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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by Luddy on August 13, 2004, at 12:14:23
I thought I posted this same thing this morning, but came to see if there were replies and my post wasn't here. DARN! So here I am again!
There are just too many AD's out there...I'm so confused. I think I've read too much and now my brain is jumbled and shut down.
I've been on Wellbutrin XL 300mg for 6 weeks now and I absolutely love it!!! I feel better, have more energy, etc. (Hell, I've even lost 10 pounds). But the ringing (Tinnitus) hasn't gone away...I think it's getting worse. I told my doc about it and he suggested I change to Zoloft, but after reading up on that it seems the side effects will make the things I'm trying to cure worse. I used to not want to get out of bed, not want to do anything, go anywhere, no libido, nothing!! So I'm a little concerned as to why he'd change me to Zoloft.
I've left a message for him (his nurse) to call me back....I have too many questions.
What I guess I need to ask.... Is there a drug like Wellbutrin XL but doesn't cause tinnitus? I've heard of Wellbutrin SR, is this very different than the XL?
Posted by HappyGirl on August 13, 2004, at 13:02:37
In reply to TOO many AD'S...scared to change!!!!!!!!!, posted by Luddy on August 13, 2004, at 12:14:23
Hi:
On 'XL' that is 'extended release' version, ... almost 24 hours effect while on 'SR' is 12 hours effect(I just can't get 'tech' words for this, ... but that's what it means, ..).
When I switched to the 300 mg., ... the 100 mg.WB SR t.i.d., it made me 'fragmental sleep pattern,' not sleep well, like a half sleep and a half awake. Then, my pdoc. rxed 'XL' 300 mg. once a day,... taking it with breakfast. However, after having read other takers' posts, I truly started to hesitate to change it, as seeing 'sleep pattern' more exasperated. Probably, its side-effects(including tinnitus) go with this.I had 'tinnitus' in the beginning of WB therapy, but after two-three wks later, it calmed it down. Once, I had 'rapid heart rate.' However, over the years on WB sr, I NEVER experience any of S.E.s as long as I stay on 200 mg-300 mg's range. I, too love this med., due to 'energy,' 'concentration,' and more lists to go on. In my case, I've been on 200 mg. WB sr. mainly for my 'ADD' which is a part of my depression. Before M.I., I never had 'concentration' problem.
In regard to 'Zoloft,' ... in my guess, your pdoc. believed that Zoloft is more suitable to your condition as seeing your symptoms are more related to depression, rather than to ADD's. Further, WB sr is more effective to those who need for 'ADD' related problems. In my knowledge, most of pdocs. rarely rx WB sr alone for depressive patients.
Similar meds. to WB sr is more likely 'Strattra' that has good effectiveness both on ADD and depressive episodes. Two more meds. I recall, but the above/Strattra is most similar to WB sr.
H.G.
Posted by Shadowplayers721 on August 13, 2004, at 23:41:35
In reply to TOO many AD'S...scared to change!!!!!!!!!, posted by Luddy on August 13, 2004, at 12:14:23
Since, wellbutrin agrees with you, I would stick it out. See if the ringing in the ears goes away or adjust the dosage. The other meds will make you gain weight and mess with your libido too.
Posted by Luddy on August 14, 2004, at 10:12:49
In reply to TOO many AD'S...scared to change!!!!!!!!!, posted by Luddy on August 13, 2004, at 12:14:23
Thank you everybody for your help on this. My doc thinks I should start on Effexor XR. Never heard of this drug before.
I've been reading that maybe I can lower my Wellbutrin dose to 150mg (I barely had ringing at that dosage) and then see how I feel.
If I don't feel better maybe add a small dose of Zoloft or Effexor.
I didn't know you could mix AD's. Yes, I'm pretty new to all of this.
Anybody else mixing Wellbutrin XL w/Zoloft or Effexor?
This is the end of the thread.
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