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Teril

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  1. Like
    Teril got a reaction from nojoy in Is anyone taking an SSRI alongside bupropion?   
    I've been on a combo of Wellbutrin + Zoloft for at least 15 years, asked the same question of my psychiatrist and was only told, "The Zoloft/SSRI boosts the Wellbutrin."  I didn't find that helpful so I began to research.  Two main reasons I have discovered over the years and ones that keep coming up in various articles and literature over and over are:
    1.  There is a potential danger of Wellbutrin causing seizures, especially at higher levels ie. 300+ mg.  Adding an SSRI lessens that potential. 
    (I've been on many meds over the years that include seizures as a potential side effect plus potential seizures if one goes cold turkey off Wellbutrin or Klonopin - both of which I've done (not by choice and I definitely advise against it) and never had seizures, but everyone is different.)
    2.  Here's the one that infuriates me, given my history:  Wellbutrin can cause anxiety; adding  an SSRI combats that. 
    (My initial diagnosis 30ish years ago was Major Depression, Recurrent/Rapid Cycling.  It took about a year to find the correct combo of meds in the correct dose for major depressive episodes to be kept at bay.  I felt well for years, led an active life, including earning an M.A. in Mental Health Counseling and working in the field...until my psych. decided to add Wellbutrin.  I can't recall now why.  Very shortly afterwards I began experiencing anxiety that kept getting worse until I had a new diagnosis to add to the first one:  Major Anxiety Disorder.  I was put on Klonopin without being told it should ONLY be used short-term (no longer than 2 weeks) AND is EXTREMELY ADDICTIVE.  To round out the entire fiasco - he placed me on an extremely high dose - 5 mg!  By the time I felt well enough to research Klonopin, my body was already addicted.  The end result was having to go on SSDI 10 years ago due to the anxiety being so severe it affected my work.  Only recently have I begun to realize that the Wellbutrin likely triggered the anxiety then my psych got to put me on yet another med.  Thankfully, after being turned over to one of my psychiatrist's P.A.'s when he began conducting "medical trials", the Klonopin was lowered.  After a few years I quit going to that practice and my meds are now prescribed by my doctor who uses supplements if at all possible for various issues.  I currently take 0.5 mg Klonopin 2x/day, 100 mg Zoloft 1xday, and 150 Wellbutrin SR 1x/day.)
     
     
     
  2. Like
    Teril got a reaction from Tim 52 in Change from Wellbutrin XL 150mg toWe;;butrin HCL 300 mg   
    Hi nojoy,
    Over the past 20 years I've taken generic Wellbutrin HCL (bupropion) in both SR & XL from 150 mg to 300 mg coupled with 100 mg generic Zoloft (sertraline).  Currently taking Wellbutrin 150 SR + 100 mg Zoloft.  I went to the same psychiatrist for 30 years, now prescribed the meds by a specialist I'm seeing for Hashimotos thyroiditis.  (Sidenote:  I was diagnosed with major depression/recurrent years prior to the Hashimotos (a thyroid autoimmune disease) diagnoses.  In research I've done recently, I've discovered that thyroid conditions, especially Hashimotos, mimic depression.  It is very possible I actually do not have clinical depression and as the Hashimotos is being brought under control as well as drastically changing my eating habits, I'm finding much less of a dependence on the meds.)
    I asked my former psychiatrist why an SSRI was always prescribed with Wellbutrin.  The only answer I received was "The SSRI boosts the effects of Wellbutrin."  Maybe partially true but I dug into this a bit deeper and discovered some interesting things: (1) Especially on higher doses ie. 300 mg, there is the potential for seizures; the SSRI is added to avoid that.  I would recommend your own research on this because the word "seizure" is scary.  It seems some people are more prone to this than others.  Wellbutrin is also not to be stopped without tapering due to seizures as well but I went off cold-turkey twice, once due to a mess up on my p-doc's part; once because I thought I didn't need them anymore.  I felt like I had a bad flu for about 10 days each time and, fortunately didn't know about the seizure connection then.  (2) Wellbutrin is known to cause anxiety.  Hmmm...now there's a kick in the pants!!  Could be another reason for the SSRI and, coincidentally (?) I didn't have any anxiety issues until I was put on Wellbutrin; now I'm diagnosed with a major anxiety disorder and taking generic Klonopin (clonazepam) - a benzo to which my body is now addicted.
