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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Depression After Undergoing Prostatectomy For Cancer. Was Advised Welbutrin But Have Had No Relief. How To Cure This?

I am a 18 month post da vinci prostatectomy cancer survivor. My 18 month psa was negative. My issue is that I still have depression from post surgery issues. Especially sexual issues. My PCP has perscribed welbutrin which I have been taking for two months now. I am looking for advice on SE MI support groups or forums.
Thu, 28 Nov 2013
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Psychiatrist 's  Response
Hi,
Good to hear that you are doing well post cancer surgey. Can you elaborate your symptoms of depression? To the best of my knowledge & experience, Welbutrin (bupropion) is a very good drug to treat depression especially if symptom profile includes decreased physical activity, lethargy, sleepiness, fatigue etc. & it dosent cause sexual dysfunction by itself per se. But if symptom profile is predominated by anxiety & allied symptoms which I guess are the source of your troubles & probably sexual dysfunction also; then switching welbutrin to a more specific antidepressant alternative like Mirtazapine which works superbly for anxiety & allied symptoms, gives you good sleep as well & is neutral on sexual dysfunction as a side effect. Hence, do discuss this alternative with your doctor for symptom relief. Good luck
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Depression After Undergoing Prostatectomy For Cancer. Was Advised Welbutrin But Have Had No Relief. How To Cure This?

Hi, Good to hear that you are doing well post cancer surgey. Can you elaborate your symptoms of depression? To the best of my knowledge & experience, Welbutrin (bupropion) is a very good drug to treat depression especially if symptom profile includes decreased physical activity, lethargy, sleepiness, fatigue etc. & it dosent cause sexual dysfunction by itself per se. But if symptom profile is predominated by anxiety & allied symptoms which I guess are the source of your troubles & probably sexual dysfunction also; then switching welbutrin to a more specific antidepressant alternative like Mirtazapine which works superbly for anxiety & allied symptoms, gives you good sleep as well & is neutral on sexual dysfunction as a side effect. Hence, do discuss this alternative with your doctor for symptom relief. Good luck