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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by CraigF on August 11, 2000, at 16:10:20
Has anyone had any luck mixing Wellbutrin with Celexa to add vitality and, most importantly, sexual functioning?
I started taking Celexa two weeks ago and I will remember today as the day my sexlife died. I'm at 20 mgs (still weaning off Serzone too, taking 375-450 mgs at night)and I know WB helps some people on other SSRI's. I've also heard it gets better moving up to 40 mgs. for some reason.
I'm currently dating someone purely for their looks and this sex thing could cause a problem. And what's up with the horrible nightsweats? I seem to have incurred all the side effects in one day.
Posted by Andre Allard on August 11, 2000, at 17:13:53
In reply to Luck with Celexa and Wellbutrin?, posted by CraigF on August 11, 2000, at 16:10:20
I currently use wellbutrin to combat the zoloft sexual dysfunction and it works - at only 150mg. Try it, it won't hurt. Good luck!
Posted by CraigF on August 12, 2000, at 9:06:55
In reply to Re: Luck with Celexa and Wellbutrin?, posted by Andre Allard on August 11, 2000, at 17:13:53
that's good to know, thanks!
I remember finding it hard to concentrate, feeling dumb, and getting angry very easily on WB...Does the Zoloft help to negate those WB side effects for you? did you notice any of these when you added the WB?
Posted by dls on August 12, 2000, at 10:48:37
In reply to Re: Luck with Celexa and Wellbutrin? » Andre Allard, posted by CraigF on August 12, 2000, at 9:06:55
Craig,
I've been taking Wellbutrin SR (150 mg a.m. & p.m.) for over a year now. The tendency to let my anger flare disappeared within a month.
Had Celexa added about 4 months into the WB. It made me so lethargic and sleepy that I never could get beyond a minimal dose and since my line of work requires mainly cognitive efforts, needless to say, my reaction to the Celexa imparied my ability to function professionally.
Can't give you too valid a read on sexual dysfunction related to Celexa as I'm hypogonadal due to hypopituarism resulting from a pituitary macroadenoma (and I think that the triple assult I've had to my HPA via surgery, radiation and Lupron would make my experiences atypical). I am able to function in that department periodically and if memory serves me correctly, that ability diminished considerably while on the low dose of Celexa.
However, a couple of my associates tell me they have had a good number of their patients that have had good results from Celexa.
Hope this helps,
Don
Posted by Andre Allard on August 12, 2000, at 12:08:04
In reply to Luck with Celexa and Wellbutrin?, posted by CraigF on August 11, 2000, at 16:10:20
I noticed that when I increased the wellbutrin to 300mg, I became extremely irritable. Alsmost everything and everybody pissed me right off. Eventually, I will try to increase the wellbutrin again for it's activating effects. This time around though, I might go up in 75mg increments every week to lessen the irritability.
Like I said, the wellbutrin deletes any sexual dysfunction caused by zoloft (100mg). I have recently added 100mg of trazadone to sleep and I have noticed that my libido has diminished some what. So I think the 300mg wellbutrin could even things out for me again.
I really like the drug cocktail I am on right now. I began taking the zoloft for anxiety and depression. The zoloft caused some sexual dysfunction, so I added the wellbutrin, problem solved. The combination of zoloft and wellbutrin caused some insomnia, so I added the trazadone and once again, problem solved. The trazadone has caused a little bit of a problem in the libido department, therefore I will up the wellbutrin and the result will be....problem solved.
Posted by Cam W. on August 12, 2000, at 12:37:21
In reply to Craig, posted by Andre Allard on August 12, 2000, at 12:08:04
Andre - I have noticed that irritability is a very common (usually) short term side effect of Wellbutrin™. After take it for 2 or 3 weeks, many people seem to get really bitchy for a couple of weeks (ie nasty, "bite-your-head-off" kind of irritability).
One of my customers, who was taking Zyban™ actually yelled and screamed at her boss for playing solitaire on the computer during lunch hour (which is allowed). For this reason she stopped taking the Zyban for a couple of months, but she restarted using Wellbutrin, warned everyone that she was going to be a monster, and got over the irritability within a month of starting. The irritability did resurface after a couple of weeks, but faded and she is now more pleasant than I have ever seen her.
Wellbutrin and Zyban are exactly the same drug (bupropion), but they have different indications (Wellbutrin approved only for depression and Zyban approved only for smoking cessation). Other than the legal implications, there is absolutely no difference between the 2 brands (pills are manufactured in the same machine - only the ink markings are different).
Also, Wellbutrin does reverse the sexual dysfunction in about 25% (or perhaps a little lower) of the people we've tried it on. It's worth a try. One should notice a difference within a couple of weeks. If there has been no improvement in sexual functioning or if side effects are a problem the docs stop the bupropion after about a month.
Just an observation - Cam.
Posted by CraigF on August 13, 2000, at 15:41:29
In reply to Re: Craig and Andre, posted by Cam W. on August 12, 2000, at 12:37:21
Thanks guys.
I think I will wait until I have a month of Celexa under my belt before adding the WB, but it's worth a trial.
BTW: I was just joking about the new relationship being purely physical, in case anyone was wondering. It was a pretty big part this weekend, however. My libido didn't suffer at all, but anorgasmia struck in the a.m.
Sorry if that's too much info...
-Craig
This is the end of the thread.
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