Brief Answer:
Dose can be increased
Detailed Answer:
Hi,
Thanks for the follow-up.
Till now you are taking 400 mg of
wellbutrin with mentioned combination for your
ADHD. Main adverse effect associated with it is epileptic seizures, which is dose dependent. Chances of seizures increases up to ten times on taking Wellbutrin above 450mg. As it is decreases threshold of seizures. This is what people discuss over the internet forums. But the maximum permissible dose is 600 mg. Dose of 600 mg of wellbutrin increases the risk of seizures and it does not mean that you will have seizures.
With all your previous history with the combo, you can give it a try for 600 mg. Usually tolerance is not seen with antidepressants but sometimes dose need to be adjusted according to outcome.
As your treating
Psychiatrist is closely monitoring you all these years with your medicines and conditions, it is advised to go with his opinion of increasing the dose. He will have to monitor you more frequently now.
Some precautions should be taken by you like avoiding exposure to neon light, flashing light. Eat healthy diet, avoid fasting,
fatigue or exhaustion,
starvation and your
thyroid profile should be in normal range.
If you do not have any clarifications, you can close the discussion and rate the answer. Wish you good health.
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