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Mental Health  (Expert Forum)
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Wellbutrin to Celexa
Answered by
Roger Gould, M.D. - Mental Health, Wellness
Questions posted in the Mental Health forum are being answered by Dr. Roger L. Gould, author of the Mastering Stress and Depression program and affiliated with the UCLA. Department of Psychiatry. Topics covered include anger, attention deficit disorder (ADD) , bipolar disorder , dementia , electroconvulsive therapy (ECT) , learning disabilities, memory, obsessive compulsive disorder (OCD) , panic , personality disorders, phobias , post-traumatic stress disorder (PTSD) , schizophrenia , stress , transitions, and work problems.

Wellbutrin to Celexa

by sherry4444, Nov 03, 2007 09:34AM
Thank you for your answer on the anxiety from Wellbutrin.  I stuck with the Wellbutrin for three weeks, went in to see my Dr. and said I could not stand the anxiety and insomina.  She suggested a low dosage of Celexa.  I have only been on it for five days, but I am waking up around 4 a.m. and go into a full blown panic attack.  I take a one mg. of Xanax to calm me down, but I now feel like I am just continuing to go in circles.  I called my Psychiatrist and he said to stick with it, it would get better.  I feel normal during the day, but cannot deal with the Panic Attacks.  I have not had one for thirty years.  I am at my wits end with the whole thing and cannot understand why this is happening to me.  Is it a chemical imbalance, that I can't get right??  At this point, I am sorry, I ever decided to go off of Paxil.

Please help me.  I feel like I am losing my mind.  Would love to hear from other readers.

Sherry

by Roger Gould, M.D., Nov 04, 2007 04:19PM
To: Sherry
Celexa is also a stimulant, and that may account for your panic attacks. I don't know if I recommended it the first time, but if not, then please enter into a program of psychotherapy and stop depending on medications to cure you.  Panic attacks, just like anxiety and depression, are about something going on in your mind, and you can master that if you get help in addressing it.
Member Comments (3)

by ImJustMe78, Nov 04, 2007 06:12AM
To: sherry444
Hi, I answered one of your posts on another thread about Wellbutrin and Paxil.  Hopefully you saw them.

Now, the Celexa is in a family just like the Lexapro I was talking about.  It should help with your Anxiety.  It may take a bit for it to start working.  I know exactly how you feel with the Panic Attacks.  I almost lost my mind a few times when I would get them like once or twice a day.  I cannot stand them at all!!

Do you also suffer from Depression or anything like that?  I have Bipolar II Disorder along with Panic Disorder although I think I just suffer from Deep Depression and not Bipolar.  The Wellbutrin and Lexapro work wonderfully for me.  

Since you just switched off the Paxil to Wellbutrin to Celexa now, I would wait about 2-4 weeks to see how you do on the Celexa.  If you don't do well, call your psych and ask him if you can take Wellbutrin with the Celexa and see how that helps.  

Paxil and Wellbutrin are in the same class which is why he probably switched you from Paxil to Wellbutrin.  Those 2 drugs work on 2 of your neurotransmitters.  The Celexa and Lexapro work on 1 of the other neurotransmitters.  Do you understand?  We have 3 major transmitters that have to do with our mood, they are Dopamine, Serotonin, and Norepinephrine.  The Paxil and Wellbutrin work on the Serotonin and Norepinephine while the Lexapro and Celexa will work on your Dopamine.  I believe that is the right transmitters.  Anyway, the Paxil and Wellbutrin were working on 2 and now you are taking Celexa just working on 1.

But if all you are suffering from is Anxiety then Celexa should help in a few weeks.  But then again if the Paxil was working, but you were worried about the weight then I think personally (and I am *NOT A DOCTOR*) that you could benefit from Wellbutrin to keep the weight off and the Celexa for Anxiety, and maybe even be able to stop the Xannax eventually.

Let me know how you are doing, if you have any questions you can click on my name in the blue and I believe it will email me personally for only me to see. By the way I am 29 year old female in case you wondered ;)

-Heather

by ImJustMe78, Nov 05, 2007 05:23AM
To: sherry444
Hi again, the doctor brought up a good point that I totally forgot about.  Taking a psychotherapy program of some sort.  I forgot I did some of that.  Now a days if I do get a panic attack I am able to understand where it probably came from, as panic attacks just don't happen for no reason, there is always some cause even though it may not be right in front of you.  And I also learned breathing techniques to calm me down from one.  It's been a while since I have had one, but I still do get them sometimes.

-Heather
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