Q. Will my anxiety relapse if I stop SSRI?

Answered by
Dr. Manjunadh M
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Feb 28, 2017 and last reviewed on: Oct 09, 2018

Hello doctor,

I am a male who was diagnosed with generalized anxiety disorder (GAD) and social anxiety, eight years back. Initially, I was prescribed Paxil 20 mg, which helped treat my anxiety and depression but I started having side effects of weight gain, fatigue, and sexual dysfunction. When I stopped taking medicine, I started having anxiety and depression again. So my doctor prescribed Zoloft 50 mg and Wellbutrin XL 150 mg. After taking these pills, I started having side effects like extreme weight gain, fatigue, decrease libido, erectile dysfunction and slight hand tremors.

I am worried to take a combination of two tablets for my illness because I read that taking one medicine is better than taking two. Is it true that Wellbutrin XL, when combined with SSRI, causes weight loss? And if I stop taking SSRI completely, will my anxiety relapse? I am looking for a medicine which helps my illness without causing any side effects as mentioned above. Please note that the following medications are not available in my country Valdoxan, Edronax, Desyrel, Pristiq and Viibryd.



Welcome to

Paroxetine acts on multiple receptors, and it is known for its withdrawal effects of weight gain due to its antihistaminic and anticholinergic action.

SSRI (selective serotonin reuptake inhibitors) can cause significant sexual dysfunction. Usually, Bupropion along with SSRI is prescribed to reduce its sexual side effect.

In your case, you are using Sertraline with Bupropion, and you are reporting no improvement in weight gain or sexual function, it is not that common to gain weight with Sertraline, but it can happen. Buproprion traditionally is an activating drug, and it is useful for reducing weight and improving sexual functions.

I suggest you try taking Escitalopram 10 mg and Buspirone 15 mg (7.5 mg twice daily). Escitalopram is a classic SSRI, which has a minimal side effect of weight gain and sexual dysfunction.

I know you do not want to take multiple medicines, but it is a much better approach to handling your illness. I would suggest you start this combination of drugs immediately after consulting your specialist, as some people are more sensitive to the adverse effects of the drug, so we may have to explore multiple options before we find the right combination for you.

Continue doing daily exercises, meditation and relaxation exercises.

Revert with further information to a psychiatrist online -->

Hello doctor,

Thank you for the answer. But I wanted to ask if BuSpar and Lexapro are better than Zoloft and BuSpar to manage weight gain. What about the combination of BuSpar 60 mg and Wellbutrin XL 300 mg instead of a SSRI?



Welcome back to

The chances of weight gain with Escitalopram and Buspirone is much less and theoretically more effective, but it varies depending on the individuals.

The combination of Bupropion with Buspirone does not make sense, in fact, Bupropion is not an ideal anti-anxiety drug. It was probably added by your doctor to counter sexual side effects of SSRI.

If you want to avoid SSRI entirely, then I suggest you try Buspirone alone starting at 15 mg gradually and increase to 30 to 60 mg depending on the effects. Consult your specialist doctor, discuss with him or her and take medicine with their consent.

But, Buspirone acts better in combination with Escitalopram and needs only lower dose of both when together.

For further queries consult a psychiatrist online -->

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Will my anxiety relapse if I stop SSRI?

Initially, I was prescribed Paxil 20 mg, which helped treat my anxiety and depression but I started having side effects of weight gain, fatigue, and sexual dysfunction ...   Read full

I feel panic to face people in public. Is it fine to take Inderal?

The symptoms and details you have mentioned clearly suggest social anxiety disorder ... In social situations like speaking in front of ...   Read full

I am being emotionally abused. Please help.

.. having symptoms of both depression (sad mood, forgetfulness, depersonalization, feeling of helplessness, suicidal ideation, loss of concentration) and anxiety (restlessness, heaviness). So, your diagnosis is mixed depression and anxiety disorder. ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Coronavirus Variant Arcturus: | Omicron XBB.1.16 Variant
Arcturus is an emerging variant of the Omicron virus that causes various symptoms and spreads rapidly across the world. ...  Read more»
Adrenaline Rush - Symptoms, Causes, Effects, and How to Control
Adrenaline is a hormone responsible for fight or flight response. It is also a neurotransmitter and medicine. It is also...  Read more»
Fatty Liver - Types, Symptoms, Stages, and Treatment
The liver is the largest gland in the body. Its primary function is to process the food and drinks we consume. and filte...  Read more»

Ask your health query to a doctor online?

Ask a Psychiatrist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.