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What Are The Side Effects Of Wellbutrin XL And Effexor?

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Posted on Mon, 22 Aug 2016
Question: Hello,

I spoke with you a few weeks ago. I'm currently being treated for PPD. Some changes were made in my medications. I was changed from Risperdale 1mg to Latuda 20 mg and from Wellbutrin xl 150 mg to 75 mg Effexor. My doctor just switched both out without titrating my initial meds. It wasn't bad changing to the Latuda from the Risperdal, but since switching from the Wellbutrin to the Effexor, I haven't felt very well. It's been three days and having a lot of almost flu like symptoms, very nauseas, tired, upset stomach. Could this be withdrawal from the Wellbutrin ? Or side effects of the Effexor ? Thanks!
doctor
Answered by Dr. Alexander H. Sheppe (2 hours later)
Brief Answer:
Private Consultation

Detailed Answer:
Hello, and thank you for using my direct private service. I now consider you my private patient, and will do everything possible in my power to help you.

What you are describing could actually be either withdrawal from the Wellbutrin or a side effect of Effexor. Flu-like symptoms (muscle aches, feeling feverish, feeling unwell) are most likely related to withdrawal, whereas nausea and upset stomach are most likely side effects of the Effexor. The good news here is that none of the symptoms are actually dangerous (though of course they are unpleasant), and that they are time-limited and will go away within another few days or so. I would encourage you to stick with all the medications as they are, as the long-term benefits outweight the short-term discomfort. If the discomfort does not go away without another 3 days or so, you can restart the Wellbutrin at 150mg and titrate off more slowly over the next week or two, going from 150mg to 75mg and then stopping it, which should avoid withdrawal.

Please remember to rate and close this answer when you are finished and satisfied, or ask a followup question.

Dr. Sheppe
Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Alexander H. Sheppe (11 hours later)
Thank you so much for the information. I'll try to stick it out since the symptoms are short-term. It wouldnt be so bad, but i have an infant to care for. If the symtoms dont go away within a few days, should I ask my prescribing psych for a script for 75mg of wellbutrin, to titrate down from ?
doctor
Answered by Dr. Alexander H. Sheppe (12 hours later)
Brief Answer:
Private Followup

Detailed Answer:
Yes, that's exactly what I would do! That is an excellent plan. Good luck! I'm sure you will feel better soon.

Please remember to rate and close this answer when you are finished and satisfied.

Dr. Sheppe

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Alexander H. Sheppe

Psychiatrist

Practicing since :2014

Answered : 2236 Questions

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What Are The Side Effects Of Wellbutrin XL And Effexor?

Brief Answer: Private Consultation Detailed Answer: Hello, and thank you for using my direct private service. I now consider you my private patient, and will do everything possible in my power to help you. What you are describing could actually be either withdrawal from the Wellbutrin or a side effect of Effexor. Flu-like symptoms (muscle aches, feeling feverish, feeling unwell) are most likely related to withdrawal, whereas nausea and upset stomach are most likely side effects of the Effexor. The good news here is that none of the symptoms are actually dangerous (though of course they are unpleasant), and that they are time-limited and will go away within another few days or so. I would encourage you to stick with all the medications as they are, as the long-term benefits outweight the short-term discomfort. If the discomfort does not go away without another 3 days or so, you can restart the Wellbutrin at 150mg and titrate off more slowly over the next week or two, going from 150mg to 75mg and then stopping it, which should avoid withdrawal. Please remember to rate and close this answer when you are finished and satisfied, or ask a followup question. Dr. Sheppe