What Causes Depression And Fatigue While On Wellbutrin And Citalopram?

Posted on Sat, 5 Mar 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 5 Mar 2016 Answered on

Sat, 14 May 2016 Last reviewed on

Question : I take 150mg of Wellbutrin and 5 mg of citropram and still feel depressed, no energy and tired. What should I do?

Answered by Dr. Alexander H. Sheppe (47 minutes later)

Brief Answer:
Consultation

Detailed Answer:
Hello, and thanks for your question.

I'm sorry you are not feeling well. Fortunately, the answer here is straightforward. You should increase the dose of Citalopram slowly until reaching 40mg, the maximum dose. If this does not work, the Wellbutrin dose can then be increased, up to a maximum of 300mg dailly. With higher doses, you will almost certainly begin to feel better over time.

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Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Alexander H. Sheppe (10 hours later)

I take Wellbutrin in the morning and citrolpram in the evening so I can sleep better should this change also?

Answered by Dr. Alexander H. Sheppe (2 hours later)

Brief Answer:
Followup

Detailed Answer:
This is a reasonable strategy. Some people find citalopram activating, so you can try switching Citalopram to the morning to see if this helps.

In the future, for continuity of care, I encourage you to contact me directly at my private link below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers

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Above answer was peer-reviewed by : Dr. Arnab Banerjee