View Full Version : Wellbutrin SR once a day for ADHD and GAD?


Radically
05-03-13, 02:54 PM
Hello friends,

I was recently prescribed (April 22nd - 11 days ago) Wellbutrin to treat ADHD and GAD, which my psychiatrist told me Wellbutrin is very effective in treating together. In other words, if I had just ADHD, but not GAD, Wellbutrin may cause anxiety, but because I already have GAD with ADHD, it will help with anxiety. Has anyone else ever heard this?

Also, she has me taking 200mg of Wellbutrin SR each morning. The titration was 100mg each morning for seven days. After that, it is 200mg each morning, unless I am misreading the bottle. (It says, "1 po QAM for 7 days then 2 po qam") I asked her at the time, and she said this was correct? I thought you were supposed to take SR twice a day? It's very possible that I just misunderstood her, of course. I know the pills are SR because the bottle is labeled as such, as well as A 171 is imprinted on the pills, corresponding to generic bupropion 100mg SR. Link: http://www.drugs.com/imprints/a-171-16424.html

Any opinions are welcomed,

Radically

Abi
05-03-13, 03:13 PM
This is nonensical.

The first line treatment for ADHD is stimulants especialilly methylphenidate based meds like Ritalin and Concerta.

The first line treatment of anxiety is SSRI's {Zoloft, Celexa, Lexapro, etc}, tho personally I am partial to benzodiazepines {Ativan, Klonopin, Xanax, etc}

As far as your prescription goes, it means you must take 1 100mg tablet for the first week, and thereater take 2 100mg tablets {200mg}

You ARE supposed to take SR twice daily, about 8 hours apart. I am not encouraging you to disobey your docs prescription but s/he sounds like an idiot.

It would be more sensible to take 100mg SR in the morning and another 100mg in the early to mid afternoon. {whih is GSK's prescribing guidelines for Wellbutrin}

As far as anxiety is concerned, Wellbutrin has minimal anxiolyic properties and actually can MAKE ANXIETY WORSE.

Your doctor seems very ignorant and you should probably seek a new one.

As a first line treatment for ADHD and anxiety you should be on a stimulant plus an SSRI antidepressent OR stimulant plus a benzodiazepine.

Wellbutrin is a good medication but it is NOT A FIRST CHOICE FOR ADHD and it is CERTAINLY NOT INDICATED FOR ANXIETY.

The Jack Daniels I consumed is kicking in so frankly I'm just going to say your doc is an idiot who prescribed an inappropriate medication and on top of that gave you an inappropriate dosing schedule.

ValliGirl2012
05-03-13, 03:32 PM
From Wikipedia

Anxiety
Bupropion has been tried for social anxiety disorder in a small study[23] and has shown some effectiveness for anxiety combined with depression,[24] but not panic disorder with agoraphobia.[25] Its anxiolytic potential has been compared to that of sertraline[24] and doxepin.[26] However, it can cause agitation in some patients, especially at higher doses, and often increases anxiety, much like methylphenidate.[27]

I took Welbutrin before and it was very effective for depression. Depression can cause anxiety. Anxiety can cause depression and ADD can cause both. Medications work differently for everyone. I would speak to your doc about your concerns and hold him/her accountable to your treatment plan. I did take Buspar with the Welbutrin but learned later that taking only an ADD med treated both anxiety and depression. It's important to determine if one is experiencing clinical depression vs situational ie the possibility of ADD presenting it.

For me, I was taking my showers, getting out of bed, etc. I only experienced depressive episodes when I became highly stressed by the ADD symptoms and anxiety levels rose. My inability to get organized, concentrate, etc caused that and then I would crash into a depressive episode. I noticed when I would force myself to relax, distract myself, etc and reduce the anxiety, the depression would lift in a few hours.

That's the pattern I found by tracking symptoms. When I told my new doctor this, she realized right away that it wasn't clinical depression. She predicted the ADD meds would reduce this cycle if not make it disappear and she was right.

I hope this helps in some way.

Blanched Dubois
05-03-13, 04:06 PM
This is nonensical.

