Hi,
\r\nWelcome back to icliniq.com.
\r\nI am really happy to see that something is working albeit not to the expectations.
\r\nConsidering all pros and cons of current treatment I will consider increasing Wellbutrin (Bupropion) first to 300 mg and after a fair trial of two to four weeks, an increase in Prozac (Fluoxetine) can be considered, if absolutely necessary. The reason for such decision is largely based on side effects. The current side effect profile is largely attributed to Prozac, except theheadache. So, if we increase the dose of Prozac at this level it is possible that there will be more side effects.
\r\nRegarding your question about weight gain both medicine help in weight gain and they do it independently. Generally, Wellbutrin has a better effect on weight control thanProzac. Loss of one to two kg is not remarkable but it is significant as you started on positive side after a long time.
\r\nAs I said earlier there is no significant interaction between these two medications and it is common practice to use both molecules in the same patient across the world. I hope this answers your question.
\r\nFor further doubts consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist
","datePublished":"2014-10-17T12:16:19","author":{"@type":"Person","name":"Dr. Ashok Kumar","url":"https://www.icliniq.com/doctor/drashok-budaniya"},"comment":{"@type":"Comment","text":"Hi doctor,
\r\nI want to put you in the latest views and developments to control and follow my case : Firstly, I would like to inform you that I am still keeping Wellbutrin XL and did not cancel and replace it with Buspar, because of the missing in the market here. I am on (40 mg Prozac along with 150 mg Wellbutrin XL) as one dose (one batch) daily morning. Note that I have been on Prozac 40 mg for two months and the entire period of taking Prozac is three months.
\r\nNow let we control and discuss the positive and negative side effects of this combination, increase or modify the doses and manipulate in this combo until reach to best effects and to fewer negative side effects. The positivity of the combo are suppress the appetite to food or sensation of hunger (without significant loss weight - just I lost 1-2 kilograms until now), comparable with Paxil better on gastro, improve in the erection (a little bit better than Paxil) and delayed of ejaculation or premature ejaculation (a little bit better than Paxil). Note that the delayed ejaculation considers a positive side for me and not included within sexual dysfunction. The main negative side effects of the combo are headache, especially when waking up, fatigue, somnolence, feeling humble and ability to fall in sleeping too much, tremor and shaking in hands (but not dramatically) and increasing in the pulse (but not dramatically). 1)\tHow can we behave to improve the case as much as we can and to decrease the negative side effects? What do you suggest? What are the changes you prefer to apply in dose from the following? Increasing Wellbutrin and fix Prozac (i.e 300 mg Wellbutrinxl+40 mg Prozac) or increasing Prozac and fix Wellbutrin XL (i.e 150 mg Wellbutrin XL+ 60 mg Prozac) or increasing Wellbutrin XL and reduce Prozac (i.e 300 mg WellbutrinXL+20 mg Prozac) or increasing both (i.e 300 mg Wellbutrin XL+ Prozac 60 mg). 2)\tWhich one plays a role in an encounter the weight gain, Prozac alone or Prozac along with Wellbutrin XL? Is there any problem or risk in using these two medications together?
\r\nFinally, I am looking for modifications help me control the anxiety along with encounter weight gain and maintain the erection, without harm the system and liver. I hope you can help me and lead me to determined steps.
","datePublished":"2014-10-17T12:16:19","author":{"@type":"Person","name":"Anonymous User 01HACDZRDV6185ZZ80VZSRTZFM"}}}]}The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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