"I would only give someone a comorbid anxiety disorder diagnosis if they had the anxiety problems before the start of the depression—or if they had a specific kind of anxiety, like anxiety attacks," he says. He also added that, with these criteria in mind, around 40% of his patients receive both an anxiety disorder and depression diagnosis. But they should be used carefully as they can have serious side effects, including weight gain and metabolic, neurological and buy tramadol online hormonal changes that can be harmful. Side effects increase as the dose is increased, and some medications have more side effects than others.
Some believe that the medication’s impact on neurotransmitters in the brain have an indirect impact on metabolism. Bupropion (Wellbutrin), an atypical antidepressant, works by altering the brain chemicals norepinephrine and dopamine.