    From a lifetime of a variety of psych cocktails, beginning when I was first diagnosed with depression in my 30's, I've experienced a lot and researched a lot.  Always ask your prescribing Dr. any questions/voice concerns re: meds but I highly recommend digging into research as well to see if it lines up with the info from your Dr.  I discovered too late that my p-doc glossed over very serious effects of some drugs (especially Klonopin which is to be taken ONLY for 2 weeks at a time at most; he put me on an extremely high dose and left me there) and prescribing drugs was his "thing."  Fortunately his P.A. took the dosage down and my current prescribing Dr. brought the other meds down and is supporting my body with supplements and dietary changes.
    Hope this helps. 

     
  3. Thanks
    Teril got a reaction from nojoy in Change from Wellbutrin XL 150mg toWe;;butrin HCL 300 mg   
    Hi nojoy,
    Over the past 20 years I've taken generic Wellbutrin HCL (bupropion) in both SR & XL from 150 mg to 300 mg coupled with 100 mg generic Zoloft (sertraline).  Currently taking Wellbutrin 150 SR + 100 mg Zoloft.  I went to the same psychiatrist for 30 years, now prescribed the meds by a specialist I'm seeing for Hashimotos thyroiditis.  (Sidenote:  I was diagnosed with major depression/recurrent years prior to the Hashimotos (a thyroid autoimmune disease) diagnoses.  In research I've done recently, I've discovered that thyroid conditions, especially Hashimotos, mimic depression.  It is very possible I actually do not have clinical depression and as the Hashimotos is being brought under control as well as drastically changing my eating habits, I'm finding much less of a dependence on the meds.)
    I asked my former psychiatrist why an SSRI was always prescribed with Wellbutrin.  The only answer I received was "The SSRI boosts the effects of Wellbutrin."  Maybe partially true but I dug into this a bit deeper and discovered some interesting things: (1) Especially on higher doses ie. 300 mg, there is the potential for seizures; the SSRI is added to avoid that.  I would recommend your own research on this because the word "seizure" is scary.  It seems some people are more prone to this than others.  Wellbutrin is also not to be stopped without tapering due to seizures as well but I went off cold-turkey twice, once due to a mess up on my p-doc's part; once because I thought I didn't need them anymore.  I felt like I had a bad flu for about 10 days each time and, fortunately didn't know about the seizure connection then.  (2) Wellbutrin is known to cause anxiety.  Hmmm...now there's a kick in the pants!!  Could be another reason for the SSRI and, coincidentally (?) I didn't have any anxiety issues until I was put on Wellbutrin; now I'm diagnosed with a major anxiety disorder and taking generic Klonopin (clonazepam) - a benzo to which my body is now addicted.
    From a lifetime of a variety of psych cocktails, beginning when I was first diagnosed with depression in my 30's, I've experienced a lot and researched a lot.  Always ask your prescribing Dr. any questions/voice concerns re: meds but I highly recommend digging into research as well to see if it lines up with the info from your Dr.  I discovered too late that my p-doc glossed over very serious effects of some drugs (especially Klonopin which is to be taken ONLY for 2 weeks at a time at most; he put me on an extremely high dose and left me there) and prescribing drugs was his "thing."  Fortunately his P.A. took the dosage down and my current prescribing Dr. brought the other meds down and is supporting my body with supplements and dietary changes.
    Hope this helps. 

     
  4. Thanks
    Teril got a reaction from perfect_disaster in Would like to hear about long-term experiences on bupropion/wellbutrin   
    I've been on (with some periods of off) bupropion for approximately 20 years; have been on a variety of meds since I was diagnosed with Major Depression Recurrent/Rapid Cycling 27 years ago and Major Anxiety Disorder added years later.  The first time I went on bupropion (300 mg of SR) I had the weirdest sensations - one was feeling like my brain was free-floating in my skull.  Can't think of another way to describe it.  When I turned my head it felt like it took a few seconds for my brain to "catch up."  I can't recall how long I stayed on it but eventually asked to be taken off.  I went maybe a year without it (I was always on some "cocktail" of SSRIs+whatever) then requested to try it again.  The second time I went on it I had no side effects.  I have read that it can cause anxiety and I do think I was diagnosed with the anxiety disorder around the time I went on bupropion the first time. 
