annette2009

annette2009
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It is never too late to be what we might have been. -George Eliot

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MARCH 9, 2009 3:02PM

Is the Wellbutrin MAKING Me Crazy?

Rate: 18 Flag

psychiatrist's couch I went to my gynecologist two months ago, and while inquiring about recent health concerns, she asked, “Have there been significant changes in your life?  Are you experiencing any unusual stress?” 

Beyond the stress of lying half naked on the table having this conversation while you do my pap smear?   

Well… hmm…  how to sum up?  Son on drugs… in counseling, in relapse.  Checked into inpatient, brought back home, in relapse again.  Running away, coming back.  Now freezing his ass off in wilderness therapy. 

I try to answer with DETACHMENT but I’m just no good at this yet, and manage to choke out, “Well, my son is on drugs, and he ran away…”  Then I’m lying on the table just appalled at this latest outburst, tears rolling into my ears, somehow even MORE naked than I was during the boob and hoo hoo exam.   

She helps me sit up and sends the nurse away and pulls up a seat.  “I have four children,” she says, “and we went through all of this with my youngest… the drugs… the relapses… the wilderness therapy... May I tell you one thing I would change?   I really wish I had gone on an antidepressant.  I was anxious and depressed and I think it might have helped me through a terrible time.” 

You think I might need an antidepressant?  Doesn’t everybody sob during their vaginal exam? 

She’s compassionate and empathetic and I love her despite all the probing and pinching.   I leave with a prescription for Wellbutrin, which I know from the commercials has a “low risk of sexual side effects,” something I think my husband will greatly appreciate. 

Two months on the little white pill, and I’m feeling better.  Ask me about my son and I can give you the tearless, non-trembling update.  Pretty cool.  I still wake up at night freaked out with questions, “Why won’t he write us from wilderness?  Will he hate our guts forever?  What happens when he graduates?”  Normally I could chew on these juicy delicacies all night long, but suddenly, I’m able to say, “I think I’ll go back to sleep and worry about this in the morning.”  This pill may save me a fortune in under-eye creams.   

But there have been side effects, weird little psychological glitches that seem to have popped up since starting the medication. First, my OCD, something I haven’t really struggled with since 8th grade, has reentered the scene with some bizarre new compulsions.  The biggest:  I love the feel of dirt on my fingers.  When I unload groceries from my car, I slide my hand over my car bumper and rub the dirt between my fingers and thumb.  I could do this for a good half hour, especially when the metal is warm from the sun and the wind has built up a lovely accumulation of grit.  I also fantasize about wiping a chalkboard clean with my bare hand.  And come to think of it – it’s only my right hand; my left hand doesn’t seem to have this need to get dirty. 

Okay, I’m reading this back and it just sounds nuts.  I’m Lady Macbeth’s deranged cousin:  On, on, damned spot! 

I’ve gone this far, so I might as well cop to the rest of it.  I’ve also got this new craving for musty, powdery smells… chalk, that first mildewy blast of a car air conditioner, certain household cleaners… Fabuloso is best.  The purple lavender scent.   You’ll see me on aisle seven in the grocery store sniffing the open bottle as if I’m deciding which cleaner to choose.  This Fabuloso smells good, yes, I think I’ll buy. 

I am going to have to change the picture on this blog.  I don’t want to give the nice mental health professionals a clear trail to follow. 

There’s one – only one! – more.  I’m hearing music.  All day.  Sometimes it’s connected to current experience.  I drove to Oklahoma City last week, and suddenly realized that my brain had been looping an old country duet, “You’re the Reason God Made Oklahoma.”  I don’t like the song and I couldn’t even remember all of it, so I was looping a single verse, over and over. Mostly, though, I just fix on the last song I’ve heard.  An hour after lunch, I asked a friend, “Do you know the last song they were playing in the deli?”  She did not, of course, but I was still playing it on continuous mental rerun:  Macy Gray’s “I Try 2 Say Goodbye.”   

“I try to say goodbye and I choke… try to walk away and I stumble…”  Hey, at least I LIKE that one. 

On March 4th, an OS member named Trudi posted "The (really annoying) Songs in My Head," and it made me laugh and feel much less alone.  Follow this link and enjoy:

 

 http://open.salon.com/blog/trudi_jo_davis/2009/03/04/the_songs_in_my_head 

I rated and commented on Trudi’s post, but didn’t ask my big question:  are you perhaps on Wellbutrin?  It just seemed rude.   

But now that I’ve just confessed to hearing music no one else hears and sniffing household products and discreetly rubbing the dirt off people’s cars , I’m starting to wonder if maybe this is a bit… abnormal?  Have I always had little glitches like these?  Did my little new pill give me just enough clarity that I’m noticing all of these mental misfires for the first time? 

