sooner than that.

Stay hydrated and avoid other stimulants like caffeine while you adjust. Please keep us posted on your progress!

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Posted

Thanks for the replies. I went ahead and took it, then today took one also--this is day 3 (150XL). I think that I am already noticing the problem I had on Paxil--unable to cry. WB is so chemically different (opposite actually) from Paxil that I never anticipated this. I don't think I have read this as a side effect from any others on this forum. Otherwise I think it's going ok. I dont seem to have the insomnia others do. Well, I awaken very often all night long, probably every 30 min to every hour, but I do get back to sleep. I know that's not good sleep, but consider insomnia to be more of the lying awake for hours not sleeping at all. I've always slept poorly unless I took a sleep aid (sonata or ambien), but with little kids want to be able to tend to them in the night and not be too zonked. Anyway, how about this inability to cry, anybody else experience it? Thanks.

Scoobnme

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Posted

Inability to cry? Are you actively trying to cry?

That seems like it would be a theraputic effect of the drug. WB can act very fast as it is a stimulant. Browse the forums for info on "the Wellbutrin Honeymoon"

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Posted

Thanks for replies. I am still on it, overall doing ok, more insomnia, but not the anxiety I had feared. I did go to Wellbutrin honeymoon phase and found it helpful. Reborn, to answer your question--one of my children died of cancer and I don't think it's healthy or normal to be unable to cry. A good cleansing cry is often a much needed release and catharsis. I did tear up a few times this week, so maybe the ability is not entirely gone. Will have to wait and watch I guess.

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Posted

:hearts: WELCOME AND HELOOOOOOO

Dont skip days please it could mean trouble. Dont beat yourself up about the crying it is a natural process. I worried about it for months after my mom passed away and about 9 months down the line I had such a spectacular cry that I had to pull the car over in the middle of nowhere and cried for what felt like hours. Worked pretty much the same when my dad passed away.

You are the only person that can compensate for the terrible, terrible loss you have had. The wound runs very deep and time and your body will take the natural path the heal.

WB is a fantastic drug, best I have ever been on and I have been on 2 to 3 other very good ones as well so my base for comparison is quite wide.

Please hang in there you will not get all the side effects you will read about on the net. People tend to post only when they feel side effects and nothing after it has been going great for a couple of months and years.

I send all my angels over to you to look after you during this time in your life.

Thanks for replies. I am still on it, overall doing ok, more insomnia, but not the anxiety I had feared. I did go to Wellbutrin honeymoon phase and found it helpful. Reborn, to answer your question--one of my children died of cancer and I don't think it's healthy or normal to be unable to cry. A good cleansing cry is often a much needed release and catharsis. I did tear up a few times this week, so maybe the ability is not entirely gone. Will have to wait and watch I guess.

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Posted

Mimen, thank you for all your kind words and advice. I am so glad to hear what a great drug it is for you. There is something I really like about it too, but not even sure what it is! As I had mentioned earlier, Paxil had been a wonder drug for me because it kept me so calm, nothing bothered me, stopped all my irritability, etc. I was always nice! But when my daughter got sick I stopped it because I really needed to cry, a lot. And of course I did. Now I have a lot of anger with the grief, and take it out on mostly my poor husband. If the WB does not help that enough, I might then add a small dose of Paxil, but first I'll give the WB a try by itself. The energy is a very welcome part of the WB. I have so much to do and want to make sure all my other children get the time and attention they deserve. We all love each other so very much, and they need to see me as fun, not sad. Will keep you updated. How are you doing now? Was it a problem with finding the right dose, etc? Let me know.

Scoobnme

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Posted

I will PM you a previous post of mine?

Mimen, thank you for all your kind words and advice. I am so glad to hear what a great drug it is for you. There is something I really like about it too, but not even sure what it is! As I had mentioned earlier, Paxil had been a wonder drug for me because it kept me so calm, nothing bothered me, stopped all my irritability, etc. I was always nice! But when my daughter got sick I stopped it because I really needed to cry, a lot. And of course I did. Now I have a lot of anger with the grief, and take it out on mostly my poor husband. If the WB does not help that enough, I might then add a small dose of Paxil, but first I'll give the WB a try by itself. The energy is a very welcome part of the WB. I have so much to do and want to make sure all my other children get the time and attention they deserve. We all love each other so very much, and they need to see me as fun, not sad. Will keep you updated. How are you doing now? Was it a problem with finding the right dose, etc? Let me know.

Scoobnme

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Posted (edited)

I have to disagree. If your feeling really weird that means it might be too strong. Taking it every other day sometimes can help your body get used to it easier. I take wellbutrin every other day with selegiline in between them. Allot of doctors sometimes have patients take prozac every other day too.

Edited by PetersKeys

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Posted

I have been on wellbutrin for many years. I works well when I need it. When I becom happy independent and self assured it begins to make me hyper. Anxious. I was taken off the meddication because I did not need it anymore, but recent events w/ pregnancy and dealing w/ a closet substance abuser has led me back to the gallows. This is the worst state of depression I have been in my sholw life. I feel I will never be happy again.

I initially started on the lowest dose, but found it went through my body too fast. so I would split the dose take one in the morning and one at lunch. This reduced my symptoms/side effects and stay in my body at a steadier rate.

Since my current trauma, I have now been jumped to 300mg. 150 twice a day before 2 pm for 5 days and 300 in the am daily for the last week. I have felt ok so far. but some of my thaughts and feelins are not subdued. Counseling makes a big difference.

I would not suggest the every other day dose. I have done that and crashed like a semi going 200 mph. As a result I was hospitalized. Given this is your first time stay on the daily dose and talk to th dr about cutting the dose in1/2/ to take twice ady.

good Luck :hearts:

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Posted

Mimen, thank you for all your kind words and advice. I am so glad to hear what a great drug it is for you. There is something I really like about it too, but not even sure what it is! As I had mentioned earlier, Paxil had been a wonder drug for me because it kept me so calm, nothing bothered me, stopped all my irritability, etc. I was always nice! But when my daughter got sick I stopped it because I really needed to cry, a lot. And of course I did. Now I have a lot of anger with the grief, and take it out on mostly my poor husband. If the WB does not help that enough, I might then add a small dose of Paxil, but first I'll give the WB a try by itself. The energy is a very welcome part of the WB. I have so much to do and want to make sure all my other children get the time and attention they deserve. We all love each other so very much, and they need to see me as fun, not sad. Will keep you updated. How are you doing now? Was it a problem with finding the right dose, etc? Let me know.

Scoobnme

Hi: I know this is an old post but just started Wellbutrin and looking for all the info I can get. Are you still using the Wellbutrin and if so, what dosage are you on? Did you ever take it every other day or every day as most people suggested. I hope your grief has lessened somewhat.

Thanks, Karen

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