    I stayed on a combo of 300 mg bupropion SR, 100 mg Zoloft, and at one time 5 mg Klonopin (arrgghh!).  I saw the same psychiatrist, then later his P.A.'s until a year ago when I began going to a medical practice that uses supplements instead of/or to support medications for Hashimotos Hypothyroid.  My P.A. then prescribed the Klonopin (over the years in working with my psychiatrist's P.A. I was taken down to 0.5 mg Klonopin 2x/day as needed) but didn't know they would also prescribe the other meds.  I had been feeling well for years so decided to stop taking the bupropion/Zoloft. HUGE MISTAKE.  I began a downward spiral beginning in May 2018 and hit bottom/was barely functional in November.  I managed to get myself to my current P.A. appointment in December, told her what was going on, and she put me back on the meds except trying 150 mg bupropion SR and I am stable with that amount.
    That's my personal "bupropion story" and every person reacts differently but perhaps something in my experience will help.   Re: resting heart rate - mine has always been high so taking bupropion did not affect it.  It has gone down since I've been seeing my current Dr./P.A. who use natural thyroid meds instead of the synthetic.
    If you haven't yet, do tell your prescribing Dr. about the side effects you're having.
  5. Like
    Teril got a reaction from Floor2017 in Just Started Wellbutrin SR   
    Hi Shirl...great that you talked to your Dr.  I've been on Wellbutrin for at least 20 years and have had no issues with it; just wanted to calm any "new med jitters." 
  6. Like
    Teril got a reaction from Karolina1 in WELLBUTRIN—hellbutrin??   
    Hi Kate and welcome!
    I really feel for you. My story:  I was diagnosed with "Major Depression Recurrent-Rapid Cycling" over 30 years ago by a psychiatrist.  I was initially put on a combo of two psych meds and was stabilized for many years, lived a normal life, etc. until they quit working, at which point one of the meds was switched out for Wellbutrin.  It was one of the weirdest psych meds I'd ever taken and in over 30 years I've taken a lot of different meds.  The main issue with the Wellbutrin was that it made my brain feel "detached" from my skull.  There's no other way I can describe it.  When I turned my head, even very slowly, it felt like it took a few seconds for my "free-floating" brain to catch up.  There were some other issues but eventually they evened out and the depressive symptoms vanished.  I considered Wellbutrin a wonder drug; however, within about six months I developed a new mental illness - severe anxiety and I mean SEVERE!  My p-doc then added Klonopin, an anti-anxiety med to the mix and kept increasing it until I was on 5 (that's FIVE) mg!!!  I was such an anxious mess at the time (including pacing the floors) that I didn't do my usual research and didn't find out until way down the road that Klonopin (or any of the benzos) is for SHORT TERM treatment only and "short term" is defined as "no more than two weeks."  This guy put me on an astronomical dosage and...left me on it.  Eventually I had to go on disability due to the extreme anxiety, even taking Klonopin.   Another thing about Klonopin, it is EXTREMELY hard to wean off of - some research says it is harder to wean off than illegal drugs.  So what does this have to do with Wellbutrin?
    Eventually my p-doc, whose staff/office had grown from just him, a counselor, and one office manager to multiple psychiatrists, P.A.s, therapists, behavioral specialists, and a large office staff with the customer service attitude of the Gestapo.  My Dr. got into "medication trials" (probably very lucrative) and I saw one of his P.A.s.  who was mortified at the amount of Klonopin I was on and began decreasing it.  Unfortunately she left and the next P.A.had the same personality/empathy as the office staff.  This practice had turned into a "pill factory" - 15 minute appointments, hand the patient the med scripts, "see you in three months."  The cancellation policy changed as well (with no notice) as I discovered six months ago when I was ill the day of my appointment, called the office to reschedule my appointment, and was told I wouldn't be rescheduled until I'd paid for the missed one. (Over the years and many moves, I now lived 2 hours one way from the office.) WHOA!  Previously they had a $50 charge if one didn't cancel within 48 hours so I figured I'd have to pay that.  It was time for a refill on all my meds so I said I'd send the check but could the P.A. please call in at least a one-week supply of the Wellbutrin and Klonopin, both of which are extremely dangerous to go off cold turkey.  Nope!  I was FRANTIC and and told the Gestapo staff to make a note in my file that the P.A. was endangering my health and possibly my life.
