After my counseling appointment, I had an appointment with my GP. Typically, I don’t think of my GP as an adept prescriber of Rx medication, however, I had already researched my options and had some idea of what I didn’t want (e.g., SSRIs which haven’t worked well for me the few times I’d tried them). I explained to my doc that the Vyvanse may have been part of the tilt toward dopamine dominance which was exacerbated by my situation, but I don’t believe he’s up on the research, which has been my experience with him.
I walked out with scripts for Wellbutrin 150mg and Xanax 0.5 mg along with my usual Vyvanse 70 mg. The Xanax I intend to use exceptionally sparingly and only on those nights where I’m desperate for a full night of uninterrupted sleep. My premise is that I can retrain my body to give in to sleep and stay asleep and as my body comes out of the continually jacked up state and sleep becomes more normal, I hope a pharmaceutically induced nudge now and then will be all I need.
I’m groggy from the bedtime Xanax but awake promptly at 7:00 a.m. I took my Vyvanse as usual and added the Wellbutrin. I’ve had some success with Wellbutrin before and it acts on both the dopamine and serotonin receptors as well as the norepinephrine receptors. I’ve learned that Vyvanse acts on dopamine alone, which was fine when my serotonin wasn’t extremely depleted as it has become via major depression. Chances are good that under normal conditions, the serotonin deficit wouldn’t have become so bad, however, my stress and anxiety has been unusually high for a sustained period of time producing the gap and therefore the need for chemical rebalance. Right now I just want to go back to sleep.
Since I’m looking at the Wellbutrin (and especially the Xanax) as short term adjustments, I’m thinking a couple of months may be all I need. I’m chemically sensitive so low doses of anything prescribed are always in order. I’ve tried to fight my way out of this major depressive episode on my own but it was too big to accomplish without some assistance. So there it is.
I’m on it! 😉