<s>[INST] Hi, Dr Grief, I have been on wellbutrin xl 300mg for about 8years and it has served me well until these last months .I have noticed I am becoming tearful 3 to 4 days a week once or twice on these days . Also noted times when I feel listless and overwhelmed with household tasks . Do you think an increase in my med would do the trick or do l need a addition to my present med or new drug altogether. ? Thanks [/INST] HI, thanks for using Chat Doctor Depression that is not responding to current therapy can be treated by the different means that you mentioned: (1) increasing the dose of the current medication (2)augmenting the medication with another (3) changing to a different medicationYour doctor will likely first consider increasing the dose of your current medication then monitoring for 3 to 4 weeks to see if there is any clinical response. If there is still no improvement then alternative treatment would be needed. You should not alter the medication without consulting your doctor. I hope this helps </s>