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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 leighton77 on February 20, 2001, at 20:11:41
I have been on Effexor for about 2 mos. First at 37.5, then 75, then 150 mg/day. I have noticed a somewhat improved mood but not that total "brand new world" or "old self again" feeling that people seem to ascribe to relief provided by a med that really works for them. At the same time, I have had insomnia in the form of frequent waking up, drowsiness during the day, and no real improvement for my motivation/concentration levels during the day. I am wondering if Effexor is just not right for me and I should get off it now and switch to something with more of a stimulant effect like Wellbutrin. Any thoughts or experience would be appreciated. Thanks
Posted by SLS on February 20, 2001, at 22:07:10
In reply to Effexor - lack of complete relief (Wellbutrin?), posted by leighton77 on February 20, 2001, at 20:11:41
> I have been on Effexor for about 2 mos. First at 37.5, then 75, then 150 mg/day. I have noticed a somewhat improved mood but not that total "brand new world" or "old self again" feeling that people seem to ascribe to relief provided by a med that really works for them. At the same time, I have had insomnia in the form of frequent waking up, drowsiness during the day, and no real improvement for my motivation/concentration levels during the day. I am wondering if Effexor is just not right for me and I should get off it now and switch to something with more of a stimulant effect like Wellbutrin. Any thoughts or experience would be appreciated. Thanks
Hi.You may want to consider simply adding Wellbutrin to Effexor rather than switch. A friend of mine who described the same predicament ended up with a combination regimen of Effexor and Wellbutrin 150mg. It is a logical thing to do.
- Scott
Posted by Shell on February 20, 2001, at 22:17:48
In reply to Re: Effexor - lack of complete relief (Wellbutrin?), posted by SLS on February 20, 2001, at 22:07:10
> > I have been on Effexor for about 2 mos. First at 37.5, then 75, then 150 mg/day. I have noticed a somewhat improved mood but not that total "brand new world" or "old self again" feeling that people seem to ascribe to relief provided by a med that really works for them. At the same time, I have had insomnia in the form of frequent waking up, drowsiness during the day, and no real improvement for my motivation/concentration levels during the day. I am wondering if Effexor is just not right for me and I should get off it now and switch to something with more of a stimulant effect like Wellbutrin. Any thoughts or experience would be appreciated. Thanks
>
>
> Hi.
>
> You may want to consider simply adding Wellbutrin to Effexor rather than switch. A friend of mine who described the same predicament ended up with a combination regimen of Effexor and Wellbutrin 150mg. It is a logical thing to do.
>
>
> - ScottAdding the Wellbutrin sounds like a good idea. I started with Effexor, first 37.5 mg, then 75 mg, then 150 mg, then 300 mg (this took months). When I got to 300 mg with no improvement, my doctor added Wellbutrin, first 150 mg, then 300 mg. After about six weeks on 300 mg Effexor and 300 mg Wellbutrin, I did begin to feel better...but still it wasn't that overwhelmingly positive feeling that some people describe. I just didn't feel as rotten all the time. I have since discontinued the Effexor just to see what would happen and the Wellbutrin alone seems to be working just as well. I really think that Effexor didn't do anything for me, but everyone is different.
Posted by SalArmy4me on February 21, 2001, at 10:19:16
In reply to Re: Effexor - lack of complete relief (Wellbutrin?), posted by Shell on February 20, 2001, at 22:17:48
I think that adding Remeron to your Effexor would do you the most good. It would definitely help you to sleep. Remeron + Effexor is that "power combination" that Dr. Stahl talks about in Dr. Bob's Psychopharmacology Tips. He says that he hasn't had a patient that didn't have a good response to that combination. Effexor + Wellbutrin would be weak, in my mind. And overstimulating.
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