Or is the Wellbutrin making me crazy?

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Wellbutrin used to give me nightmares...lots of them....then I stopped take it and nightmares stopped.
Hmmm, hard to tell. I find the W doesn't do all that much for me, except make me want to clean my house more than I already do. And it does balance out the sex drive, low or high. W alone doesn't do much for me though, but everyone reacts to every drug differently. A friend's husband cried all the time on W, so they took him off of it.
With Wellbutrin I had an irresistible compulsion to finger the hair on the crown of my head; I created a bald spot. I am sure it was the drug; I went on and off it twice, and I only did it when I was taking Wellbutrin. All these drugs have major side effects; people vary in their sensitivity. In general Wellbutrin made me jumpy, as if I were drinking six cups of coffee a day.
I'm on it. It's giving me nothing but clear sailing.

The OCD symptomology is symbolic, of course. Of something. As is everything. Figure out what it's symbolic of, is my advice, and report back to us...Right hand? Dirt? hmmm...no, i shouldn't diagnose...son in the wilderness? eh?

Oh! and get a copy of "Gestalt Therapy", by Frederick Perls, et al. It's my damn Bible now, i'm NOT kidding...."Anxiety= blcked excitemnet. Or, excitement minus breathing"...Groundbreaking, earthshattering stuff...

But just a book. The answer is in you...
Best, Jim rated...for clarity, courage, and humor...etc
Ah, Mary, believe it or not, that hair-pulling compulsion has a name: trichitilomania. Have a beautiful, brilliant, loving friend who suffers, and now must wear a wig. So glad you found relief! And thank you for your comments.
Thanks so much, Jim, and I'll scope out Gestalt Therapy. Sounds interesting. Also glad you got the humor. I'm sure if I was OFF Wellbutrin, these little tics of mine would be causing me terrific anxiety, but right now I'm just finding great comedy in it all.
I became very depressed after my son had lots of problems about 12 years ago when he was an older teenager. I believe my depression was a form of PTSD. I didn't like the side effects of anti-depreseents so never stayed ont them. The thing that helped the most was anti-anxiety medication like klonopin and the loyal support of some very good friends and my family. Also even Lipitor gave me nightmares, who knew?
I know someone who changed from Welbutrin to Lexapro and felt much better. And Welbutrin masked the symptoms of the brain tumor that killed my sister at 58. I don't think it's likely she would have lived with earlier diagnosis, but we'll never know. You might ask you doc about Lexapro.
Wow Hawley, that's a really frightening thought. And I'm truly sorry you lost your sister. Thanks very much for the advice.
Wellbutrin is a terrible antidepressant. I hate that non-psychiatrists are deciding what meds to start people on. Remember that Wellbutrin is an amphetamine (speed) derivative so of course it will tweak your OCD! I was on it as an adjunct to my antidepressant regimen (to help block the sexual side effects of Effexor.) I started OCD tweaking so badly that it wasn't funny.

Please guys, don't like a primary care doctor prescribe your meds. They might get it right, but they might not...

It took my psychopharmacologist long enough to figure out the right regimen for me.
Wow teendoc, I've read up a bit on Wellbutrin but somehow never caught that it was a speed derivative. Hmm... that explains... a lot! Thanks very much for sharing your experience and for the advice.
I am sorry you are suffering but the Oklahoma song is too funny. Don't know about W but whenever I have laughing gas as the dentist I forget about the dentist, the assistant etc. and focus on the music on the radio or tv. It sounds plausible that W might also have that effect.
I've never taken Wellbutrin, but have taken Zoloft (which was prescribed by a neurologist and caused a seizure--I have epilepsy), but now I'm on Effexor. It's so calming. I imagine Wellbutrin is a lot like Zoloft.
Yup. You guessed it. I'm on Welbutrin. But even before, I had crazy impulses. Don't even get me started... Rated, and thanks for the compliment and the bump!
I take a low dose of Wellbutrin and it makes me speedier than I already am, and I'm a hyper Type A personality. That's a bit of a problem. I had a lot of trouble sleeping when I first started it, racing thoughts (more than usual) and very fast speech (more than usual). I still don't sleep well, but then, I never really have, even as a child.

My sex drive decreased, which surprised me, but since I was already menopausal, I think that probably had more to do with it. I've always been a little bit OCD but I didn't notice any real difference. My husband says that I am a lot more irritable, and thrash around a lot at night, but again -- could be menopausal or a combination.

Overall, I know it's not the right drug for me but I am reluctant to go off it since a lot of the others did not work well. Serzone was the best but it was taken off the market in Canada. I'll stick with the Wellbutrin for a while longer -- it's been about 3.5 years -- but my ultimate goal is to stop taking anti-depressants altogether, even though that may not be realistic.
Why can't I type today? I meant, don't let a primary care doc choose your antidepressant. I haven't had one patient have good success on Wellbutrin, but everyone wants it because of the low sexual side effects.

