Zpssd: Plz help

[Zpssd]

I stopped fluvoxamine 2 months ago and started expiriencing sexual dysfunction so i went to my psychiatrist and he added bupropraon(wellbutrin).its been 4 days and i am not noticing any improvement.i need to know that my syptoms wont worsen as long as i am on ssri again

[Zpssd]

I stopped fluvoxamine 3 months ago and started expiriencing sexual dysfunction but no emotiona issues i started wellbutrin along with existing fluvoxami and risperedon for 4 days i need to know if my symptoms will ger worse or not

[Zpssd]

I stopped fluvoxamine 2 months ago and started expiriencing sexual dysfunction so i went to my psychiatrist and he added bupropraon(wellbutrin).its been 4 days and i am not noticing any improvement.i need to know that my syptoms wont worsen as long as i am on ssri again

Edited March 8, 2020 by manymoretodays
added name, moved from S and S care

[Gridley]

Welcome to SA, Zpssd.  I'm sorry you're suffering through this.  Sexual dysfunction is a very common symptom of antidepressant withdrawal, such as yours from Fluvoxamine.  You didn't mention the rate at which you tapered off the drug, but likely it was fast, producing withdrawal symptoms such as sexual dysfunction.

 

What is withdrawal syndrome.

 

Daily Checklist of Antidepressant Withdrawal Symptoms (PDF) 

 

At what rate did you taper the Flux and how much was your last dose?  It is possible you might want to reinstate a very small dose of Flux.  Do you have any other symptoms other than PSSD?  Please read:

 

About reinstating and stabilizing to reduce withdrawal symptoms. -- at least the first page of the topic.  

 

You ask, "I need to know that my symptoms won't worsen as long as I'm on SSRI again."

That is something we can't predict or guarantee.  This excerpt from our link on Wellbutrin will give you a great deal of information about the possible negative effects of this drug:

 

Bupropion adverse effects
Like Chantix, as a smoking cessation aid (Zyban), bupropion has been found to cause suicidal thoughts or actions and displays an FDA black box warning accordingly.

Bupropion tends to be energizing and often causes anxiety, agitation, nervousness, loss of appetite, and insomnia as side effects. Bupropion usually is not an appropriate treatment for withdrawal symptoms, as it can aggravate them.
 
While it is less likely to cause sexual dysfunction like other antidepressants, other side effects are: lowers the seizure threshold (very bad for brain zaps), increases blood pressure, tremors, tinnitus, unusual behaviour changes, agitation, and hostility.
 
Bupropion as an adjunct to antidepressants to counter sexual side effects
Way back in ancient history, around the year 2000, it became apparent these fabulous wonder drugs, the SSRIs, which were supposed to alleviate depression with almost no side effects, had a huge drawback that might slow sales: They caused sexual dysfunction in a high percentage of those who took them.
 
This caused great consternation among the pharmaceutical companies, who went through varying cycles of denying that sexual dysfunction was a frequent consequence of SSRIs, claiming the sexual dysfunction was due to the underlying depression, and searching for pharmaceutical solutions to this adverse effect.
 
It was also observed that bupropion had fewer sexual side effects and that some patients found it sexually stimulating. Seizing the opportunity to preserve their sales, the drug companies initiated campaigns to educate doctors that, in the rare cases where sexual dysfunction was a problem, bupropion might be added to an SSRI to alleviate the problem.
 
It did seem to help some, but its usefulness for this purpose is mostly a product of drug company propaganda. Also, to preserve sales of SSRIs, the drug companies neglected to inform doctors that being an antidepressant itself, Wellbutrin might replace the SSRI, and there was no reason to keep people on two drugs when one drug would do.
 
(Later, when Viagra and Cialis became available, much research and furor was generated to recommend them as adjuncts to SSRIs -- adding yet another profitable drug. Alas, they proved to be ineffective for women.)
 
Bupropion, unfortunately, comes with a few common adverse effects of its own, such as jitteriness, agitation, nervousness, anxiety, fast heartbeat, and sleeplessness. Doctors were advised to add benzodiazepines to the mix for these symptoms. (Later, these symptoms were judged to be possible symptoms of bipolar disorder, indicated the addition of antipsychotics such as Seroquel.)
  
But some doctors noticed bupropion was also an antidepressant as effective or ineffective as any other, without the sexual side effects. They began to prescribe bupropion first, before resorting to an SSRI. Wellbutrin or its generic bupropion is a very popular antidepressant. And that is why our Tips for tapering off Wellbutrin, IR, SR, XR, XL (bupropion) is the most frequently viewed topic in the Tapering forum."

