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Re: Wellbutrin washout suggestions for BP II?

Posted by super on June 22, 2001, at 7:50:17

In reply to Re: Wellbutrin washout suggestions for BP II? » super, posted by Sulpicia on June 21, 2001, at 22:03:32

Dear Sulpicia,
My p-doc has absolutely no ideas how to get rid of my constipation, other than lowering the dosage (tried that, get depressed) or switching to another AD (tried Paxil and Serezone with hypomanic response to each). I don't have a science background that would enable me to infer from the prescribing information for Wellbutrin; I'm not even sure what you are suggesting I look for. Do you know something that my p-doc and I don't know?

Super
> > Hi--
> we're stopping the Wellbutrin because it's not doing much: no response on the last 2 increases and
> it doesn't touch those 3 or 4 days a month were she's totalled -- unable to get out of bed at all.
> The lamictal has done a pretty good job of being an AD, for a MS, and the adderall helps out too.
>
> Pdoc is looking into using 1 of several possible AD meds in the same way as Sarafem is dispensed, tho
> Sarafem itself is out -- dd had a rash once upon a time with an SSRI and we are *rigorous* with the lamictal,
> having already done the rash thing. Ugh.
>
> Hypomania isn't an issue for her bcuz it was mild and short -- her *symptoms* are discussing Kierkegaard and explaining
> why Budda got it all wrong...
> As for you, perhaps you might read a bit about lamictal -- many find it has strong AD effect too, tho the risk/benefit
> equation may be very different for you -- dd *had* to take it bcuz she didn't respond to anything else.
> If you're doing well on Wellbutrin why not get the detailed manufacturer's info on and see what the pharmacology is -- with
> some diligence, and help from pdoc, I'd bet you can figure out how it causes the constipation, and can probably find a way
> around it. There are but so many ways Wellbutrin could be doing this, most if not all of which can be dealt with.
>
> Bipolar is a bear isn't it?
> Thanks,
> S.


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