Well... I've been off and on wellbutrin for the last couple of months for smoking & depression. It didn't seem to do much for the depression OR the smoking - although it did help with some compulsive shit I was doing when depressed that was starting to become self-mutilation (i.e. compulsive pulling, scratching, etc.).
I came off for a while when it didn't appear to be helping with the smoking much and I was bloody sick of not being able to have a beer when I wanted one. Came off it slow with no problems and only side was headaches, which I got going on and going off (lots and lots and LOTS of water helps, for anyone that's taking it). Took a break over the holidays and enjoyed my booze.
I dealt with the depression by 1) fixing my life (most of my depression was situational) and 2) taking pregnenolone - which I had used before and worked wonderfully.
I went back on the wellbutrin to see if it would help with the smoking under different circumstances. More headaches, more water. Seems to help some now.
ANYWAY - it's a wonderful appetite depressant, since I lost quite a bit of weight on it (was needed and intentional).
Once I was no longer depressed, it helped a lot more with the smoking thing (still haven't quit, but am down from almost two packs a day to about 12 or 15 smokes, so I guess that's progress).
ANYWAY - the only thing I've found that works great for depression is fish oil & pregnenolone. The effects of pregnenolone are almost immediate - i.e. you feel better sometimes as soon as a couple of hours, at least by the next day or two. I use salmon oil - 1 - 2 grams a day, and I get it cheap at Walmart. The pregnenolone is the best, though - absolutely. I take about 30 mgs per day, and cycle off it for a couple of days every two weeks (or I get a kind andro-rage - results vary according to age and hormonal profile).
Perimenopausal depression is probably more appropriately treated with progesterone than antidepressants. Estrogen dominance can cause sleeplessness, moodiness and depression. Progesterone & pregnenolone together work beautifully for me and keep me even keel, happy as a clam, etc.
AD's are fine, but pregnenolone makes me obnoxiously happy, calm and confident. I even get on my own nerves.
Fawn