Wellbutrin and Effexor combo?

So I finally came to a breaking point. I called my MD for an appointment. I can’t take being psycho anymore. I have been on the Wellbutrin for 3 weeks now and I am as bat shit crazy as ever. There are pro’s and con’s

Wellbutrin pro’s:

  • I have more energy. I don’t find myself wanting to nap as much and I have found no need to take caffeine pills (not a day went by that I didn’t pop 2 or 3 during the work day).
  • The weight is starting to come off. The wife and I have still been sticking with low carb/keto. The difference is the fact that I am actually able to stick with it. On Zoloft I could NOT EVER turn down food. It did not matter how much I wanted to eat better, my willpower was never enough. But since Wellbutrin/diet, I am officially down 15 lbs.

Wellbutrin con’s:

  • I have no ability to stay calm in stressful situations. Now as you know by the title of my blog, I am an ER nurse. I was at work the other day and I got hit with 3 sick ambulances all at once.  This is not unusual. However, instead of of critically thinking and handling the most important tasks first, I became unbelievably overwhelmed. Tears began welling up in my eyes and I wanted to run and hide in a clean utility closet; this is not me…
  • I have been short tempered and psychotic with the wife and kid. I have no idea how they have been able to put up with me. I have turned into a nagging/bitching wife and mom and I can’t stand it.

So, I had the appointment with my doctor yesterday. I broke down and told her how I had been feeling. I know that after only 3 weeks it is hard to know if a psych med is really effective but I was desperate. She was very understanding. I explained that I need the comfort that Zoloft gave me, but the Wellbutrin was actually helping me to lose the weight I have been accumulating for so long. She said “No problem sweetheart!”. She explained to me that we can reintroduce an SSRI back into my system at a small dose to help keep me even keeled. She asked me if I had ever tried any other SSRI’s other than Zoloft. I hadn’t. She asked if I would give Effexor a try. She told me that it can be helpful like Zoloft, but it is less likely to cause weight gain. So I said I’d give it a try.

So I guess I will have to keep everyone posted on how I am doing on a Wellbutrin and Effexor combo. I just want to go back to being able to remain calm. Now I have always been a bit crazy. But it was a crazy I could tolerate. It was a crazy my family could tolerate. I need to get back to my old self (minus the 15 lbs).

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