    So, to pull this all together - I began digging for research into Wellbutrin to see if there was some supplement or anything I could do to get me through withdrawal.  I had some of each med left, but not much and figured I'd have to go to the ER within the week.  Here's what I found out that was a true "light bulb" moment for me - research indicated that the reason another anti-depressant is prescribed with Wellbutrin is because .... wait for it ... Wellbutrin causes anxiety!  That explains why I "only" had depressive symptoms prior to Wellbutrin but "out of the blue" developed major anxiety - to the point that I eventually had to go on disability for the anxiety - after being put on it.
    I got back into a medical practice that specializes in thyroid disorders (I also have Hashimotos Hypothyroid - an autoimmune illness) that I'd gone to years ago and, thankfully, they are working with me to wean me off the Klonopin.  I had some rough days going off Wellbutrin but got through it.  I have a family history of mental illness and, due to that plus my own struggle with depression and (I'm now convinced) Wellbutrin-induced anxiety, I earned a Masters degree in Mental Health Counseling and was working in the field until I went on disability...from the anxiety.  My point is that I am definitely NOT a "no meds" person but if I'd done the digging re: Wellbutrin I did recently, I never would have gone on it NOR Klonopin.
     
  7. Sad
    Teril got a reaction from Kate1980 in WELLBUTRIN—hellbutrin??   
    Hi Kate and welcome!
    I really feel for you. My story:  I was diagnosed with "Major Depression Recurrent-Rapid Cycling" over 30 years ago by a psychiatrist.  I was initially put on a combo of two psych meds and was stabilized for many years, lived a normal life, etc. until they quit working, at which point one of the meds was switched out for Wellbutrin.  It was one of the weirdest psych meds I'd ever taken and in over 30 years I've taken a lot of different meds.  The main issue with the Wellbutrin was that it made my brain feel "detached" from my skull.  There's no other way I can describe it.  When I turned my head, even very slowly, it felt like it took a few seconds for my "free-floating" brain to catch up.  There were some other issues but eventually they evened out and the depressive symptoms vanished.  I considered Wellbutrin a wonder drug; however, within about six months I developed a new mental illness - severe anxiety and I mean SEVERE!  My p-doc then added Klonopin, an anti-anxiety med to the mix and kept increasing it until I was on 5 (that's FIVE) mg!!!  I was such an anxious mess at the time (including pacing the floors) that I didn't do my usual research and didn't find out until way down the road that Klonopin (or any of the benzos) is for SHORT TERM treatment only and "short term" is defined as "no more than two weeks."  This guy put me on an astronomical dosage and...left me on it.  Eventually I had to go on disability due to the extreme anxiety, even taking Klonopin.   Another thing about Klonopin, it is EXTREMELY hard to wean off of - some research says it is harder to wean off than illegal drugs.  So what does this have to do with Wellbutrin?
    Eventually my p-doc, whose staff/office had grown from just him, a counselor, and one office manager to multiple psychiatrists, P.A.s, therapists, behavioral specialists, and a large office staff with the customer service attitude of the Gestapo.  My Dr. got into "medication trials" (probably very lucrative) and I saw one of his P.A.s.  who was mortified at the amount of Klonopin I was on and began decreasing it.  Unfortunately she left and the next P.A.had the same personality/empathy as the office staff.  This practice had turned into a "pill factory" - 15 minute appointments, hand the patient the med scripts, "see you in three months."  The cancellation policy changed as well (with no notice) as I discovered six months ago when I was ill the day of my appointment, called the office to reschedule my appointment, and was told I wouldn't be rescheduled until I'd paid for the missed one. (Over the years and many moves, I now lived 2 hours one way from the office.) WHOA!  Previously they had a $50 charge if one didn't cancel within 48 hours so I figured I'd have to pay that.  It was time for a refill on all my meds so I said I'd send the check but could the P.A. please call in at least a one-week supply of the Wellbutrin and Klonopin, both of which are extremely dangerous to go off cold turkey.  Nope!  I was FRANTIC and and told the Gestapo staff to make a note in my file that the P.A. was endangering my health and possibly my life.
    So, to pull this all together - I began digging for research into Wellbutrin to see if there was some supplement or anything I could do to get me through withdrawal.  I had some of each med left, but not much and figured I'd have to go to the ER within the week.  Here's what I found out that was a true "light bulb" moment for me - research indicated that the reason another anti-depressant is prescribed with Wellbutrin is because .... wait for it ... Wellbutrin causes anxiety!  That explains why I "only" had depressive symptoms prior to Wellbutrin but "out of the blue" developed major anxiety - to the point that I eventually had to go on disability for the anxiety - after being put on it.
