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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Major Depression, Generalized Anxiety Disorder. Taking Cymbalta, Wellbutrin, Clonazepam. Do I Also Need Counselling?

I have been taking Cymbalta 60 mg for 3 years. At one time up to 120 mg. Now on the advise of my psychiatrist I have weaned myself off the Cymbalta over 2 weeks by going to 30 mg and then stopping. He has started me on Wellbutrin XL 150 mg x 2 weeks and then to take Wellbutrin Xl 300 mg thereafter. I suffer from major depression and generalized anxiety disorder which can be overwhelming. Does Wellbutrin XL help both these conditions or only depression. He also put me on Clonazepam 0.5 up to 5 daily (really out of it) and gave me Gabapentin 300 mg at bedtime for sleep and pain. I have severe arthritis in my entire spine and neck along with hip pain. He said that Gabapentin helps anxiety and stress as well, but I thought Gabapentin was for nerve root pain. Can you take Cymbalta 60 mg along with Wellbutrin XL 300 mg together. Heard Wellbutrin counteracts some of the side effects of Cymbalta. Am trying to see couselling at a Mental Health Clinic, but very difficult process to get seen. Thank you very much for your help and advice.
Jane
Mon, 30 Sep 2013
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Addiction Medicine Specialist 's  Response
Hi Jane,

Wellbutrin is antidepressant medicine but also helps in reducing anxiety. In addition, your doctor has rightly told you that gabapentin also will help in anxiety. It also promotes sleep and improves neuropathic pain. Yes, Wellbutrin and Cymbalta can be used together but in low dosages, as there is a heightened risk of seizures and other side effects. Please do not combine them without discussing with your doctor.

Hope this is of help. Best wishes.
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Have Major Depression, Generalized Anxiety Disorder. Taking Cymbalta, Wellbutrin, Clonazepam. Do I Also Need Counselling?

Hi Jane, Wellbutrin is antidepressant medicine but also helps in reducing anxiety. In addition, your doctor has rightly told you that gabapentin also will help in anxiety. It also promotes sleep and improves neuropathic pain. Yes, Wellbutrin and Cymbalta can be used together but in low dosages, as there is a heightened risk of seizures and other side effects. Please do not combine them without discussing with your doctor. Hope this is of help. Best wishes.