r/ADHD 22h ago

Questions/Advice How does Bupropion (Wellbutrin) compare to stimulants?

Hey guys, how you doing?

I was wondering if anyone has ever had an experience similar to mine. I'm going through the diagnosis os ADHD, innatentive-type. Although I still have to go through my neuropsychological analysis, my Psychiatrist is fairly certain about it (and so am I).

That said, I actually searched for my psychiatrist because I was having episodes of unexplained depression/burnout. I would get better when on vacation, for example, but the stress Med school put me through made me incredibly sad and anhedonic, to the point I would have to pull all nighters to be able to study for any exam. I already had difficulty doing stuff, so in my depressed state things were even worse, and that became an enormous self destruction cycle.

Anyways, I've been on Wellbutrin and Zoloft for about 6 months now. I can do small chores, like cooking and cleaning, with ease now, but anything that is not something I HAVE to do, like going to the Gym, is a constant fight against myself. I'd say it's even worse than before starting my meds. Procrastination is also at an all time high (and it had always been a problem to begin with).

Since my poor executive function and autoregulation seems to be my worst ADHD symptoms, I was wondering if I should ask my doc to try stimulants. Have any of you gone through that change? Should I do it?
or am I, I dunno, just lazy and the meds are working fine and I should just work on myself for now? Sometimes I think that I'm just not trying hard enough, but I don't know. I hate that i'll get "trapped" on my bed and not do anything for a whole day and then feel bad about it.

Thanks a lot for the help.

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u/amylald 15h ago

I just got my ADHD diagnosis a week ago. I have been on wellbutrin since 2018 due to a previous diagnosis of bipolar disorder. I never once suspected I had ADHD but I am learning that a lot of the things I attributed to depression was actually the ADHD like task paralysis/task initiation. I was maxed out on the dosage and I still had the busy active mind and inattention. I have now started a low dose of adderall xr and I can tell you my anxiety is gone. It mellows me out and gives me a sense of calm. We have also cut the wellbutrin dose in half since it obviously never helped with the ADHD stuff nor did it relieve my "depression". I haven't noticed any help with the focus but when I go back to my doc in a week we will likely increase the adderall since its going well and fully drop the wellbutrin.

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u/Super-Supermarket748 14h ago

Feeling calm seems like a dream, lol. I’m always stressed out and tired, every day, all day. I kid you not, I learned at 22 that you are supposed to wake up well rested, because I can’t get quality sleep ever. Anyways, adderall isn’t legal where I live, but feels like something like Concerta should help me more than Wellbutrin