Old cocktail ~~bupropion sr x2 100MG 40mg prozac briefly on concerta for a short duration, later changed to adderall xr 15MG
Current cocktail ~~ 200 bupropion sr x2 a day 30MG adderall (will likely end up on 40 or 50) and as of recently 7.5-15mg of mirtazapine at night (for sleep issues but is doubling as an anxiety med)
Upon adding in bupropion i was on prozac. At first i thought the bupropion was giving me a ton of side effects but it was actually the prozac. I had bouts of hypomania, tremors, constipation, sweats, sinus issues and I constantly felt anxious all day but I knew i was on the right path because although I felt terrible, I did feel better! (if that makes any sense.)
My mother used to take prozac until she developed a nasty dry lung, coughing fit. This happened to her twice! I randomly started developing a painful chest cold ontop of my already existing sinus troubles. After 7 days straight with no change I figured her reaction was likely hereditary. So, i peeled back on my dosage until I got down to 20 and then started taking mirtazapine 7.5 -15MG at night. I experinced zero prozac withdrawals and my chest/sinus issues went away.
By that point I felt as though i was up shit creek without a paddle so, I figured i would give bupropion another go. This time around I experienced no side effects. It worked right away for me. The 100 felt way too low so I took 200. Then one day I tried adding another 100 around 2:30 and I still felt fine yet better! Whereas before i could hardly handle 100mg sr alongside prozac.
I figured i would write this up in efforts of it helping someone in similar shoes. I have concluded that i am likely on the bipolar spectrum of some sort whereas all ssri's seem to trigger horrible side effects to the point where I often experience hypomania. (Until now, I always thought that happy awesome overwhelming joy was supposed to be there 🤣)
I may give XL another go in the upcoming weeks because I couldn't give it a fair shot at first seeing how combined with prozac/ritalin i felt as though i was pinned on m3th it was the craziest med experience I have ever had. I honestly thought I was going to have a heart attack.
If this sounds like you and you're giving up on bupropion i would highly consider tapering off of your ssri first and then giving bupropion a try to 100% rule out which med is the culprit. I always assumed I NEEDED an ssri for my terrible "anxiety" that wasn't even managed that well with ssri's in the first place. With that being said; A LOT of people do extremely well pairing it with an ssri. Sadly that isn't the case for me.
Chip chip cheerios!