I take 300mg Wellbutrin and feel like it helps with my depression, without a lot of the other common side effects. However, I don't feel like it is quite cutting it. My doctor is hesitant to increase me to 450 mg because she says I am already on a high dose. She feels like I need a little serotonin help, and I have been on Zoloft, Lexapro, and Celexa. I struggle between feeling some depression and not being on an SSRI or "dealing" with the side effects. For me, I typically have sexual dysfunction and low libido, weight gain, and fatigue. Although it is difficult to know what part of weight gain & fatigue are side effects or the depression, I can definetely tell the difference with my sex drive and ability to have an orgasm when on SSRI's.

I would prefer to stay on the Wellbutrin, since I have had the most luck with it. I am looking for recommendations for something to take along with the Wellbutrin, with the side effects described above being low.

THANKS