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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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italianchica

When is the best time to take Wellbutrin

28 posts in this topic

Posted

Okay. I just switched from Effexor 75 mg per day to Wellbutrin 150 mg per day. I found that the side effects of Effexor were getting worse. It was pure hell tapering off this medication.

My question is - when is the best time to take Wellbutrin. I've been taking it in the morning. I'm finding it hard to go to sleep at night. This is bad since Effexor had that same side effect on me and i haven't been able to get a decent nights sleep in a long time. I've also noticed that during the day i don't have much of an appetite, but at night - particularly after 8:00 my appetite sky rockets!

Anything would be helpful.

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Posted

:hearts:

no one ever answers my posts :bump:

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Posted

:hearts:

no one ever answers my posts :bump:

Hey, sorry about the somewhat slow forums. I guess it goes with the territory :shocked:

My doctor told me never to take WellbutrinSR (generic) after 4:00 PM since it tends to keep people awake.

As far as my reaction to it, I've taken it after 4:00 a couple of times, but this is my first week, so I don't know if it's kicked in full blast or not. Since I already suffer from odd sleep patterns, at least I can tell you nothing's changed. Whether that's good or not, that's another story :shocked:

If you take it in the morning and it already makes you sleepless, then maybe your doc can suggest another time. If it's that bad, maybe they can suggest either another medication or a sleep aid to help you. Only your doctor can tell you that.

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Posted

my doctor won't prescribe a sleep medicine to me.

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Posted

my doctor won't prescribe a sleep medicine to me.

Ask your doctor about Trazodone it's a rather old antidepressant that promotes sleep in addition to your wellbutrin. Since your doctor won't prescibe any of the sleep meds to you. Tamazepam is a good one also.

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Posted

I am confused (and new!). :hearts:

My doctor told me to take the 150mg SR tablets two times a day, exactly 12 hours apart or within 3 hours of the same time. How can I not take it after 4 pm? I mean..I'd rather not wake up at 3 am to take a pill. I'm only on day 2 so I don't know how it will affect my sleep, but I've always had a hard time sleeping.

Any help would be appreciated.

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Posted

I just started... taking 150mg daily, first thing in the morning when I wake up. Doctor did not say any one particular time was better than another, just said that I should pick a time of day and stick to it as close as possible. I chose morning because I thought it would be easiest for me to remember.

I've noticed that I get a bit sleepy in the afternoon, 6-8 hours after I take it. If I push my pills to @ 2pm, then maybe I'd get sleepy @ 9pm, 10pm? That would be nice! :)

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Posted

I just started... taking 150mg daily, first thing in the morning when I wake up. Doctor did not say any one particular time was better than another, just said that I should pick a time of day and stick to it as close as possible. I chose morning because I thought it would be easiest for me to remember.

I've noticed that I get a bit sleepy in the afternoon, 6-8 hours after I take it. If I push my pills to @ 2pm, then maybe I'd get sleepy @ 9pm, 10pm? That would be nice! :)

On cymbalta and wellbutrin so I don't have to worry about the stimulating affects WB'in can have on you, but I still take it in the morning along with my fish oil, vitamins, cymbalta, ect.

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Posted

I take mine in the morning as well. The problem is had barely any sleep last night, perhaps 2-hours at most. I wanted to go back to bed after I got my SO off to work but by that time I think the WB was working again so I have been going ALL day. I tried putting my head down for a while but my mind was too active to nap. I don't know how people get by taking 2 tabs a day.

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Posted

I take Wellbutrin SR twice a day. I also take Seroquel 25mg for my insomnia. My psych prescribed me 50mg but that knocked me out too much and I couldn't hear my son at night. The 25 mg is just right and I am not waking up in the middle of the night.

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Posted

Okay. I just switched from Effexor 75 mg per day to Wellbutrin 150 mg per day. I found that the side effects of Effexor were getting worse. It was pure hell tapering off this medication.

My question is - when is the best time to take Wellbutrin. I've been taking it in the morning. I'm finding it hard to go to sleep at night. This is bad since Effexor had that same side effect on me and i haven't been able to get a decent nights sleep in a long time. I've also noticed that during the day i don't have much of an appetite, but at night - particularly after 8:00 my appetite sky rockets!

Anything would be helpful.

I take it in the morning and at night. My appetite has decreased.

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Posted

I take 300mg of Wellbutrin (no weight loss or change in appetite) in the morning, as early as possible so it will mostly wear off by bedtime. My doc does prescribe Xanax to help me sleep. Maybe you need a sleep med? :hearts:

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Posted

My story is similar to Aerial's. I take my Wellbutrin with my am meds, 450 mgs. But I stay up past midnight so it has plenty of time to wear off. At night I take my "night" Effexor,Terazozin (BP med),my "night" Lamictal and 1/4tab. Xanax. That takes about 1/2 hr. to make me sleepy. Maybe your dr. could give you a little something to make you drowsy enough to sleep. Would he prescribe a little Xanax for you? Without that little piece of Xanax I wouldn't be able to" turn my mind off " enough to settle down for my zzzzzz's :hearts:

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Posted

My story is similar to Aerial's. I take my Wellbutrin with my am meds, 450 mgs. But I stay up past midnight so it has plenty of time to wear off. At night I take my "night" Effexor,Terazozin (BP med),my "night" Lamictal and 1/4tab. Xanax. That takes about 1/2 hr. to make me sleepy. Maybe your dr. could give you a little something to make you drowsy enough to sleep. Would he prescribe a little Xanax for you? Without that little piece of Xanax I wouldn't be able to" turn my mind off " enough to settle down for my zzzzzz's :hearts:

I can relate to turning my mind off with the xanax. Sometimes it's really hard to stop focusing on the negatives. i take my Wellbutrin xr 150mg at night. i'm surprised to hear you guys all take it in the morning. I have a hard time going to sleep when my mind won't stop the compulsive worrying. It's very frustrating.