 

                                                                                     -------------------

 

If after reading the above, you decide you want to stop the drug, you have been on it such a short time (4 days) that you can just stop it.

 

Our experience here that the only cure for PSSD is time.  Very unfortunate, but true.

 

This is your Introduction topic, where you can ask questions and connect with other members.  We're glad you found your way here.

 

 

 

 

 

[Zpssd]

Thank you for replying,i have been feeling very alone and scared these past days but now i am feeling a little better,and i have a few questions if you dont mind answering them

1.are you saying i should go cold turkey again,i know its been 4 days but i dont want to take any risks when theres 3 months left fo my degree

2.in what sense does bupropion agrravate symptos(does it makes existing symptoms worse or add symptoms )and how long befor aggravation starts

3.if i use 10 % or less taper for drugs what are the chances i wont go through withdrawl

4.which drug should i taper first

5.will bupropion cause bipolar?

6.having gone cold turkey once am i more suceptable to withdrawl

7.do you know some one who reinstated ssri along with bupropion,pls tag them

[Gridley]

8 hours ago, Zpssd said:

Thank you for replying,i have been feeling very alone and scared these past days but now i am feeling a little better,and i have a few questions if you dont mind answering them

1.are you saying i should go cold turkey again,i know its been 4 days but i dont want to take any risks when theres 3 months left fo my degree

2.in what sense does bupropion agrravate symptos(does it makes existing symptoms worse or add symptoms )and how long befor aggravation starts

3.if i use 10 % or less taper for drugs what are the chances i wont go through withdrawl

4.which drug should i taper first

5.will bupropion cause bipolar?

6.having gone cold turkey once am i more suceptable to withdrawl

7.do you know some one who reinstated ssri along with bupropion,pls tag them

1. It generally takes a month of being on an antidepressant to be at risk of withdrawal, and wellbutrin takes less tapering than other ADs.  For those reasons, I believe you can just stop.  

2. It adds symptoms -- side effects are possible.

Generally side effects start soon after taking the drug, but some may be delayed.

3. Some people can quit without tapering and experience little withdrawal.  Since we don't know who these people are, we take a harm reduction approach and recommend a 10% taper.  If you taper 10% or less, you will likely experience some symptoms.  It varies person to person. Some people have to taper more slowly than 10%.

4.My understanding is that you have been taking Wellbutrin for 4 days and are on no other drugs, having gone off the fluvoxamine 3 months ago.  What other drug(s) are you taking?

5.I have never heard anything like this.  

6. Yes, but not necessarily so.

7. 

 

[Zpssd]

Risperidone 0.5mg

[Gridley]

deleted  

Edited March 9, 2020 by Gridley
repeated post

[Gridley]

5 minutes ago, Zpssd said:

Risperidone 0.5mg

I would stop the wellbutrin today and then you can taper the risperidone.

[Zpssd]

Oh i failed to mention i reinstated both resperidone and fluvoxamine 100mg

at full doses an i am still on them before doctor prescribing me bupron xl(generic i think)

[Colonial]

If your going to stop it, do it now.

 

I think the Wellbutrin had done most of the brain remodeling with Me by the end of the 3rd week on it.

Judging by the symptoms I had starting  from days 3 to 22.

[Gridley]

2 hours ago, Zpssd said:

Oh i failed to mention i reinstated both resperidone and fluvoxamine 100mg

at full doses an i am still on them before doctor prescribing me bupron xl(generic i think)

When did you reinstate and how are you feeling?  Fluv 100mg and Resperidone what dose?  Are you planning to stay on them?

Are you planning to stop the Wellbutrin?

[Zpssd]

Reinstated on 27 feb.i have been feeling fine no changes.reinstated Resperidone at 0.5 mg.planning to stay on fluvoxamine for a year or two then taper,and i will make the descision on wellbutrin on thursday

[Altostrata]

On 3/7/2020 at 9:07 AM, Zpssd said:

I stopped fluvoxamine 2 months ago and started expiriencing sexual dysfunction so i went to my psychiatrist and he added bupropraon(wellbutrin).its been 4 days and i am not noticing any improvement.i need to know that my syptoms wont worsen as long as i am on ssri again

 

Hello, Zpssd. What drugs were you taking along with fluvoxamine when you went off it?

