So I've been on Wellbutrin for many years, almost five years mainly for my SCT and executive dysfunction and because it used to be so extremely helpful for my mood, apathy, avolition and anhedonia in the past. In the beginning it gave me increased motivation, anticipation and just a great feeling of overall wellbeing all the time. At first it was amazing and worked very well for me.
Unfortunately last year and this year I've noticed it has lost a lot of its effectivness and later on it changed completely and became a killer anxiety provoker instead of a motivation and mood enhancer like it used to be in the past. Particularly this year I've noticed that it has started to give me a lot of strange side effects I never used to have from it before and those seem to related to its noradrenergic effects. And those side effects are frequent thirst, frequent urination, dry mouth, blurry vision that comes and goes, tingling sensations in my head, headaches, dizziness, vertigo, hot flashes, burning sensations, balance issues, insomnia and sleep disturbances, facial twitches, muscle stiffness and weakness etc. And I've also noticed now that it just makes me feel wired, tired, anxious, confused + with a scattered mind, but without any of the mood or motivation benefits it used to give me in the past. Now when I take it, it just makes me anxious, wired and on edge, but with none of the happiness and great feeling of overall wellbeing like it used to give me in the past.
Now I'm wondering if this is just tolerance or is it that my response to it changed over time? Because the anxiety and panic attacks that it gives me nowadays is starting to interfere with my life and it's starting to take a tool on my mental health. I honestly don't think the norepinephrine of this med helps my depression at all. I just think the norepinephrine makes me anxious, wired, tired and confused + with a scattered mind and does no good for me at all. I think it was the weak dopaminergic effects that helped my depression in the first place.
So do you think a med more selective to dopamine would suit my symptom profile better based on everything I've told you now?