<s>[INST] Well I have been taking Welbrutrin 300 mg XL now for a year, I am a dental assistant but struggle because I have adult add not fun, I have taken Concerta and Strattera but did not handle that well at all.  Welbrutrin works for me but its not enough for focus, attention, memory.  I do well at my job but I internally struggle everyday.  She just added Cipralex 5mg to Welbrutrin, what will this do for me inregards to my problem?  Will it make me gain weight and affect my husband and I sexually? Your help is much appreciated, thank youDenise [/INST] Hello, Thank you for consulting with Chat Doctor. As you are mentioning that your doctor has prescribed you now Circle in combination with Wellbutrin, there is nothing to worry as She must be knowing your condition much better. Yes there are side effects of Circle like sexual dysfunction, but it is not necessary that each and every patient should encounter these side effects, it is very uncommon as only 1% of patients encounter them. You should be relaxed and start with the medications first. Hope it will help you. </s>