Letter	Pharmacopsychiatry 2006; 39: 152-154 DOI: 10.1055/s-2006-946706
© Georg Thieme Verlag KG Stuttgart · New York
Bupropion Augmentation in the Treatment of Chronic Fatigue Syndrome with Coexistent Major Depression Episode
A Case Report
C. Schönfeldt-Lecuona1, B. J. Connemann1, R. C. Wolf1, M. Braun1, R. W. Freudenmann1
1 University of Ulm, Department of Psychiatry, Leimgrubenweg 12 - 14, 89075 Ulm, Germany

While psychoeducational strategies and general support are always indicated for the treatment of chronic fatigue syndrome (CFS), pharmacological strategies are yet not well established. Antidepressants such as selective serotonin re-uptake inhibitors have been shown to influence positively symptoms and immunological parameters. However, a considerable part of CFS patients do not satisfactorily respond to them. Bupropion, a centrally acting catecholamine-transporter blocker without classic psycho-analeptic properties, shows theoretical potential to improve fatigue symptoms. In the reported case paroxetine was augmented with bupropion at high dosage, a strategy which consecutively led to a rapid relief of CFS-symptoms.