What Causes Chills, Sinus Congestion And Fever While On Lexapro?
I think increasing dose of wellbutrin should be first choice
Thanks for using Healthcaremagic.
I read your query and understand your concerns.
Although it is not possible for me to diagnose depression with available information but I feel that diagnosis of depression is correct as loss of energy, inability to focus, inability to carry out routine activities in association with multiple pain issues are often presenting features in middle and late age onset depression. In other words the available details are indicative of depression.
Regarding the next step I feel increasing the dose of wellbutrin should be preferred over the other options. This is because the effective dose of wellbutrin is 300-600 mg and most individuals need at least 450 mg a day to have optimal effect. My focus on welllbutrin also considers the presenting symptoms of inattention and inability to carry out routine activities and erection problem (I assume so as cialis is part of treatment). These symptoms are best dealt with wellbutrin in compare to other antidepressants like Lexapro.
I hope this helps you.
Feel free to write back to me if you have more questions.
Thanks and regards.