Doctor insights on:
My son, 18, is taking 80 mg of Prozac and 75 mg of Wellbutrin for OCD. He is relapsing. He has been on this for two years. What are some choices?
Decisions: 18 is a challenging age. Your son can consent for treatment as he is of age. Important to clarify whether or not he is still taking his meds as many teens stop when they are of consenting age. Cognitive behavioral therapy is also an effective form of treatment for OCD either alone or in conjunction with meds. Follow up with psychiatrist for any changes in medication, additional therapies. ...Read more
Adding a dopamine medication such as latuda/wellbutrin to an ocd/bipolar patient--wouldn't this make the OCD worse?
Not really.: Latuda (lurasidone) is an antipsychotic.Sometimes ocd is so severe that it reaches psychotic proportions, that Latuda (lurasidone) can help. But it is not indicated for ocd itself. Wellbutrin is an antidepressant of the aminoketone group, a Dopamine agonist and norepinephrine reuptake inhibitor. It is not indicated for ocd but may help the depression in ocd. Neither drug can make ocd worse. ...Read more
Quite a few: There are quite a few medicines across multiple classes (SSRI, SNRI, TCA, etc.) that can be added however Rx choice really depends on what symptoms need the "extra help." The goal is to reduce the risk of side effects as much as possible and a lot is dependent on your history/response and prescriber preference. Also, combining psychotherapy + meds helps ensure a better outcome. Hope that helps! ...Read more
It is possible but..: Yes they both work in the body differently so in some cases it can be a good combination with Luvox (fluvoxamine) being effective for ocd and depression and Wellbutrin being an antidepressant that works differently than the Luvox (fluvoxamine). However, they both can cause side effects and it is possible that in some cases they could magnify each others side effects. So you need to go slowly with the guidance of your doctor ...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
Wellbutrin (bupropion) has always helped with my OCD and anxiety. It seems the opposite for others. Do you think my external factors really made symptoms better?
Maybe.: Wellbutrin has caused anxiety in some depressed people but if it helps your ocd, continue to take it. There are other antidepressants well known to help ocd such as luvox, anafranil, zoloft, Pristiq (desvenlafaxine) , Lexapro but each individual is different. The poor concentration makes me think that you may have symptoms of attention deficit for which wellbutrin is indicated. ...Read more
No, not so much: Wellbutrin (bupropion) does not have much in the way of anti-anxiety or anti obsessional effects. Other medications, often ssri antidepressants work much better for this. Psychiatrists can help you find a helpful one -- evaluation first, though! ...Read moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
Taking 300mgs wellbutrin (bupropion) but suffering from my ocd. Can I go back on my Luvox to address the ocd and anxiety as it has worked well for me.
Interaction: Best to discuss this with your prescribing physician. There is a potential for an interaction to occur with these 2 medications but that likelihood is lowered since you've had success with this combo in the past. Hope that helps! ...Read more
Depression, OCD: I feel empathy for your depression and OCD. Luvox helps with depression and OCD. Wellbutrin helps with depression. These medications benefit intense symptoms They do not take care of the stresses which are causing depression and OCD. Do not become victim of your depression and OCD. Do not focus on symptoms. Feel good about your functioning. See a Psychiatrist for Intensive Therapy, Medication. ...Read more
Everyone is diff.: Not all folks will respond the same. However this combination has been tried in so many people in the best with great results. If the symptoms worsen or noticeable side effects then follow up sooner. However many people get good response on this. ...Read more
Alternative: These meds. have the possibility of interacting with each other (although this can be minimized by starting with a low dose). That said, there are safer alternatives. Personally, I tend to try Pristiq (desvenlafaxine) + Wellbutrin XL for patients who aren't doing well on an SSRI alone. But this is a matter of prescriber preference and what your physician feels is the most appropriate for you. Hope that helps! ...Read more
I am on a high dose of citalopram 80mg for OCD, seen improvement in OCD not depression. Would adding Wellbutrin (bupropion) help?
My ocd, depression and anxiety has been terrible. Dr prescribed wellbutrin (bupropion) and luvox. I want to get well but also want to be sure this combo is safe?
OCD, Depression,: I commend you for being concerned about your Health! Luvox (fluvoxamine) helps with depression, anxiety and OCD. Wellbutrin helps with depression. Both have side effects. Provide history to your Psychiatrist about severity of all these conditions, effect on functioning in your relationships, work and daily life; discuss if you can take Luvox (fluvoxamine) at this time and have Intensive Therapy, Breathing Relaxation, Yoga. ...Read more
On for ocd 200 mgs of zoloft added wellbutrin (bupropion) 200 mgs. I was wondering if risperidone in a low dose would be better as an add on than wellbutrin (bupropion)?
What are the risks of taking wellbutrin (bupropion) and Zoloft long term? Being used to treat ADHD and OCD respectively
Not clear: There is conflicting data regarding use of antidepressants later in life and all cause mortality although there is the notion that the medications are relatively benign. There is always going to be a risk benefit analysis that is necessary in addition to the number needed to treat or a number needed to harm with any medication reflecting the capacity to do both good and bad things to patients. ...Read moreSee 1 more doctor answer
I'm on 80mg of Prozac, 150 mg of seroquil, 10mg brintellex and Wellbutrin (bupropion) 100mg twice a day for depression and OCD. My np doesn't want to change any.
Not effective?: Need more information to understand your primary concern - is your concern the regimen is not effective, or too much? or is your concern with the regimen itself? In general I encourage keeping an open line of communication with your provider. If your concerns remain or regimen is ineffective, a second-opinion consult may help to explore treatment options further. Be well. ...Read more