Originally Posted by mrsD

Most people start lower and titrate up. This way, the palpitations side effects seem to be less likely.

You may also find that you don't need the high dose. I think it is always a good idea with drugs that affect neurotransmitters to titrate up. (once there you may have to titrate down, if you decide to quit. Tapering off drugs that affected neurotransmitters is typically needed if you have been on them for months or years).

For example, TCAs which were the first antidepressants, work in very low doses. The Wellbutrin may be the same.