 

What drugs are you taking now, at what dosages and what times of day?

 

Sexual dysfunction can occur after stopping a drug (PSSD) or it can be a side effect of most psychiatric drugs.

[Zpssd]

 

18 minutes ago, Altostrata said:

What drugs are you taking now, at what dosages and what times of day?

Fluvoxamine 100 mg maleate(night)++(risperidone 0.5 mg(night),brupropion xl 150mg (morning),nutraceuticals (morning-evening)

28 minutes ago, Altostrata said:

What drugs were you taking along with fluvoxamine when you went off it?

(risperidone 0.5 m

[Altostrata]

What times of day are you taking your drugs? How long have you been taking each one? What effect do you feel from buproprion?

 

To help us out, follow these instructions Please put your drug and withdrawal history in your signature WITH DATES. You may need to use a computer to do this.

 

[Zpssd]

4 minutes ago, Altostrata said:

What effect do you feel from buproprion

None except i didnt git much nocturnal erections,but on the other hand i only git thse during a brief window when i reinstated but hadnt started wellbutrin,i have checked the symptoms caused due to wellbutrin and i have none of those

[Zpssd]

Altostrata do you reccomend ct ing wellbutrin 8days in

I will update my signature tommorow

[Altostrata]

59 minutes ago, Altostrata said:

What times of day are you taking your drugs? How long have you been taking each one?

 

Please read my questions carefully and answer them completely. I still need DATES for your drug history.

 

As either fluvoxamine or risperidone can cause sexual dysfunction, it is unclear where the addition of a third drug, buproprion, will overcome those effects.

 

Were you prescribed risperidone for sleep? How did you sleep after you went off? How is your sleep now?

[Zpssd]

7 hours ago, Altostrata said:

 

Were you prescribed risperidone for sleep

Yes

 

7 hours ago, Altostrata said:

How did you sleep after you went off

No change(normal)

 

7 hours ago, Altostrata said:

How is your sleep now

No change(normal)

 

7 hours ago, Altostrata said:

I still need DATES for your drug history.

 

Updated my signature

 

9 hours ago, Altostrata said:

times of day are you taking your drugs

Fluvoxamine and resperidone .post dinner at night

Bupropion morning post breakfast

[Zpssd]

https://rxisk.org/antidepressant-withdrawal-a-prozac-story/ here in this article it says sone thing about how wellbutrin increases plasma concentrations of ssri.i an also currently on ssri*fluvoxamine.if tommorow doc says to stop wellbutrin it will be okay to do it or not.

[Altostrata]

The risperidone OR the fluvoxamine OR the combination may be causing sexual dysfunction.

 

Why do you take fluvoxamine and risperidone at the same time at night? Was risperidone added because fluvoxamine kept you awake?

 

If the buproprion doesn't seem to be helping, since you've only been taking it for a week, you should be able to stop it.

[Zpssd]

2 hours ago, Altostrata said:

Was risperidone added because fluvoxamine kept you awake?

Yes,thats exactly why it was added

 

2 hours ago, Altostrata said:

The risperidone OR the fluvoxamine OR the combination may be causing sexual dysfunction.

But the sexual dysfunction started before i reinstated.

[Zpssd]

So i used this linkhttp://www.taperoff.co to create a taperingschedul with a 2.5 % cut per week and it says its gonna take 8 years.So do the benefits of long taper out weigh the risk of being on meds for 8 years.Also whats the jump off dose for luvox

[Gridley]

4 hours ago, Zpssd said:

So do the benefits of long taper out weigh the risk of being on meds for 8 years.

 

Yes, it's better to slowly reduce your drug burden with a safe taper than to be in withdrawal for all that time, which is the risk you run with a fast taper or CT.

 

 

[Zpssd]

I am experiencing aggresive hair loss

Is this a withdrawl symptom?

I used to take biotin supplements should i restart taking them?

Is there anything else i can do to control it and will it go away?

@Gridley

[Gridley]

7 hours ago, Zpssd said:

I am experiencing aggresive hair loss

 

Several members have reported hair loss as a result of withdrawal.  It will go away.

 

This link contains information about withdrawal-relayed hair loss and some suggestions.

Hair loss, poor condition, body hair, excessive hair growth ...

Regarding biotin, I don't know if it's helpful or not.  However, you should know that vitamin B is overstimulating for many people in withdrawal.

 

Hypersensitive to B Vitamin or B-Complex  

 

If you do try it, start at a low dose and see how it affects you.