The first line treatment for ADHD is stimulants especialilly methylphenidate based meds like Ritalin and Concerta.

The first line treatment of anxiety is SSRI's {Zoloft, Celexa, Lexapro, etc}, tho personally I am partial to benzodiazepines {Ativan, Klonopin, Xanax, etc}

As far as your prescription goes, it means you must take 1 100mg tablet for the first week, and thereater take 2 100mg tablets {200mg}

You ARE supposed to take SR twice daily, about 8 hours apart. I am not encouraging you to disobey your docs prescription but s/he sounds like an idiot.

It would be more sensible to take 100mg SR in the morning and another 100mg in the early to mid afternoon. {whih is GSK's prescribing guidelines for Wellbutrin}

As far as anxiety is concerned, Wellbutrin has minimal anxiolyic properties and actually can MAKE ANXIETY WORSE.

Your doctor seems very ignorant and you should probably seek a new one.

As a first line treatment for ADHD and anxiety you should be on a stimulant plus an SSRI antidepressent OR stimulant plus a benzodiazepine.

Wellbutrin is a good medication but it is NOT A FIRST CHOICE FOR ADHD and it is CERTAINLY NOT INDICATED FOR ANXIETY.

The Jack Daniels I consumed is kicking in so frankly I'm just going to say your doc is an idiot who prescribed an inappropriate medication and on top of that gave you an inappropriate dosing schedule.

This is the best ! reply to any post for me today - LOL!!! made me realize that my pdoc is NOT good enough for me and my disorders. It's not ME. It's HIM.

I did my part with him- got him all med history, got script for add that helped me speak and prioritize for help one step at time

then found out....i know more than he does and that ain't much....at all

If i were him and i got told well the vyvanse worked - i can think, read, and feel no hyperactivity but feel side effect of anxiety - but not so bad that it kept me housebound. Just needed proper anti anxiety to offset....

instead he keeps asking me what to prescribe....that stumped me till i read this....and feel validation...relief even.....cus i was thinking why is this jamoke asking me what to prescribe? He did call on his day off...addressing the fact that vyvanse worked and focalin don't at all and causes worse ptsd symptoms

but the add is so bad i get befuddled...and he got befuddled too but agreed to have script ready for exchange today...after 10am....and still i got no return call - no script and no use for focalin ....and he's had 5 hrs to just write script and take the focalin back in his office

he needs to be fired....but i'm going to get the dex ir that worked and once i do i'll go to specialist for add/ptsd chronic

that he has made me go thru this on top etc etc

welll he called - picking up Dex ir 2 week supply - wish me luck finding pharm who has....

luck....LOL!!

Starbucks
05-04-13, 10:59 PM
I am also prescribed Wellbutrin SR 200mg in the morning. I am also confused about the dosage schedule.

Radically
05-10-13, 09:44 PM
If anyone cares, I asked her yesterday, and she said the SR once in the morning lessens symptoms of insomnia. Fair enough, I think.

Idiota
05-25-13, 08:27 AM
I can't get stims due to my bipolar symptoms(he hasn't given a formal diagnosis) so the wellbutrin was all I could get. I got upgraded to 300 mg SR after 2 weeks on 150 mg XL. It's been 8 days since I've been taking 300 mg SR and I don't feel a difference except for headaches. They'll go away eventually, but I don't know if I'll ever get anything good out of it.

Laserbeak
08-03-13, 10:56 PM
I had been on Wellbutrin XL 300mg for at least a year or so, but when I went to a psychiatrist who gave me Adderall, he cut the Wellbutrin to 150mg SR. He said taking too much of both would raise the risk of having a seizure, even though I've never had one in my life.

canadianbabybc
09-22-13, 01:39 PM
My dr also put me on the wellbutrin SR 100mg with the dose 1 in the morning for the first week then go to 2 in the morning. I saw this post so I asked a couple pharmacists about the dose and they agree I shouldnt be taking 2 in the morning.

So I challenged the dr about the dose and what the pharmacists said and she told me that she was the dr not the pharmacist and that I was to take the meds as she prescibed end of story...

clearly not all drs are good at doing whats best for the patients... if your dr is like this I would go to another dr