Extreme fatigue , chest tightness, body feeling heavy, dry eyes , unable to concentrate, comeback pain for last 6 years. Cholesterol around 230 all other tests turned negative. No Bp no sugar. Good appetite and sleep. Pain all over body. Doctor put me on anti represents for a long time (wellbutrin etc) no improvement. Male 46. Frequent flu like symptoms but no temperature rise.
Hello, welcome to Chat Doctor. Your symptoms like fatigue, chest tightness, body feeling heavy, Chat Doctor.  Bupropion is effective for anxiety and depressive symptoms. Some time patient (approx 40% cases) did not improve with initial treatment, in that case one of the following steps are used:-To rule out any medical condition leading to existing symptoms-Checking compliance to treatment: Take medicine regularly: as medicine used to show effect after 4-6 weeks of continuous use.-Detection and correction of vitamin deficiency (especially vitamin B12): so take vitamin supplement and fruits/milk in diet.-Screening of thyroid dysfunction: Get serum T3/T4 and TSH level done-Increase the dose of current medicines-Change of existing medicine-Addition of other medicine-Addition of psychotherapy in treatment It is better to get re evaluated by psychiatrist and follow above recommendations. Wish you all the best. 