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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Mood Swings And Depression After Discontinuing Paxil And Wellbutrin Be Treated?

Due to the loss of my prescription drug coverage, I cut back on some medications. I was taking 40 mg. of Paxil and 200 mg. of Wellbutrin daily. For almost 3 weeks, I ve been taking 20 mg. of Paxil, and 100 mg of Wellbutrin. I am very emotional, and find my self crying more...Also, two days ago I quit smoking, after 17 years of being a non-smoker, then, picking it up again after a trip to Ireland. So, after a 17 month relapse of cigarettes, and the doseage change, which one should I up? I feel the Wellbutrin may help with the smoking, but I would so appreciate any advice...
Thu, 27 Sep 2018
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Psychiatrist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

As you rightly mentioned​, Wellbutrin helps in deaddiction of smoking and also relieves you from depression, it's better you continue higher dose of Wellbutrin and cut down Paxil in a tapering way. Withdrawal symptoms are more severe with Paxil, so slow tapering off Paxil is very important to avoid withdrawal symptoms. It's better you consult psychiatrist and take a decision. Go for a morning walk daily, exercise for 2 to 3 days per week which helps you feel relaxed. Interact and enjoy with your friends, listen to music, go for a dance, have a healthy diet.

Hope I have answered your query.
Let me know if I can assist you further.
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How Can Mood Swings And Depression After Discontinuing Paxil And Wellbutrin Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As you rightly mentioned​, Wellbutrin helps in deaddiction of smoking and also relieves you from depression, it s better you continue higher dose of Wellbutrin and cut down Paxil in a tapering way. Withdrawal symptoms are more severe with Paxil, so slow tapering off Paxil is very important to avoid withdrawal symptoms. It s better you consult psychiatrist and take a decision. Go for a morning walk daily, exercise for 2 to 3 days per week which helps you feel relaxed. Interact and enjoy with your friends, listen to music, go for a dance, have a healthy diet. Hope I have answered your query. Let me know if I can assist you further.