    I got back into a medical practice that specializes in thyroid disorders (I also have Hashimotos Hypothyroid - an autoimmune illness) that I'd gone to years ago and, thankfully, they are working with me to wean me off the Klonopin.  I had some rough days going off Wellbutrin but got through it.  I have a family history of mental illness and, due to that plus my own struggle with depression and (I'm now convinced) Wellbutrin-induced anxiety, I earned a Masters degree in Mental Health Counseling and was working in the field until I went on disability...from the anxiety.  My point is that I am definitely NOT a "no meds" person but if I'd done the digging re: Wellbutrin I did recently, I never would have gone on it NOR Klonopin.
     
  8. Sad
    Teril got a reaction from MarkintheDark in Worst Doctors Office Experience   
    Adding my recent experience after some background:
    I've seen the same pdoc for approximately 30 years.  Back then it was just the pdoc, office manager, and one therapist.  Now he has several more pdocs on staff, plus many P.A.'s, and therapists as well as being involved in medication "research" which is almost like another new business for him.  Ten  years ago I moved to another town one hour from my pdoc.  I had just applied for disability so did not want to break the continuity of treatment at the time since this doctor had my entire case history.  After my disability was approved I began trying to find a new pdoc.  Mine said he didn't know anyone in my area, my family Dr. is a D.O. and doesn't prescribe the meds I'm on; I saw a therapist who was also a nurse and could prescribe two of my meds but not the "controlled substance" (Klonopin/clonazepam).  Since I only saw my pdoc 4x/year (every 3 months), I decided to stay with him until I could find another Dr.
     
    Fast forward to the present - my pdoc farmed me out to one of his P.A.'s who doesn't take Medicare and uses his office manager as a shield when I've asked to speak to him, keeping in mind the length of time I've been seeing him.  So I continued to drive 2 hours total for a 15 min. appointment to just get handed my three scripts:  Wellbutrin, Zoloft, and Klonopin.  The cost kept going up and is currently $135.00 for 15 min.  I don't have the money so a family member has been paying for my appointments.  The practice charges $50.00 if an appt. is not cancelled/rescheduled at least 48 hours in advance.  Since I only go 4x/year this hasn't been an issue but there have been times I have been ill the morning of the appointment and had to cancel and pay the $50.
    Recent experience:  My current appt. was for last Thursday at 11:15 a.m.  I woke up ill and very shaky so I knew I wasn't up to driving two hours in heavy traffic.  I cancelled my appt., said I understood I would owe the late cancellation fee and would call to reschedule.  When I did so Friday morning I was hit with a new policy that I've never heard before...never have seen posted anywhere, etc.  The policy is that if one has three late cancellations, they have to first pay the office visit amount BEFORE they will reschedule.  Apparently the three cancellations can go back several years as this was the first one for this year and before that two years ago.  I was dumbfounded!!  I told the receptionist that I was an hour away and out of my meds, particularly Klonopin, and by the time I could get a check in the mail to them I would be going through Klonopin withdrawals and be very ill.  Didn't matter.  I then asked if my P.A. could call in a small supply of Klonopin so I could mail the check (which I'd have to get from my family member) THEN make the appointment and no telling how long of a wait that would be.  The receptionist checked with my P.A. who said I couldn't make an appt. until I paid the $135.00.  Ironically, at my last appointment I told my P.A. that if I'd know how addictive Klonopin was when the pdoc put me on it about 15 years ago I would have refused.  She nodded and said since I'd been on it so long, it would take years to wean off.  (I am prescribed 0.5 mg. - take 1 or 2 daily as needed) so she knows full well the dangers of stopping cold turkey.  I told the receptionist to please document in my file that the P.A. was putting my health in danger.
    WOW!!!  30 years, always compliant on my meds (and this pdoc LOVES to prescribe meds - he had me on SEVEN psych meds at one point, a couple of them addressing the same issue;  I had to be firm over the years to just get down to three) and now I'm thrown into withdrawal from Klonopin due to not calling 48 hours in advance!  I know this has to be unethical behavior. 
    I have no idea where to go now.  Withdrawal symptoms are already setting in.  We have walk-in clinics but I'm not sure what to say - my Dr. won't see me?  Explaining the reason sounds like I'm making it up.  There is a county mental health clinic in town that I had planned to check out but that will likely take at least a few days,  if not more, to qualify and get an appointment.  ARRGGGGGHHH!!
    Thank you to whoever read all this.
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