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Dr. Bob is Robert Hsiung, MD,
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Posted by X-ray on June 7, 2010, at 12:02:23
Hi,
I know that the target dose of Wellbutrin XL is 300 mg, but I'm on a Wellbutrin/Remeron combo.
So my GP argued that I should stay on 150 mg of Wellbutrin.
I think that he was talking about the risk for serotonin syndrome, but I'm not sure.
Does anyone know about Wellbutrin, Remeron and serotonin syndrome?
Should I increase the dose of Wellbutrin XL from 150 mg to 300 mg?
I really like this doc, but he's not a psychiatrist.
Best regards,
X-rayWellbutrin XL 150 mg
Remeron 45 mg
Buspar 40 mg
Lyrica 25 mg
Fluanxol 1 mg
Posted by Tony P on June 13, 2010, at 15:07:15
In reply to Wellbutrin dosage, posted by X-ray on June 7, 2010, at 12:02:23
*Theoretically* Wellbutrin has minimal effect on serotonin, so that should not be a concern. However, my personal experience was that when I took Serzone (a fairly pure SRI) while on Wellbutrin I had an absolutely typical serotonin toxic episode, so I'd be cautious. I haven't taken Remeron & Wellbutrin together, but I would expect some interaction -- Remeron is an unusual AD and there's a lot of variation in how people react to it.
Walk gently.
This is the end of the thread.
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