I've been taking 150mg Wellbutrin SR for the past 18 days to deal with slight to moderate depression, low motivation and a somewhat weird case of social anxiety (largely I am shy when going to new situations, can't push for things I want which includes approaching girls and then there is some general anxiety/excessive worrying). The first 5 days were brilliant, good mood, zero anxiety in the background (although no real change in the social situations that provoke it in me) - by now attribute this to a halo effect created by finally doing SOMETHING. After that, results got more mixed, some days I'd feel great, some I'd feel ok and anxiety was not entirely absent anymore. Enjoyable things are definitely still better than before and I am definitely easier to excite if excitement is pushed my way (I think I was suffering of anhedonia before and was almost legendary for not being bothered by most stuff people usually do for fun) but I am too damn lazy to go out and seek for them (I can't even bring myself to book cheap airfare and fly to a beach or something), so about zero effect on energy levels overall.
By now, I feel like its doing very little (maybe aside a rollercoaster between good and mostly bad during the last few days and back to square one on the anxiety). Side-effects, if any, were really mild, slight dry mouth maybe and the usual loss of appetite. I also have zero desire to smoke (wish I could say the same about booze, although I can contain it) but I was never really a smoker anyway. I would occasionally bum smokes when going it but that's it. This is pretty much the reason why I went for Wellbutrin in the first place, the side-effect profile seemed by far the best.
So now I am wondering, should I try doubling the dose (sadly dont have any 75mg pills), wait some more (even though it seems to be getting worse?), push the doc add an SSRI (to deal with the anxiety) or switch to an SSRI outright? As for other options that might work, almost a decade ago, I took Effexor which worked out ok depression wise (also took some benzos in some situations, but I like those damn things too much to dare to go back) but I can't say I want to deal with the side effects again, the weight gain on that was ridiculous and the sexual side effects where kind of besides the point of taking it for shyness in the first place...
Edited by nupi, 01 June 2011 - 12:38 PM.