Posted by Ritch on January 4, 2005, at 11:25:12
In reply to Antidepressants and Bipolar Disorder, posted by ed_uk on January 3, 2005, at 20:28:53
> To everyone with bipolar disorder...........
>
> In your own personal experience.........
>
> Which ADs *have not* induced mania, hypomania, mixed affective states or rapid cycling?
>
> Which ADs *have* induced mania, hypomania, mixed episodes or rapid cycling?
>
>
> PS. What do you think of the common pdoc attitude that TCAs are particularly likely to present problems in this respect? ....and that SSRIs and Wellbutrin are preferable. This doesn't seem particularly consistent with babblers' experiences. YMMV.
I would have to say that probably Trazodone was the only AD that didn't seem to "set off" anything, but it didn't work as an antidepressant either for me. I was taking it for sleep only (up to 100mg hs at one point) and it didn't even work for my sleep maintenance issues (I just went to sleep even faster, but that wasn't the problem anyhow) and left me hung over the next day.Remeron and Wellbutrin didn't seem to set off CYCLING, but they DID set off a consistently irritable/agitated and sometimes euphoric state.
Nortriptyline was fairly benign actually.
Never tried any MAOI's.
SSRI's seem to be the definite cycling champions, and I've been on all of those.
To assume that one particular class of med will induce mania and this particular class will not for *all* patients would be foolish. You really can't tell until you take them, IMO.
poster:Ritch
thread:437371
URL: http://www.dr-bob.org/babble/20050103/msgs/437634.html