Hello and welcome to HCM!
I have read your question carefully and it say that you have been keeping well on
Wellbutrin from long time but developed
dizziness recently. All of your test are normal and both your doctor and you suspect it is due to
anxiety, and you have some ongoing stress.
firstly, regarding Wellbutrin, you gave not mentioned the dosage , but it is better not to increase it beyond 300 mg daily , as otherwise the risk of seizures increase significantly with it.
Secondly, adding
citalopram is a good option, the two drugs are form different category and will behave in different ways in controlling the illness.
##Thirdly, if I had been treating you, I would have gone with changing to one single (different medication). it is always better to take one medicine rather than going for combinations. poly pharmacy should be avoided when ever possible. So, I might have gone for something like
paroxetine, or
Venlafaxine, and gradually taken out Wellbutrin. With such regimn, one builds up new drugs and gradually taper and stop old ones. ( monitoring the response all the way ).
This should not look like much to you,a s you have been taking the drug regularly.
You may trying doing this with celexa too. I would strongly advice that you should try out and see if you can remail well on one medicine.
It looks possible in your case as your illness has been under control for long time. Your doctor would know very well how to go about. Please discuss this with him.
# donot know if you have got X Ray neck to rule out dizziness, as one of the commonest cause of it is
cervical spondylosis, which may be missed in routine testing.
Wish you a speedy recovery!
Feel free to ask more questions
Dr. Manisha Gopal
MD Psychiatry