Lexapro and wellbutrin fatigue syndrome

wellbutrin lexapro fatigue syndrome and

Switching long-acting injectables deemed safe lexapro and wellbutrin fatigue syndrome schizophrenia. Jessica L. Bupropion is FDA-approved for preventing seasonal major depressive episodes lexapro and patients with seasonal affective disorder and is indicated as a smoking cessation aid. Some clinicians believe that bupropion exacerbates anxiety and lexapro and wellbutrin fatigue syndrome not be used to treat patients who experience both anxiety and depression.

Reports from our patients and our cumulative clinical experience are key factors in developing lexapro and wellbutrin fatigue syndrome in selecting appropriate medications. When informing our patients about what to expect from medications, however, it can be useful to combine anecdotal evidence with knowledge of the facts or lack thereof.

Are there data to support or contradict the idea that bupropion can cause anxiety while treating depression? InNieuwstraten et al 5 compared bupropion with SSRIs for treating depression by reviewing several randomized, double-blind, controlled trials. In a meta-analysis, Papakostas et al 6 pooled individual patient data from 10 randomized, double-blind, placebo-controlled trials. The authors recommended that antidepressant choice should not be based on concerns about worsening anxiety lorazepam kqed dog food reviews in depressed patients.

Effect of klonopin and alcohol smaller studies suggest that bupropion does not increase anxiety. Because designing and executing drug trials can be expensive, it is not surprising that most of the evidence cited wellbutrin fatigue syndrome derives from pharmaceutical company-sponsored or industry-affiliated work.

As such, we should evaluate available evidence within the context of what we hear from and observe in our patients. When assessing patients with depression and anxiety, we must carefully evaluate symptoms to distinguish between depression with associated anxiety symptoms and depression with a comorbid anxiety disorder. Some research—albeit smaller, less compelling studies—suggests that bupropion may decrease anxiety. If your patient suffers from comorbid depression and an anxiety disorder, bupropion would not be a first-line choice because it is not FDA-approved to treat anxiety disorders.

Do you agree with the authors? Send comments to letters currentpsychiatry. The authors report no financial relationship with any company whose products are mentioned in this article and fatigue lexapro syndrome wellbutrin with manufacturers of competing products. We noticed you have an ad blocker enabled. Please whitelist us so we can continue to provide free content. Skip to main content. Evidence-Based Reviews. Does bupropion exacerbate anxiety? Current Psychiatry.

Our opinion When assessing patients with depression and anxiety, we must carefully evaluate symptoms to distinguish between depression with associated anxiety lexapro and wellbutrin fatigue syndrome and depression with a comorbid anxiety disorder. Clinical Point Some smaller studies have suggested that bupropion does not increase anxiety.

Next Article: Generalized anxiety "lexapro and wellbutrin fatigue syndrome" Helping patients overcome worry. Anxiety Disorders Depression. Whitelist MDedge. Menu Menu Presented by Register or Login. Menu Close.

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