Doctor insights on:
Lexapro And Wellbutrin
Differences: Lexapro is a serotonin specific reuptake inhibitor. Wellbutrin (bupropion) is a norepinephrine-dopamine reuptake inhibitor. While both are antidepressants, ssris tend to be better for anxiety conditions than wellbutrin (bupropion). Wellbutrin (bupropion) is more effective for comorbid substance use disorders. Wellbutrin (bupropion) is very weight friendly, does not tend to impair sexual function, but has a somewhat higher seizure risk. ...Read more
Medications: There is always a risk of adverse effect when combining medications. That risk is increased with narcotic pain medications (like Oxycodone) and mood disorder medications such as lexapro and wellbutrin (bupropion). It is very important to fully disclose all your medications to your physician. I would recommend contacting your prescribing physician for further instructions. ...Read more
With help: That is a very interactive combination of meds-changing one may affect how thee others work. You need help from a professional, who can change one --review the effects--then change the next most appropriate one. Usually a psychiatrist or family physician are the most appropriate for this. ...Read more
Anxiety medication: Lexapro and other ssri medications are considered first line treatment for a variety of anxiety disorders. Wellbutrin, (bupropion) while often a very effective medication for depression (and off-label for add/adhd), does not have a significant serotonin effect and therefore is not considered to be a great medication to treat anxiety. It does help with depression that can be co-morbid commonly with anxiety. ...Read more
Discuss w/ OBGYN, etc: Less is best if you are breastfeeding and if one works it may be better than a mix, but ask your pediatrician and OBGYN and psychiatrist if you have one. Please consider good psychotherapy since it's a big help to make these months easier - new mother support is very important! It might even make drugs less needed. Best wishes! ...Read more
I tried celexa, effexor, cymbalta, pristiq, (desvenlafaxine) lexapro, zoloft, wellbutrin, which barely helped. What else could I try? How do u feel about paxil?
Agree w/Dr. Buggie: I agree with dr. Buggie about the need for psychiatric evaluation and ongoing treatment. Wellbutrin does not help with anxiety. Paxil (paroxetine) is a reasonable choice, but whether it's right for you I cannot say. You're also on Adderall xr, which can exacerbate anxiety in some. Psychotherapy is an important part of treatment for anxiety also -- but you didn't mention pursuing that. ...Read more
Low probability: There are the possibility of low probability side effects. With respect to specific interactions, the most prominent thing to remember is that if you stop taking your xanax (alprazolam) suddenly while taking wellbutrin and Lexapro you may make it more likely that you would have a seizure. You also may find operating a motor vehicle more challenging when taking xanax (alprazolam) with any medications. ...Read more
I will be starting back on of Lexapro tomorrow w/ wellbutrin XL 150mg. Cymbalta (duloxetine) 60mg has not been helpful for past 4mo. I hope to get the results I?
Good combo: Sounds like you're really going through a rough time. .. I really hope this combination works for you. It's one that I prescribe quite often and have seen quite a bit of success with. Unfortunately there aren't any guarantees in medicine - best to have a continuous dialogue with your psychiatrist and psychologist for the best possible outcome. Hope you feel better soon! ...Read more
I am currently taking lexapro Wellbutrin (bupropion) and alprazolam. Is it safe to take vyvanse with these medications?
It may not be: Wellbutrin (bupropion) has a well-known potential side effect of producing seizures (usually in higher doses like 450mg/day and in seizure-prone individuals) and Vyvanse may compound that risk. I am not a fan of alprazolam use in most people, particularly those with depression. Sounds like your depression has been significant, and perhaps you should consider a second opinion from another psychiatrist. ...Read more
I'm taking lexapro Wellbutrin (bupropion) and alprazolam. Is it safe to take a vyvanse with these medications in my system?
Caution: You already have significant drug interactions with the 3 meds listed. Adding Vyvanse plus Wellbutrin (bupropion) increases risk for seizures. Vyvanse plus Lexapro increases side effects of Vyvanse and risk for serotonin syndrome. Review these meds with prescribing doctor. You need close medical supervision to take these medications. I hope this helps. ...Read more
I am being prescribed Lexapro, wellbutrin and elavil for depression and anxiety. Is this combo safe?
Drug Interactions: Elavil (amitriptyline) + Wellbutrin (bupropion) ^ es seizure risk. Escitalopram +amitriptyline ^'es risk of serotonin syndrome. Wellbutrin + Lexapro ^es seizure risk. I am assuming that the Elavil is added in for insomnia or pain control and not for depression/ anxiety. This does not mean that these drugs can't be used together but there are possible drug interactions. D/W your physician. ...Read more
Is there any supplements to help a male experiencing no sex drive on 10mg Lexapro and 150mg wellbutrin (bupropion) XL for ocd/anxiety?