Annette, get thee to a prescribing psychiatrist! My OCD is the opposite of yours. I'm germ phobic. I don't want to touch anything. I start going to the supermarket wearing gloves...in the summer. Not good at all. :-)

Come back and see my two new pictures I added to my post on Sunday! They are purty!
Laughed at this, you write about OCD very well. Side effects are a mess, I recently switched meds (generic Prozac to generic Celexa) and it's all I can do to stay awake now :) before I was lucky to get my body to do 5 hrs a night.
I second Teendoc's advice to get a psychiatrist (or your gp, or any doc who will listen to you) to work with you on finding a med (or group of meds) that helps the depression, but drives you the least crazy with it's side effects. :)
Think about if you need meds at all. I don't have kids myself, but I've watched my brother in law go through heroin addiction with his eldest. The whole family was scared that she wouldn't live through those cycles, but the fear hit him hardest. (and she did live and is doing very well now) You aren't alone in your circumstance, maybe finding an educated support group/person to talk with would make you feel less powerless and alone without any OCD side effects.
Just can't say enough about how glad I am to have discovered the OS community. I appreciate the comment, hyblaean, and will check out your blog next. Also, Trudi, do you think we have discovered a new and uncharted Wellbutrin side effect with our mental soundtracks? Can't believe you're actually on this stuff too! Thanks to all of you for sharing your experiences; you've made my afternoon and given me much to think about. (Just realized that I haven't been away from the computer much in three hours, and my legs are paralyzed. This site is an addiction in itself!)
If you are experience mental changes with Wellbutrin which in any manner make you question the normalcy of the mental changes, you shouldspeak to your prescriber about getting weaned off of it. I took wellbutrin as Zyban to quit smoking years ago. Everything was fine until that time I was leaning out a third-story window refilling a bird-feeder and the question ran through my mind "I wonder if I can fly now?" It seemed a perfectly normal question, and I honestly considered the experiment. I suddenly realized it could ONLY be the drug and called my physician, who immediately had me stop using it. Not everyone tolerates all things identically. The downside was that I had quit smoking immediately upon taking the Zyban - no desire left whatsoever - and began again as soon as I was off of it.
In my eternal stupid-male uninformed lay-person opinion, I think those pills are worse than whatever they're supposed to tweak.
well, I've been through this (not with Wellbutrin) and I would suggest seeing a psychiatrist who will spend the time to get your meds right. Obviously Wellbutrin is having what I would call not good side effects. It can take awhile. It could also be that you've had enough of a break that you can do without meds. Sometimes the brain needs a break to be retrained or so that you can disassociate from a problem enough to recognize when you are not doing yourself any good. And generic prescriptions can have different effects and side effects than named brands.
First, I want to say that many of us have gone through the torment of having a child on drugs and sympathize completely with your pain.
I would also like to agree with Teendoc's comment about not letting your regular doctor prescribe this type of drug. A few years ago I was going through menopause, feeling weepy and strangely was very weak. I could barely walk up the stairs at my house. My doctor did some blood work and prescribed Prozac.
After taking the drug for a couple of week I wasn't as weepy but still very tired. I quit my job thinking it was draining me emotionally causing the physical exhaustion.
Turns out I was severely anemic, probably from all the blood I lost on my periods, and required a blood transfusion. After getting my tanks refilled I felt much better and stopped taking the Prozac.
The doctor was just too quick to try to treat the symptom before finding out the real cause.
Well done post in my opinion. Thank you for sharing.
wow - plenty of good comments. I learned something from this post - thank you for posting it despite possibly feeling otherwise - Peece! DJ
I have to echo Gordon on this one--side effects not worthy of the hassle, in my non-expert opinion. As a matter of fact, have any of you ever taken an inventory of your diet? I am not suggesting that every depression can be cured by diet and exercise, but I've known it to change lives in some cases. For example, a gluten-free/sugar free/caffine free diet is murderous for two weeks, but then rewards with a high like no other sans side effects.
Wellbutrin sent my OCD into turbo mode. I didn't even realize I had OCD until after Wellbutrin. I was on it several years, prescribed by my primary care physician, and it helped my mood, and I also appreciated the stimulant effects. I thought I was better off on this drug, but later found that I was completely wrong.

After meeting my wife (a very smart MD - teendoc!), I have come to agree with her that anti-depressant effects are far too complex for anyone other than a psychiatrist to handle. You really need to be under the care of a specialist who has been trained with these particular medications.

