Have Mental Health Questions? Ask a Psychiatrist Online
Hi, thanks for writing to us. My name is***** can be a good choice to help combat depression and acts on different mechanisms then Prozac so it could prove helpful to you if the Prozac didn't work out. Wellbutrin will not cause weight gain and actually may cause some small weight loss. Wellbutrin is also very common and well tolerated so most people don't experience significant side effects from this medication that would cause one to discontinue using it. The on major pitfall to Wellbutrin , however, is that it can cause some anxiety so those with co-occurring anxiety may find themselves to be more anxious when using this medicine and may require an additional medication (an SSRI) if that occurs or may need to go off it. If you already know anxiety to be a problem for you, trying an alternative medication to the Prozac like Zoloft (sertraline) or Celexa (citalopram) are two alternatives to the Prozac that can treat depression and anxiety without significant side effects including weight gain.
I know it can be nerve-wracking but some of that worry could be your depression causing it. I'd give the Wellbutrin a try unless you already struggle with anxiety and in that case, I would ask for an alternate SSRI like the Zoloft or Celexa. Remember, if starting any of these meds does cause side effects, they usually will dissipate within the first 3-4 week and subside just as the med starts to show positive effects. So as long as th side effects are considered "tolerable" even if uncomfortable, keep with the med as the side effects do tend to fade after those first few weeks. and the med will start to kick in to assist with the depression between week 4 and 8.
I hope this helps!
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