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Wellbutrin (bupropion hcl)

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  #1  
Old 07-17-18, 07:51 PM
Royce1013 Royce1013 is offline
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Experiences?

So, my previous doctor (psych) helped me get my life and medication in order and then left the practice to bigger and better things. So I was assigned someone new. Itís been less than satisfactory. This new doctor is obsessed with Wellbutrin. She claims all her add patients have switched and are doing soooo much better. She lowered my adderall to once a day from three times. When I gave feedback that i was struggling after the morning she said the only option is to add Wellbutrin. Well I did it her way for a month and all I got out of it was nassea and the inability to remember words like ďstoreĒ. Super weird for me. I tried finding someone new and I keep getting told they arenít accepting new patients or not ADHD patients. The one I did find who would see me insististed their the max legal dose of adderall is 30 mg (10 mg 3X day). Iím in my 30s so not a child. Does Wellbutrin really help most people? I know I need to find someone new, but Iím also struggling to get through the day now so the added task of doctor hunting is just another thing I donít feel like doing.
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Old 07-17-18, 09:36 PM
CharlesH CharlesH is offline
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Re: Experiences?

No, Wellbutrin is not a first line treatment for ADHD (or even second line treatment).
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Old 07-18-18, 03:21 AM
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Re: Experiences?

Quote:
Originally Posted by Royce1013 View Post
So, my previous doctor (psych) helped me get my life and medication in order and then left the practice to bigger and better things. So I was assigned someone new. Itís been less than satisfactory. This new doctor is obsessed with Wellbutrin. She claims all her add patients have switched and are doing soooo much better. She lowered my adderall to once a day from three times. When I gave feedback that i was struggling after the morning she said the only option is to add Wellbutrin. Well I did it her way for a month and all I got out of it was nassea and the inability to remember words like ďstoreĒ.
When is the next time you see her? I would go in armed with info about adderall and ask her why she is choosing to go against medication guidelines and why she is pushing a non-first line treatment for adhd. Makes you wonder whats up with her and the company that makes wellbutrin eh?
Quote:
Super weird for me. I tried finding someone new and I keep getting told they arenít accepting new patients or not ADHD patients. The one I did find who would see me insististed their the max legal dose of adderall is 30 mg (10 mg 3X day).
Wait you had offices say this to you? I would still go in and see them. If they did say that to you I doubt if it is 100% true. What would you say to a random caller asking about a controlled substance?
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Old 07-18-18, 01:11 PM
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Re: Experiences?

I am surprised how close minded and how they try to put everyone in the same box sometimes. If you are just looking for someone to prescribe the one medication, perhaps your doctor could since it's not a cocktail of sorts. You also could consider not limiting your search to doctors who just take ADHD patients. I am looking for someone new to accommodate logistics and found a couple of family and internal medicine places by opening up the search parameters. The struggle is real!
The only individuals I have known to take Wellbutrin took it a few months to assist with smoking cessation.
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Old 07-18-18, 02:07 PM
Royce1013 Royce1013 is offline
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Re: Experiences?

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Originally Posted by Budkeiser View Post
I am surprised how close minded and how they try to put everyone in the same box sometimes. If you are just looking for someone to prescribe the one medication, perhaps your doctor could since it's not a cocktail of sorts. You also could consider not limiting your search to doctors who just take ADHD patients. I am looking for someone new to accommodate logistics and found a couple of family and internal medicine places by opening up the search parameters. The struggle is real!
The only individuals I have known to take Wellbutrin took it a few months to assist with smoking cessation.
I still see my old Regular doctor every once in awhile because my parents still live there. He is fine writing me scripts, but Iím only there at most twice a year. I did find a local doctor just to have someone. He has been good in all other ways, but was upfront that he isnít very knowledgeable about ADHD medications and doesnít feel comfortable prescribing unless it was just a one time thing.

My other issue is that my current prescription is a third of what Iíve been on for years. I guess doctors can all look up in the database and see that.
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Old 07-18-18, 02:10 PM
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Re: Experiences?

