Posted by BarbaraCat on July 24, 2002, at 22:21:43
In reply to Re: Fish oil and children's ADD? Need advice. » Pogo » Jonathon, posted by Jonathon on July 24, 2002, at 19:39:40
I don't have any posts about BP2 not doing well on SSRI's at my fingertips. In order to get a link to you I'd do a search here and on the web probably with the keywords SSRI and bipolar, but you could do this as well. I recall www.medscape.com/psychiatryhome has some stuff on it. At some point I'll do this search because others here have asked me the same thing. It's something that has become evident in the last year or two, maybe longer. Your pdoc should be aware of it.
I don't know the physiology on it and am interested in why. What I do know is that SSRI's sometimes cause real problems for BP2's with rapid cycling, anxiety, setting off mania, especially early on in the treatment. This has been the case for me. Only Remeron didn't cause panic attacks and wire me out when I was ramping up. I've also been on Zoloft (and many others) and eventually I did fine on it (6 years on Zoloft off and on), but every time I re-started after quitting for a while I'd be a textbook case of a BP2 not getting along with an SSRI. This is probably not true for everyone just like with any diagnosis.
If you're doing fine on it, don't worry about it - you're lucky. Stick with what works for you. I have to watch making blanket statements in my posts assuming that this rather radical topic is common knowledge. - BCat
poster:BarbaraCat
thread:112225
URL: http://www.dr-bob.org/babble/20020718/msgs/113608.html