Eeps! Not great to hear that the NP doesn't know what to do WRT dosage. !?!?!? Err, I'm on 250 mg/day Wellbutrin which is just right for me. I think the common therapeutic dose is in the 300-400 mg/day range. And the fluox --it was working well at first but then seemed to poop out on depression control. I had gone up to about 25 mg but that was too high for me (felt disengaged, like I was watching things from afar)... right now I'm on 15 mg/day maintenance. This is good.
Like you, I gained weight on fluoxetine. A good 30 lbs or so. I went on Weight Watchers for awhile which was very effective but after awhile I stopped. I definitely found it affected my sex drive and ability to orgasm. But I remember having come off fluox completely when I first started Wellbutrin and while I was able to have orgasms again with dh, I was COMPLETELY BITCHY!!! So on one hand he enjoyed that I was a kitten in the sack again but I was total hell to live with otherwise.
So I just decided that it was more important for me to be "stable" for my family and children than for me to be orgasmic with dh. I do have to say that being pregnant has helped with the drive and sensation though!
Wellbutrin is supposed to be great for not having sexual side effects for women. It may very well be the case, but I'm not totally sure because I still have fluox on board, which dampens it some.
It's not an easy answer. Sometimes I wonder how much of myself I'm giving up by being on these meds, but when I see how much better I am able to function in life, esp. in treating my family well, it's no contest.
Such a personal decision.
Given that we have such small children at home, both work FT, etc. (exhaustion!) we haven't exactly had the best sex life. So it's possible this could be working differently/better during the non-pregnant state when I am more "numb". I dunno. Sometimes I am just trying to put one foot infront of the other, and take it one day at a time. Yk?
Does your dh notice a difference with your sex drive? Does he have any comments?