Quote:
Originally Posted by sarahsweets View Post
When is the next time you see her? I would go in armed with info about adderall and ask her why she is choosing to go against medication guidelines and why she is pushing a non-first line treatment for adhd. Makes you wonder whats up with her and the company that makes wellbutrin eh?

Wait you had offices say this to you? I would still go in and see them. If they did say that to you I doubt if it is 100% true. What would you say to a random caller asking about a controlled substance?
I have wondered if she was getting paid off, but since Wellbutrin has generics is that really the case? Iíve never had a doctor push something like she does. When I told her I heard it lowered seizure threshold she told me that wasnít true, only adderall does that. the more I think about it the more I wonder why I kept going back when she had made it clear she isnít going to help me.
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Old 09-19-18, 02:53 PM
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Re: Experiences?

Never underestimate your psychiatrist. They can tell a lot about you -- and they can read whatever your last psychiatrist could tell about you. For example, if you show signs of paranoia, a responsible psychiatrist will take you off stimulants and put you on something like Wellbutrin or Strattera (although, no psychiatrist should prescribe Straterra, as there are far better options for what it's designed to do). You mention you're paranoid about your doctor receiving gifts from Valeant or Mylan -- although this perfectly reasonable to think, especially if you do your reading, and know that gift-giving isn't illegal, it could also suggest unreasonable paranoia. And listen, at the end of the day, there are bad psychiatrist out there too. But never hedge your bets against your doctor unless you're 90% confident. It's like betting against a casino with 10:1 odds against you, and if your psych is really good, 20:1.

I should also clarify, if you're wondering why you can't take stims when you're paranoid, its because stims like Adderall, Vyvanse, and Concerta/Ritalin, increase dopamine in all parts of your brain. People who experience psychosis and schizophrenia have large levels of dopamine in their occipital lobe (the back-end of your brain). If you increase your levels of dopamine overall, and your dopamine levels are already high in your occipital lobe, you are at huge risk for psychosis.
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Old 11-26-18, 12:23 PM
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Re: Experiences?

Hi!

My response may come a bit late, but here is my experience.

Wellbutrin has helped me a lot, I have more motivation and more energy and less lethargy.

In my opinion your psychiatrist is right, taking step by step to find the right way.

I have struggled before with SSRI that did literally nothing for me, until I found Wellbutrin, however this was depression related

Wellbutrin has a similar pharmacokinetic if not the same of many stimulants.

I'd say for me so far the best combo is Wellbutrin + Medikinet, in my case, we climbed the ladder slowly from Wellbutrin 150 - 225 and 300, then stayed there for a couple months steady until my body and brain got used to the dopamine and noradrenaline before including Medikinet (Methylphenidate)

Wellbutrin in my experience helps in a motivation level, but does nothing or perhaps too little regarding ADHD, again, depends from person to person.

I rather try things slowly and follow the advice of my psychiatrist, rather than taking huge doses of stimulants at once, this does not only may increase the risk of seizures in certain people, but also can create resistance.

Finding what works for you is really hard, as well as finding the right dose, it takes some time and requires patience, but eventually you will find it.

I don't know about how it is in the US, but in my country, and also I think in Germany too, Doctors have to be very careful about prescribing Stimulants as they are considered addictive substances.

My advice would be go slowly on Wellbutrin, and see if there are any bad side effects, if it doesn't work for you, just tell your psychiatrist the truth and explain him/her that you would like to try something else and hear what he/she has to say.

What works for many, is not necessarily going to work for you. My psychiatrist started me on Strattera before Medikinet, and according to him, it helps many of his patients, to me it was a disaster the first 3 days, unbearable.

Don't be closed to new alternatives and try slowly until you find what works the best for you.
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Old 01-07-19, 01:11 AM
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Re: Experiences?

I had prescribed wellbutrin+ritalin when i was diagnosed firstly about 5 months ago. Wellbutrin wasn't working then. A few days ago i've restarted to take 300 mg wellbutrin and interestingly it worked. I can concentrate, i have enough (not too much just enough) energy and willingness to do what i have to do. But i'm afraid about developing tolerance. Did anyone of you developed tolerance to wellbutrin?
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