Female sex cream: Apricus biosciences is currently developing the product femprox, a topical cream for the treatment of female sexual arousal disorder. It contains prostaglandin e1 as the active ingredient and a permeation enhancer ddaip which facilitates the delivery of the drug into the blood stream. An existing drug, bremelanotide, has also been found to increase libido in 90% of subjects. ...Read more
What is the best medicine for OCD. We have tried Zoloft, lexapro, wellbutrin, prozac. Side effects bad or did not work. Does Pristiq (desvenlafaxine) work for OCD?
Taking Lexapro, naltrexone, traxadone, wellbutrin, (bupropion) melatonin, ramipril, asprin, and trilipix. Drink tea, what's causing constipation and large prostate?
Not sure: What evidence points to a "large prostate" - can you elucidate? ...Read more
Gained 17lbs in 7 months, not pregnant. Taking 20mg lexapro, 50mg nortriptlyne, 150mg wellbutrin (bupropion). Why? Can I take something to reduce the gain?
See your MD ASAP: 30 year old lady concerned about recent weight gain of 17 lbs over 7 months. You are currently taking three antidepressants: Escitalopram, Nortriptyline, and Bupropion. Is your psychiatrist aware that you are on all three? Are you on all three for depression or anxiety? One of these agents, preferably the SSRI, can be used at the proper dose and the other two medicines should be tapered off asap ...Read more
My male fiance has had no sexual desire since starting on 10mg of Lexapro and 150mg of wellbutrin (bupropion). Would horny goat weed or tongkat ali help at all?
Reduced sexual desir: I agree with dr. Wartenburg on the need to be careful with herbs here in the us, and speaking with your husband's physician before adding any of these. There are no interactions between horny goat weed, tongkat ali (actually eurycoma longifolia), lexapro, and wellbutrin (bupropion). There is also not sufficient research data to assure that either of these herbs will work for the intended purpose. ...Read more
My doc has prescribed me 1mg Xanax, (alprazolam) 10mg Lexapro and just added 150mg Wellbutrin XL. Is this allowed? Will this cause long term problems?!
I understand your concern.
Reflect on symptoms of Anxiety and Depression effect on your relationships, work and personal life; medication need for anxiety or depression; then discuss medication interactions, benefits and side effects; Therapy.
Wellbutrin with Lexapro may increase the risk of seizures.
Using Xanax (alprazolam) with Lexapro may increase dizziness, confusion, and difficulty concentrating.
I take 10 mg of Lexapro and 300 mg of Wellbutrin (bupropion) as well as 50 mg of Trazodone for insomnia. I have had insomnia for years. Is this combo dangerous?
I have had severe anxiety/panic for years. I have taken prozac, zoloft, wellbutrin, lexapro, and now viibryd (vilazodone hydrochloride). Nothing seems to work. What should I do?
Can I lose Weight I've gained from lexapro. By decreasing dose? I've went from 20 to 5 mg and added Wellbutrin (bupropion)
How lomg do withdrawls last from 40mg of lexapro, even after switching to 100mg 2x daily of wellbutrin (bupropion)? Currently having major withdrawl symptoms.
2-4 weeks: Even though half life may be different, 40 mg is a high dose and takes longer than usual. ...Read more
I am currently on Wellbutrin (bupropion) XL and Lexapro and was prescribed Tramadol. Wanted to see if there was a bad interaction if taken together?
Requires Tact: Combination of SSRI such as Lexapro can apparently cause serotonin syndrome. In addition, the manufacturer of tramadol notes concomitant therapy with SSRI increases risk of seizures. Furthermore, both Tramadol and Wellbutrin (bupropion) can lower the seizure threshold. PGT testing to determine CYP2D6 status may be able to guide treatment. The prescribing physician (s) should be informed of this combination. ...Read more
I stopped taking Wellbutrin (bupropion) abruptly a few weeks ago, could I present withdrawal symptoms now? Should I start again? I also take Lexapro 5 mg/day.
Antidepressants: It is dangerous to abruptly stop medications. You need to speak to your physician as you can significant side effects. ...Read more
Will taking wellbutrin (bupropion) with Lexapro help OCD and intrusive thoughts without making me gain weight?
Probably not: Wellbutrin (bupropion) will probably not make you gain weight -- but it's also unlikely to help with ocd and intrusive thoughts. Others like ssri's (like lexapro) are much better for ocd, and some are more weight-neutral (lexapro) than others. See a psychiatrist for an evaluation and discussion of options. ...Read more
I have been on wellbutrin 150xl for 5 weeks and clonazepam as needed. Anxiety is still bad. My pdoc wants to add lexapro 10mg. Is this common?
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