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Re: BuSpar/Wellbutrin/Trazadone » terra miller

Posted by Elizabeth on July 18, 2001, at 21:48:27

In reply to BuSpar/Wellbutrin/Trazadone: Elizabeth, posted by terra miller on July 18, 2001, at 15:54:12

> As an aid to the healing process of PTSD, I am currently stable on 75mg Wellbutrin I.R. 4xday.

Why four times a day? And why not use Wellbutrin SR? Wellbutrin is awfully activating, and while I can see how you could take it four times a day with the last time not being too late (I took Parnate six times a day), it would be tricky.

> Can no longer take ambien (too long to explain) for sleep or ativan (getting rebound effects badly) for panic/anxiety.

SSRIs, some tricyclics, and MAOIs are all good for anxiety and panic, and the tricyclics I'm thinking of (imipramine, clomipramine) would probably help you sleep, too.

> Therefore, being switched to wellbutrin (continue at same dose), 50mg 1xday Trazadone at bedtime, 30mg BuSpar (15mg 2xday... after a week at 7.5mg 2xday) with the understanding from my pdoc that BuSpar works for some on anxiety and not for others/and it can take months for it to "kick in."

I'd give it 8 weeks and try higher doses if low ones aren't helping, yeah.

> This combination seems reasonable to me. Are there adverse reactions from this combination? (I am not aware of any.) Thanks. -Terra

There's a possible interaction between Buspar and trazodone where the levels of Buspar would be raised -- you'll know by how well you tolerate it, I think.

-elizabeth


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poster:Elizabeth thread:70523
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