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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by AWorriedMom on May 11, 2003, at 18:46:17
Has anyone had good experience with an AD that didn't swing a BP into a manic phase? Is there such a thing? My daughter (16) was put on prozac and later on lexapro to counter the depression which is horrible. But, had to discontinue each time due to mania returning. Thanks
Posted by Janelle on May 11, 2003, at 20:20:16
In reply to Is there an AD that doesn't bring on mania?, posted by AWorriedMom on May 11, 2003, at 18:46:17
Don't quote me on this, but I THINK that the older tricyclics (TCA's) may have avoided mania - such as Elavil (amitryptiline), nortryptiline. I was on that for about a year with NO hypomania. (I have BiPolar2, the so-called milder version of BP)
Posted by Ritch on May 11, 2003, at 21:45:45
In reply to Is there an AD that doesn't bring on mania?, posted by AWorriedMom on May 11, 2003, at 18:46:17
> Has anyone had good experience with an AD that didn't swing a BP into a manic phase? Is there such a thing? My daughter (16) was put on prozac and later on lexapro to counter the depression which is horrible. But, had to discontinue each time due to mania returning. Thanks
There are some bipolars who are especially sensitive to SSRI-induced manic switches exclusively. Try a different class of med, such as a TCA (as Janelle mentioned), or an MAOI, or Wellbutrin, etc.
Posted by stjames on May 11, 2003, at 22:03:23
In reply to Is there an AD that doesn't bring on mania?, posted by AWorriedMom on May 11, 2003, at 18:46:17
ALL AD's cause mania in BP ! If needed, they require a counter agent, such as a mood stabilizer
to not cause mania.
Posted by justyourlaugh on May 11, 2003, at 22:37:44
In reply to Re: Is there an AD that doesn't bring on mania?, posted by stjames on May 11, 2003, at 22:03:23
one more thought,,,
sometime ad's are really pushed until the "depression" is somewhat controlled,
the stabilzer may come after,,,you need to really know the pdocs game plan,,if he(she) is experimenting with her,,mabe due to the effect that some pdocs treats symtoms not the illness..
.
do not forget to "listen".
i would rather be manic,,or horribly suicidle than sedated so i couldnt feel...
Posted by SLS on May 11, 2003, at 23:46:43
In reply to Is there an AD that doesn't bring on mania?, posted by AWorriedMom on May 11, 2003, at 18:46:17
> Has anyone had good experience with an AD that didn't swing a BP into a manic phase? Is there such a thing? My daughter (16) was put on prozac and later on lexapro to counter the depression which is horrible. But, had to discontinue each time due to mania returning. Thanks
Wellbutrin (bupropion) seems to be less apt to cause mania than other antidepressants, and is often chosen first when treating bipolar depression. It might make sense to be on Depakote to help as a mood stabilizer.
- Scott
This is the end of the thread.
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