Please seek a competent psychiatrist. You wouldn't want your OB-GYN to do brain surgery for you. Better to put your mind in the care of a specialist in that area.
This is just...wow.
I had no idea that Wellbutrin had a speed element. I just saw my PCP yesterday and told her everything was going well except for my ability to stay awake forever at times and then completely, utterly crash. I blamed it on an everchanging schedule.

The OCD elements people here are describing are really freaking me out. I used to play the piano - I come from a very musical family - and I can't get songs out of my head. Plus, I try to play the songs with my fingers, as trained on the piano. My partner jokes about it - because I don't notice I'm doing it a lot of the time.
I'm sorry if I'm dominating your blog, but I really thought Wellbutrin was helping.
I had horrible reactions to Prozac, was prescribed something awful by a psychiatrist before that, and DID ask for Wellbutrin from my PCP.
I have also been prescribed trazadone to help with the sleep, and I guess the jitters. So I am taking wellbutrin and trazodone together. I have a standing order for clonazepam, but I know I would take it every day and never leave the house, so I try to use it for real anxiety.

I am so sorry about your son, and I hope his journey ends up well. Thanks for this eye opening post.
I also wanted to say, that after having been through over half a dozen anti-depressant medications in probably dozens of combinations over several years, I have been on the same pair of meds now and at the same dosages for around four years and quite stable.

Antidepressant meds have both subtle and radical differences from one another. Getting the right combination of medications is as much art as science, but it's certainly a hell of a lot of science! They are also slow to take full effect, and can take several weeks or more to stabilize in your system. Also because of how they work, the patient is not always in the best position to observe their effects. It's very difficult to watch yourself doing something!

A good psychiatrist is like having a guide (not a map!) in the jungle. They may not get you out in a perfectly straight line, but they can get you out, and most importantly, they can keep you from going in circles forever.
K - it's such a delight to hear from teendoc's husband! Teendoc was the first person to reach out to me on Open Salon, and I bet she is that for many others as well.

Thank you very much for the advice. I am seeing someone today for a psychiatric referral. When I wrote the article, I was more bemused by all the symptoms than truly distressed. The Wellbutrin has improved things so much that I thought that it was pretty much worth the nonstop music and bizarre behavior. Hey, better to be out of bed, right?

But as so aptly noted by aim and others (and aim, please write as much as you want, anytime - you were a huge help!), these symptoms may be more troubling than I thought. Catamite in particular has me kind of worried about what might be coming next. So I'll definitely get myself to a specialist, and again, I really appreciate all of the support!
Thanks annette for your email (got it, you're great!) - and for letting me go off here.

I don't want to overburden teendoc or her husband, and I appreciate their really well informed posts. I'm still curious if anyone else has taken trazadone and wellbutrin together.

I'm not going to change my treatment because of this thread on this blog. Still, I am going to ask some important questions to...my PCP.
I don't have a psychiatrist. I can't afford one.
So, my question is: how do we negotiate this stuff if we don't have access to that critical diagnosis?
Rated for great writing. I'm sorry I can't contribute to the W discussion as I have no experience with this but I did want to acknowledge that your post has obviously struck a helpful chord. Good job!
@aim

"I don't have a psychiatrist. I can't afford one.
So, my question is: how do we negotiate this stuff if we don't have access to that critical diagnosis?"

I hate to say it, but the sad truth may be that you can't. Roofers don't fix plumbing. A great electrician can't fix your car. These are complex meds.

After thinking that I could manage my own meds with just my PCP, and failing spectacularly, I would strongly suggest that you NOT follow my example and invest in a psychiatrist. Without competent guidance these meds can do more harm than good. Not always, but possible.

@annette2009

Wellbutrin also fixed some things for me. No more dark moods! More energy! Whoopie! And I also felt that it was much better to be out of bed!

But it also wrecked me in new and different ways. My OCD was off the charts. When I was out of bed I did things that I am still too ashamed of to reveal in a public forum. Even though I was feeling better, my behavior was in many ways much worse.

It may work well for some people. But most of the people I know had similar experiences to mine; they liked the way they were feeling, but their behavior ranged from a little strange to downright wacky.
Thanks for sharing your experience, K, and I think you don't need to feel too worried about sharing something strange or wacky here on OS. People here are just about universally warm and supportive. Went to your blog and didn't see any posts yet. Look forward to hearing from you sometime!
aim: I used to use Trazodone often for sleep. It works very well for insomnia without any addictive potential, so no interaction worries there. But the issue is the Wellbutrin. There are often places in the city where you can see a psychiatrist on a sliding fee scale. Perhaps that might be an option? Or you can ask your PCP to consult with a psychiatrist on your behalf given your financial issues. Not a great solution, but it will give your PCP some better guidance.

The funny thing is that I was prescribed Trazodone in full dose for my depression. For a short time I never felt better. And then it pooped out. Luckily the Effexor hasn't pooped out in 10 years. Yay!