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Posted

i take my 300 mg of wellbutrin xl at some point during the day - whenever i think about it. i've not had problems sleeping. however, i DO take abilify in the evenings and that does make me tired - so perhaps that is getting me to sleep when the wellbutrin might otherwise keep me up?

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Posted

Well, it's almost 1:45am... and I think I've finally noticed something...

Back on Friday, I forgot to take my meds in the morning. I went from a usual "pill time" of 8am-10am... and didn't take my meds that day until @ 5:30pm!

I was up very late Friday night...

and again Saturday night...

and again tonight...!!!

I took my pill @ noon on Saturday... and @ 10am on Sunday.

Going to bed now, I think... going to be back to early morning meds tomorrow. Should take care of it all.

--"Gojira"

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Posted

Gojira:

WB can affect sleep. Best to take it in the morning.

Sorry you've had trouble sleeping. I know I hate sleepless or restless nights.

Hope tonight is peaceful for you!

-Bean

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Posted

I do 20mg of Lexapro in the morning 7:00 a.m. along with 150mg of Wellbutrin. I also take a second dose of Wellbutrin Sr - 75mg around 3:00 p.m. in the afternoon. Not 12 hours apart, but I have found that the Wellbutrin still keeps me up until 1 or 2 a.m. even when taking it at 3:00 p.m.

It isn't working all that well for me at this point. I am headed back to the Dr. tomorrow - the 75mg was something that was added 4 weeks ago. My depression has been getting worse and sleeping is screwed up.

Trying to find the right combination of meds has been really, arduous and frustrating.

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Posted

Frenzied:

You are right - trying to find the right mix if meds can be very tedious. Hang in there. You and your doc will figure it out.

WB can cause insomnia. It's best taken in the morning. Ask your doc if you can take both doses together in the morning. It might help.

Keep us posted.

-Bean

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Posted

the pharmacist told me to take it anytime as long as i could take it at the same time everyday. AND if it made me drowsy then to take it at night.

so without having to test out the drowsiness, i just decided to take it at night.

Sometimes my mind races before bed trying to get to sleep, oand i usually wake up once in the middle of the night but can get back to sleep.

it's a lot better than before i was on it and i would be waking up very early every morning and not being able to get back to sleep.. or staying up really late because i couldnt sleep.

so although my sleep is a bit bothered still, it's better than before.

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Posted

My doctor told me to take the 150mg SR tablets two times a day, exactly 12 hours apart or within 3 hours of the same time. How can I not take it after 4 pm? I mean..I'd rather not wake up at 3 am to take a pill. I'm only on day 2 so I don't know how it will affect my sleep, but I've always had a hard time sleeping.

I'm aware this is an old post and perhaps things have changed in two years, but just in case someone has a query similar to the above: I was told that it is safe to take 150mg SR doses 8 hours apart ie one when you wake up and the other 8 hours later. That way you can usually fit the second one in before 3pm, (adjust for your own sleep times!)

"Safe" refers to the incidence of seizure activity and is relative.

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Posted

I pop 300mg in the morning on an empty stomach with a cup of coffee!! Could'nt do it in the beginning as it made me very on edge and hyper.

I can vouch for it keeping you awake at night at the start. I remember sitting up in my bed at 3 am reading with my mind as clear as cristal!!

Would not dare myself to take it after 8 in the morning!!

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Posted

I'm on 150mg's right now with 750mgs of depakote, next week I start 300mgs of wellbutrin. The 150 in the morning makes me feel good all day until about midnight, then its wined down time. A little worried the 300 is going to make me bounce of the walls.

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Posted

I pop 300mg in the morning on an empty stomach with a cup of coffee!! Couldn't do it in the beginning as it made me very on edge and hyper.

Mimen, are you on the XL version? That's once-a-day dosing, which sounds very attractive to me - it's a struggle to remember a second dose in the middle of the afternoon!

But as far as I know it's more expensive - how much are you paying for it? (I'm already paying the difference between the cost of Efexor and Venlor, because my (in-house) medical aid will only pay for Venlor, and that is about R230. Wonder if they would cover the XL as opposed to the SR?)

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Posted

I'm on 150mg's right now with 750mgs of depakote, next week I start 300mgs of wellbutrin. The 150 in the morning makes me feel good all day until about midnight, then its wined down time. A little worried the 300 is going to make me bounce of the walls.

Chenderson:

I was put directly onto 300mg and it did make me edgy and hyper at first, but that seemed to ease off after a while. Also, the Depakote will help manage that. Good luck and let us know how it goes! :hearts:

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