I am a 33 yr old woman with 5 children.I have been suffering from depression 0n and off for 8 yrs.My GP has prescribed 20mg citalopram increased to 40 mg.The higher dosage was making me feel sick so i reduced back to 20mg.I am always worse during the winter months,do you think Bupropion would help me and what dosage would you recommend?
Yes, bupropion (wellbutrin) is proscribed for depression and seasonal affective disorder. There are three types: immediate release, sustained release and extended release, which each has their own dosing regulations. Plug bupropion into the search window above and read about it.
Your doctor is the best to determine the dose that is necessary for you. He/she would probably start you out at the lower dose and increase it after the first few weeks. Some doctors will prescribe both citalopram and bupropion together, don't know what your doc will do.
Hope this helped,
After the birth of my 2nd child my Celexa couldn't prevent the post partum blues, so my doc put me on Wellbutrin with the Celexa. It really picked me up. She said I wouldn't be on it for long and she was right. About 9 months. She said Wellbutrin "is a brain activator" which is what I needed at that time. I have all positives to say about bupropion because it saved me during a very bad time. But of course everyone is different. Hope that helps, cathleen
Everyone is quite different, but I am a 30 year old woman and my doctor suggested bupropion as one of his first choices for my depression.
I think the cause/type of your depression may be a big factor in what works for you.
With bupropion, I have experienced (as have my friends) that it can start working in 2 weeks, or it can take a few months to show results, and unlike SSRI's it's not always a "steady climb" but more of an up and down, so be prepared for this possibility, and request an anti anxiety drug for the onset duration from your doctor.
I tried escitalopram (Lexapro) before trying bupropion, and in my case it made me have increased depression, anxiety, and like you, I felt quite ill. I only was able to manage to get through 3 weeks myself. Most doctors will advise you to give an SSRI 6 weeks, but in my case I was getting close to posing danger to myself.
Dose is a very peculiar thing- some people find they need 150 mgs, and anything more makes them feel spacey and no less depressed, other people find the maximum dose (450XL) is the only thing that truly helps. Typically, a doctor will start you off at 150 mgs a day or less, and have you increase each week. The great thing about bupropion, is that it for those it works for, it seems to "work" for a long time, and they seem to be quite happy with it.
As my wise friend LaurieShay has mentioned, only your Dr can determine if Wellbutrin would be a good prescription for you considering all things medical. With that said, it might work very well in your case. It may take a bit of time to see how your body metabolizes this med, to determine exactly which preparation is best for you. I was on Wellbutrin SR for many, many years with great success and no side effects. Last year my same MD switched me to Viibryd, thinking that it was time for a boost, which was an excellent choice.
I highly recommend Wellbutrin. I had no weight gain and it was an easy adjustment. I recall that I felt better within the first two weeks of treatment. Please keep us posted. We are a caring group.
4N Substances aka Frenchie
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